session #21 montague whole person wellness overview final 21_presentation.pdf · adapted from...

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ADVANCING WHOLE-PERSON WHOLE-PERSON WELLNESSJan Montague, PresidentWhole-Person Wellness Solutionswww.wpws.net

Sunrise? Sunset?2

© 2012 Jan Montague

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Optimal Aging

…Implies that no matter what state of health the i i ill k i i

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person is in, one may still seek to optimize one’s capabilities or satisfaction with life.

Adapted from Baltes & Baltes 1990 and Walsh 1993

The capacity to function across many domains-physical, functional, cognitive, emotional, social, and spiritual – to one’s satisfaction and in spite of one’s medical conditions.

Kenneth Brummel-Smith, MD. 2007


Why?

Research

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Optimal A

Cost Benefit

ROI

EvidenceHealth Care

Reform

Aging


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Truly Sick & The Worried Well

The first In 2010, the total health

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wealth is health.

Ralph Waldo Emerson

,expenditures reached $2.6 T $8,402 per person

17.9 percent of the Gross Domestic Product.

Annual Report of National Health Expenditures


Whole-Person Wellness6

Good Idea 1970’s

Should Do 1990’s

Must Do 2012

Introduced 1950’s


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High Level Wellness

An integrated method of gfunctioning which is oriented toward maximizing the potential of which the individual is capable of functioning within the

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functioning within the environment.

Halbert L. Dunn, MD, PhD 1959


National Wellness Institute

Emotional

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Emotional Intellectual Physical Social Spiritual Spiritual Vocational

Bill Hettler, MD 1976© 2012 Jan Montague

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Successful Aging

Actively Participate In Personal Wellness

Ability To Adapt and Re-Invent

Societies (Group and Individuals) Play a Vital Role

Findings from Research Sponsored by the AARP Foundation 2002

9© 2012 Jan Montague

Gallup Well-Being Research

Thriving Well-Being:

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Always work from your strengths

Find short-term incentives consistent with long-term objectives

Strengths Finder 2 0 Well Being The Fi e Essential ElementsStrengths Finder 2.0 Well-Being: The Five Essential Elements.(2010) Tom Rath & Jim Harter


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Gallup Well-Being Research

Combination and interaction of:

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Our love for what we do each day,

The quality of our relationships,

The security of our finances,

The vibrancy of our physical health,

Pride in contributions to our communities.


The A-Ha Moment!12


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Research to Practice

Western-Southern Life Ins.

L d W lk S d

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London Walking Study

Hebrew Rehabilitation Center

Cincinnati Magazine, 1979© 2012 Jan Montague

Benchmark Research

Exercise Training and Nutritional

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Supplementation for Physical Frailty in Very Elderly People.

Maria Fiatarone, M.D. et. al.

N E l d J l f M d


New England Journal of Medicine

330:1769-1775, 1994

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Overview

100 Frail Nursing Home Residents

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gAge Range: 72 – 9810 Week StudyEvery Participant Had Some Sort of

Medical Condition


Medical Condition

Findings

94% Completed the Study

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The Strength Training Group Muscle Strength Increased Approx. 113%

Gait Velocity Increased Approx. 11.8%

Nutritional Supplement Group No Effect On Any Primary Outcome (i.e. strength, gait,


etc.)

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Conclusion

The research clearly demonstrates that

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providing strength training opportunities for the very frail would be a much more effective use of resources than supplementation to prevent frailty.


Whole-Person Wellness18

Multidimensional, positive health , pleading to a satisfying quality of life and a sense of well-being.

Jan Montague


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Wellness Dimensions

Social: fosters meaningful interactions

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within a diverse community.

Physical: promotes personal health and safety.

Spiritual: encourages a life of


Spiritual: encourages a life of meaning, value and purpose.

Wellness Dimensions

Emotional: facilitates an awareness

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and acceptance of one’s feelings.

Intellectual: stimulates the use of one’s mind.

Vocational: finding one’s calling and


Vocational: finding one s calling and being a good giver and receiver.

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Fundamental Aspects of WPW

Paternalism Self Responsibility

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Paternalism Self Responsibility

Can’t Do Can Do

Reactionary Proactive

What’s Wrong What’s RightWhat s Wrong What s Right

Number / Label Whole Person

Fear & Scare Hope and Optimism


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WPW Foundation

Social Learning Theory23

Role Models Review and Rehearse

Ecological ModelEnvironments Play a Vital Role

Health Behavior Change Model


Health Behavior Change ModelValue the Stages

Behavior Based Stages

Contemplation

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Education & Information

Time to Contemplate

Visualize Whole-Person Wellness

Preparation Look for Strengths and What’s Right


g g

Investigate

Find Role Models

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Behavior Based Action Steps

Action

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Determine the Reality of the Situation

Develop Strength-Based Goals and Outcomes

Create a Whole-Person Wellness Action Plan

Maintenance The Cycle Continues


The Cycle Continues

Use the Model

Behavior Based Action Steps

Maintenance

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Interest Surveys

Discussion Groups

Listening

Measurement and Meaningful Data Collection


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WPW Must Begin With You!

You must be bl able to

visualize a whole-person wellness environment.

2011 Jan Montague

Innovative Trends in WPW

Policy & Funding University Involvement

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University Involvement Hospitals & Therapy Services Municipalities Business Technology ROI & Cost/Benefit Strategies


ROI & Cost/Benefit Strategies Organizational & Individual Tracking Systems

Living Laboratories

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Wellness Is Relative

Age, chronic illness, terminal illness,

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g , , ,physical or mental disability need not limit the level of wellness one can reach; the level of wellness is always relative to one’s own potential.


Change In Perspective30


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Summary

All parts of the body which have a

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function, if used in moderation and exercised in labors to which each is accustomed, become healthy and well developed and age slowly. But if unused

d l f idl h li bl di and left idle, they come liable to disease, defective in growth and age quickly.

Hypocrates – 370 BC


Whole-Person Wellness

It is good to h d

What It Is

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have an end to journey towards, but it is the journey that matters in the end.

Ursula Leguin, 1929

American Writer

• Approach• Philosophy• Lens• Way of Living Life

What It Is NOT• Class


American Writer • Class• Program• Service• Test• Center

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Behavior Stages

When you k

Contemplation/ PreparationA il bl A i A ibl

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cease to make a contribution, you begin to die.

Eleanor Rossevelt

Available, Appropriate, Accessible Learning and Thinking Review and Rehearse

Action Structure, Lifestyle, Culture, Identity Doing Wellness Versus Being Well

Maintenance Structure, Lifestyle, Culture, Identity Being Well – It’s Just Who You Are


Making Wellness Simple

Act Well, Purposeful & Intentional

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Think Well,

Be Well.

Jan Montague

Greeting (Emotional)

Smiling (Social)

Walking (Physical)

Asking and Listening (Intellectual)

Giving Time (Vocational)g ( )

Inspirational Messages (Spiritual)


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Whole-person Wellness Activity

It is good to Visualize WPW

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have an end to journey towards, but it is the journey that matters in the end.

Write Your Wellness Story

Stage of Readiness Checklist

What are 3 “tiny” whole-person wellness steps You can take


Ursula Leguin, 1929

American Writer

pimmediately?

Whole-Person Wellness

It i th t ti i t

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It is the starting point

It is an approach to living

It is everywhere, everyone and everything


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Whole-person Wellness Education

Whole-person W ll M

Handouts:

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Wellness Must Begin with You!

Creating Whole-Person Wellness Jan Montague and Barbara Frank (2008)

Assisted Living Consult.

Whole-Person Wellness for Vital Living Jan Montague, 2009


References

[email protected]

N f A N f

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National Center for Creative Aging News Brief [email protected]

The Transtheoretical Model of Behavior Change Drs. James Prochaska, C.C. DeClemente, & J. C.

Norcross. In Search Of How People Change. American Psychologist, 47 1102-1114. (1992)


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References

ICAA Research Review Newsletter, International Co ncil on Acti e Aging

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Council on Active Aging

Successful Aging, John Rowe, MD, and Robert Kahn, PhD, 1998

Wellbeing: The Five Essential Elements, Tom Rathand Jim Harter, 2010


Advancing Whole-Person Wellness Strategies, Processes, and Outcomes

www.wpws.net

[email protected]

© 2012 Jan Montague 40

session #21 montague whole person wellness overview final 21_presentation.pdf · adapted from...

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