life style disorders

1. ROLE OF NURSING IN PUBLIC AND
COMMUNITY HEALTH IN
LIFE STYLE DISEASES
INDUMATHY VIJAY
TUTOR, VMMC&SJH
NEWDELHI

3. Today's Lifestyle is a disease in
itself. It is a silent disaster.

4. DISEASES OF LONGEVITY
OR DISEASES OF
CIVILIZATION

5. Life style diseases
Are linked with the way people live
their life that tend to impact on
health.
Examples:
 Unhealthy eating
 Lack of physical activity
 Alcohol, drug and smoking abuse

8. Leading Health Indicators
Healthy People 2020
Physical activity
Overweight and obesity
Tobacco use
Substance abuse
Responsible sexual behavior
Mental health
Injury and Violence
Environmental quality
Immunization
Access to health care

9. APPROACHES
 INDIVIDUAL
 GROUP OR COMMUNITY

10. STRATEGIES
A variety of educational strategies, targeted at
individuals or groups, via verbal, written or
audio-visual forms of information can be used to
expand and reinforce dietary messages and
lifestyle change

11. The most important aspect is to
match the type and level of
information to individual
needs and abilities.

12. Tools for Nurses
5 A’s- Assess, Advise, Agree, Assist, Arrange
Physical activities
Healthier Life Steps
Screening, Brief Intervention, Referral and
Treatment
BUT THIS ISN’T ENOUGH!

13. What Works to Improve Health Behaviors
Create sense of self-efficacy, address barriers

14. Barriers of health behavior change
Lack of time
Financial issues
Insufficient confidence
Insufficient knowledge
Insufficient skills
Others? And so on ………

15. What Works….Goal Setting
Listen . . choose
ONE behavior &
reasonable goal
Patient should rate
confidence of
completing the
goal at 7/10

16. What works…Stages of Change
• Identify stage, and move patient along the continuum
• Not every patient will enter every stage
• Not every stage is the same length

17. The current challenges for
individuals: Unhealthy
Lifestyles
Can you say yes to all ?
I am having an ideal body weight
I exercise 30 minutes or more most days of the week
I eat a healthy diet with 5 fruits/vegetables most days
I don’t use tobacco products
I have 2 or fewer alcoholic drinks per day
These are the drivers of health care costs!

18. Changing and challenging role
of a Nurses

20. EVIDENCE BASED
RECOMMENDATIONS
Trusted Professionals emerging as pioneers of our
nation health care reform.

22. HEALTH CONSULTATION

23. Lifestyle Medicine (LM)
LM is the evidence-based practice of helping
individuals and families adopt and sustain
healthy behaviors that affect health and
quality of life.
Examples of target patient behaviors include
but are not limited to eliminating tobacco
use, improving diet, increasing physical
activity, and moderating alcohol
consumption.

24. Field of Lifestyle Medicine
LM recognizes the link between lifestyle medicine and
health outcomes
Uses science behind health behavior change
Emphasizes value of lifestyle medicine prescriptions by
physicians
Emphasizes value of support of those prescriptions by
other health professionals

25. Adult health examination
program Increase awareness
Develop training programs
Adapt LMCs to other health
professionals
Advocate for wide
implementation and
integration into practice
Integrate lifestyle medicine
into your practice with easy
steps

26. With Every Patient
Make a point of addressing lifestyle issues with every patient,
even briefly
Prescribe lifestyle as the first-line treatment for most chronic
illnesses

27. Nutrition improvement
program

28. Formulation of health promotion
program

30. Role in Prevention

33. 1. Public health education

34. 2. Regular exercises

35. 3. Weight management

36. 4. Avoidance of smoking, alcohol
and drugs

37. 5. Control of existing diseases

39. CONCLUSION
• Healthier
students to
schools
• Healthier workers
to businesses
and employers
• A healthier
population to the
health care
system
Improving
community
conditions to support
healthy behaviors and
promote effective
management of
chronic conditions
will deliver:
Improving
community
conditions to support
healthy behaviors and
promote effective
management of
chronic conditions
will deliver:
Healthier
People
Lower
Health
Care
Costs
Healthier
People
Lower
Health
Care
Costs

41. Thank you