2. International Women's Day celebrates the social, political
and economic achievements of women while focusing world
attention on areas requiring further action.
International Women's Day celebrates the social, political
and economic achievements of women while focusing world
attention on areas requiring further action.
9. 7 Dimensions of Wellness
Occupational
Spiritual
Emotional
Physical
Intellectual
environmental
Social
10. Women’s Health Challenges:
• Quality health care.
• Lack of access to health care
(affordability, providers,
specialty care).
• Lack of access to reproductive
health care (religion and
government interference).
• Violence against women still
prevalent (kills, stresses or
creates chronic disease).
14. Heart Disease
“The Silent Killer”
#1 killer in both women and men
2/3 of women who suffer a heart attack do not
make a full recovery.
500,000 women die yearly
American Heart Association, 2007
15. Heart Disease
Risk Factors
Genetic makeup
Family History
Gender
Race
Aging Process
Smoking
Lack of Physical
Activity
Depression
Stress
Diet (cholesterol)
High Blood Pressure
Diabetes
Obesity
American Heart Association, 2007
17. The Problem??
Heart disease in women is
difficult to diagnose
Why?
1. Women Don’t give clear
information
2. Women tend to down play their
own symptoms
18. Cancer
#2 leading cause of death in women
What are the top cancers in women?
#1 Breast Cancer
#2 Cervical Cancer
#3 Colorectal Cancer
#4 Lung Cancer
19. Breast Cancer
Breast cancer afflicts a large
number of women both young
and old.
A recent study pointed out
that cancer related depression
is more prevalent in singles
and mothers.
Death rates have declined
now a days due to better
treatment and earlier
detection
20. Risk Factors
Uncontrollable
Being a woman
Getting older
Family
History
Biopsy (Pre-Cancerous
Condition)
1st
period before age 12
Menopause after 55
Positive testing for breast
cancer gene (BRCA1 &
BRCA2)
Controllable
More than 1 alcoholic
drink a day
Obesity after menopause
Weight gain as an adult
Recent use of oral
contraceptives
Never having children
1st
child after age 30
Current/recent use of HRT
Susan G. Komen Breast Cancer Foundation
www.komen.org
21. Some
New lump in the breast or underarm (armpit).
Thickening or swelling of part of the breast.
Irritation or dimpling of breast skin.
Redness or flaky skin in the nipple area or the
breast.
Pulling in of the nipple or pain in the nipple area.
Nipple discharge other than breast milk, including
blood.
Any change in the size or the shape of the breast.
Pain in any area of the breast.
Warning Signs of Breast Cancer
22. Breast Health Care ~
Perform breast self-
exams each month.
Have mammograms
and clinical breast
exams as
recommended by
health care provider.
Susan G. Komen Breast Cancer Foundation, 2007
23. Cervical Cancer
Very common in Bangladesh
Causes :
1.Poor hygiene
2.Early Marriage
3.Early and Multiple Pregnancy
4.Immune deficiency : HIV, HCV
24. Cervical Cancer
How to Prevent
1.Maintain good physical hygiene
2.Avoid Early Marriage & multiple pregnancy
3.Awareness about HIV, HCV
4.Vaccination – Anti-HPV
25. Lung Cancer
79% of lung cancer is caused by smoking.
Risk Factors:
• Smoking and being around others'
smoke
• Things around us at home or work
(such as radon gas)
• Personal traits (such as having a
family history of lung cancer)
Healthy Lung Diseased
Lung
26. Colorectal Cancer
Occurs in digestive system
26,699 women die annually in the US (ACS2004)
Risks Factors Women
Family history & ethnic
background
Personal history
Age, diet, lack of exercise,
overweight, smoking, &
alcohol use
Centers for Disease Control, 2007
American Cancer Society, 2007
27. Colorectal cancer first develops with few, if any, symptoms. However, if symptoms are present, they may include:
Symptoms
Blood in or on the stool
A change in bowel habits
Stools that are narrower than usual
General, unexplained stomach discomfort
Frequent gas, pains or indigestion;
Unexplained weight loss
Chronic fatigue
Colorectal Cancer
Centers for Disease Control
28. Screening Saves Lives
You should begin screening for colorectal cancer soon
after turning 50.
It is estimated that at least 50%–60% of colorectal cancer
deaths could be prevented if all men and women aged 50
years or older were screened routinely.
Centers for Disease Control
29. 3. Stroke “Brain Attack”
Blood flow cut off to the brain or blood vessel bursts
Leading cause of long-term disability
Risk Factors:
Family history or personal history
Age
Smoking, heart disease, diabetes,
high blood pressure
30. If you believe someone is having a stroke…
Call the Doctor immediately!
32. There is no doubt, women are theThere is no doubt, women are the
stronger speciesstronger species
With some biological factors going against Women asWith some biological factors going against Women as
HormonesHormones
PregnancyPregnancy
MenopauseMenopause
33. Are You at Risk?
• Risk Factors you can
control:
– High Cholesterol
– High Blood Pressure
– Diabetes
– Obesity/Overweight
– Physical Inactivity
– Smoking
• Risk Factors you can’t
control:
– Age
– Gender
– Heredity and Race
– Previous medical
conditions
National Stroke Association
34. Know Your Numbers
Cholesterol
Your total blood cholesterol level
Desirable — Less than 200 mg/dL
Borderline high risk — 200–239 mg/dL
High risk — 240 mg/dL and over
LDL “bad cholesterol”
Less than 100 mg/dL Optimal
100-129 mg/dL Near Optimal
130-159 mg/dL Borderline High
160-189 mg/dL High
190 & above Very High
HDL “good cholesterol”
50 mg/dL or higher
35. Know Your Numbers
Blood Pressure
– Less than 120/80 mmHg “Normal”
– 120 to 139 / 80 to 89 “Pre-hypertension”
– 140 over 90 “High”
Special Considerations for Women:
• Taking the birth control pill
• Pregnancy
• Overweight
• Following menopause
• African American
• Family history American Heart Association
36. Diabetes is a disease in which the body does not produce or
properly use insulin.
• Type 1
• Type 2
• Gestational Diabetes
• Common Symptoms:
• Thirst, frequent urination, tired, blurred vision,
frequent infections, slow wound healing.
•Screening: Fasting Glucose Less than 100 mg/dL
Know Your Numbers
American Heart Association
39. Approach:
7 Simple Steps to Healthy Living
1. Decide to live a healthy lifestyle
2. See where you are now
3. Understand healthy eating
4. Recognize the benefits of physical activity
5. Set goals and plan
6. Shop, cook, eat together
7. Support a healthier lifestyle for your family
Decide to live a healthy lifestyle
42. – Maintain a healthy
weight
– Prevent/control
Diabetes
– Focus on Fruit – not
fruit juice
– Vary your veggies –
dark green like broccoli,
kale – orange carrots,
sweet potatoes,
pumpkin. Add beans
and peas
– Lean with protein –
lean meats and poultry
– bake it, broil or grill it.
43. – Focus on fruit (fresh, frozen, canned or dried)
– Vary your veggies (eat more dark green & orange)
– Get your calcium-rich food
– Go lean with protein Find your balance between food and
physical activity
44. Lifestyle Changes – Be Active!
Get routine exams & Screenings
Change takes time — begin by taking a few small steps
45. Ok, Now What?Ok, Now What?
Make a Difference in YourMake a Difference in Your
Health and Take Action!Health and Take Action!
46. “When you work,
work, and when you
play, play. Don’t get
the two mixed up!”
--Tangela Davis,
Leadership Expert,
Professional Speaker,
Coach, Author
47. Be Risk Free …
– Update your Health by Creating Health Profile by MH
Stages of change – Are you ready to make a change in your health?
Stages of change – Are you ready to make a change in your health?
There are a number of definitions for healthy. The definition of healthy is going to be different for all of us based on our life experiences
Icebreaker: Ask audience to brainstorm what a health woman is to them?
Another way to look at the definition of wellness. This Wellness wheel is used in Health Promotion to show that different pieces or dimensions that provide us a sense of balance and wellness.
Hint: #1 weighs less than a can of soda, it’s about the size of a fist, and operates about 100,000 times a day.
Compared to breast cancer where 1 in 30 will die and 1 in 3 will die from heart disease, stroke and other cardiovascular illnesses (Absolute Advantage, 2003)
Women are at more risk than ever with the high rate of obesity and diabetes
Unhealthy habits account for 82% of heart disease in women. As a result behavior change is extremely important in preventing heart disease.
-Death rates from heart disease increases for women over the age of 65
**Possibly add in something about behavior change process
Hallmark symptoms: chest pain and difficulty breathing
2 ½ million American women are hospitalized for heart disease every year, and one out of every three of them die.
Both men and women accumulate plaque on the walls of the blood vessels. As time goes on the plaque builds up and causes clogs in the blood vessels. As a result, blood flow is disrupted or stopped, causing a heart attack or stroke. Differences… men, build up plaque in clumps or bulges. In women, the plaque is spread more evenly along the vessel lining.
1/3 of women who have heart attacks don’t show a “big kink”
Natural tendency to down play their own symptoms to take care of their family members. This is an issue when symptoms for heart disease can already be subtle.
Source: Newsweek with Harvard Medical School, 2004
Men: 2007: 2,030 will be diagnosed and 450 men will die Source for all stats on slide: Susan G. Komen Breast Cancer Foundation, 2007
Point out preventive screening guidelines on handout
Give BSE handout
Discuss prevention: BSE and getting CBE’s
Hand out BSE card
**Further information on the risk factors can be found on the Susan G Komen website
Lung Cancer is the uncontrolled growth of abnormal cells in one or both of the lungs.
1- 79% of lung cancer is caused by smoking, 1 out of 4 cancer deaths is lung cancer and nearly 1 out of 8 newly diagnosed cancers among women.
2. There are 70,000 US Cancer deaths in women in the US (ACS, 2007)
3. Statistic activity:
Cut statistics on little pieces of paper and have audience read stats.
In 2003, 69,000 women in U.S. died from lung cancer
79% of lung cancers are caused by smoking
**cut up these statistics and have audience read them.
In NH 700 women die yearly from smoking
33,100 kids in NH under the age of 18 today will die prematurely from smoking (2006).
300 kids under the age of 18 have lost their moms to smoking
Source: Campaign for Tobacco Free Kids, updated 2006
Other risks for women who smoke are stroke, cataracts, poor circulation, high blood pressure, skin conditions, premature aging, wrinkles, cancers of the mouth and all throughout the body, emphysema, etc.
Show ingredients list & girl poster, tar jar
93% of cases occur in people aged 50 and older
Preventive screenings should start at age 50 and then yearly
(CDC)
Colorectal cancer usually starts from polyps in the colon or rectum.
A Polyp is a growth that shouldn’t be there.
Overtime some polyps can become cancer.
Screening tests can find polyps before they turn into cancer.
Colorectal cancer doesn’t always show symptoms. That’s why screening is so important!
A stroke occurs when an artery that carries blood, oxygen and nutrients to the brain either bursts or is blocked by a clot. When this happens the brain can’t get the blood and oxygen it needs and it starts to die.
Blood flow cut off from brain = cerebrovascular disease
Blood flow bursts= aneurysm
Age= chance of having a stroke increases after the age 55
- A stroke in the US occurs every 45 seconds. Of every 5 deaths from stroke: 2 occur in men and 3 in women (American Stroke Association, 2007)
Stroke in NH:
#3 leading cause death in females
2003 nearly 54% of all heart disease and stroke deaths in NH occurred in females.
Source: AHA & ASA
Hormones: There are two critical times when estrogen drives fat storage UP in women puberty and pregnancy.
Estrogen encourages fat storage in the breasts, hips, thighs and buttocks.
Estrogen also makes females MORE sensitive to insulin. Particularly during the post-ovulatory period. This increased sensitivity to insulin can lower blood sugar and initiate the craving for sweets that women experience during the pre-menstrual period.
Menopause: The menstrual cycle is a physiological process which costs the boy calories to perform. At menopause the loss of this function could cause a weight gain of 4-6 pounds a year if the female does not make an adjustment in her energy expenditure or food intake!
Risk Factor: Anything that increases a person’s chance of getting a disease. Having a risk factor for a disease means that a person is more likely to develop the disease at some point in their lives.
Risk factors you can’t control are on the right side. It is important to know your family health history.
Age – The older you get the more likely you are to develop heart disease or have a stroke,
Gender – Women account for more than half of all stroke deaths.
Heredity & race – If your brother, father or grandfather had a heart attach before age 55 or your sister, mother or grandmother had one before age 65 you may be at risk. If you have had a heart attack, your at a higher risk of having a second one or a stroke. Your stroke risk is greater if a parent, grandparent sister or brother had a stroke. African Americans have higher rates of cardiovascular disease and stroke than Caucasians.
Risk factors – you can control are on the left. These are lifestyle related risk factors.
Cholesterol comes from 2 places – from the food you eat and your body produces it. Cholesterol is a waxy, fat like substance that your body needs to make hormones, vitamin D and bile acids that aid in the digestion of fat. It is found in all cells of the body.
LDL: “bad cholesterol” carries most of the cholesterol in the blood. Too much LDL can lead to buildup and blockage of arteries.
HDL: “good cholesterol” works as “garbage truck” – transports LDL cholesterol from other parts of the body to the liver for disposal.
Your body makes cholesterol based on your family history. Other cholesterol comes from whole dairy products, eggs, animal fats and red meat. Overtime, cholesterol and fat are deposited in the inner walls of the arteries that supply blood to your heart. This buildup can lead to heart attack, stroke and death.
Have your cholesterol checked starting at age 20 once every 5 years. Blood chol. Is measured in milligrams per deciliter ( 1/10th of a liter)
Reduce your high cholesterol by limiting foods with saturated fats, trans fats and consuming low and non fat dairy products and exercise.
(Source: Fast Facts – National Women’s Health Resource Center)
High Blood Pressure is the silent killer – no symptoms. HBP makes the heart work harder than normal.
What do blood pressure numbers indicate?
The higher (systolic) number represents the pressure while the heart is beating.
The lower (diastolic) number represents the pressure when the heart is resting between beats.
Learn your blood pressure numbers.
According to the AHA:
Blood pressure below 120 over 80 mmHg (millimeters of mercury) is considered optimal for adults. A systolic pressure of 120 to 139 mmHg or a diastolic pressure of 80 to 89 mmHg is considered "prehypertension" and needs to be watched carefully. A blood pressure reading of 140 over 90 or higher is considered elevated (high).
Pill – research has linked birth control pills with high blood pressure in some women
Pregnancy – hypertension can develop rapidly during the last 3 months of pregnancy – dangerous to mom and baby
Overweight – added weight brings added risk for high BP (20 lbs or more overweight increases your risk)
Menopause – post menopause increases the risk of high BP for women – greater than man’s risk
African American – no known reason, but black women are more susceptible than white women
Family Tree – parents or close family member has high BP there’s a good chance you will.
Source - AHA
1 in 3 American adults has diabetes. 9 out of 10 people have Type 2 diabetes.
Your body changes the food you eat into sugar. Your blood takes the sugar to the cells throughout your body. The sugar needs insulin to get into the body’s cells. Insulin is a hormone made in the pancreas. The pancreas releases insulin into the blood. If your body does not make enough insulin or the insulin doesn’t work right the sugar can’t get into the cells so it stays in the blood. This makes your blood sugar level high causing you to have diabetes.
Type 1: Your body doesn’t make insulin.
Type 2: (most common form) Pancreas doesn’t produce enough insulin to keep blood sugar levels normal.
Gestational Diabetes: Occurs in women when hormones produced during pregnancy keep insulin from doing it’s job.
Type 2 – Pancreas doesn’t produce enough insulin to keep blood sugar levels normal. Without insulin glucose can’t move from your blood into cells.
Having high cholesterol and high blood pressure along with diabetes increases your risk for stroke & heart disease.
.
Mypyramid.gov suggestions
Focus on Fruit – not fruit juice
Vary your veggies – dark green like broccoli, kale – orange carrots, sweet potatoes, pumpkin. Add beans and peas
Calcium rich food – low or non fat yogurt, milk and cheese.
Grains – look fro wheat, rice, oats or corn – make sure it says 100%
Lean with protein – lean meats and poultry – bake it, broil or grill it. Add more protein with fish, beans, peas, nuts and seeds.