Smarter CARE: an ounce of prevention... QUALITY-life!

1. Life Quality
Elder Care Project

2. Life Balance Northwest, LLC
 Ann M. Childers, MD, owner
 Psychiatric services
 Treatment foundations are nutrition and sleep

3. The opportunity
Marvin Kaiser,
CEO
WELLNESS program:
- Assessment (metrics)
- Design (monitoring)
- Findings (recommendations)

4. A Common problem?

5. Impact

6. Who has metabolic syndrome (pre-diabetes)?
 In 2009−2012, 37% of U.S.
adults aged 20 years or
older had pre-diabetes
(51% of those aged 65
years or older). Source:
Centers for Disease
Control
 ~49% of the US
population over the age of
20 has either pre-diabetes
(metabolic syndrome) or
diabetes

7. First Dietary Goals for Americans
Published in 1977--Then what happened?

8. The 1992 Food Pyramid:
Grains and Skim Milk

9. Dietary Trends and Food Politics
Eat, Drink, Politics, January 2013

10. Reversing Trends for Wellness
 Home cooking.
 Fresh (not processed)
foods.
 Highly refined sugars and
starches eliminated
 Natural, well-sourced fats
restored.
 Protein restored.
 Carb loads restored to 45%
or less of daily calories

11. Prior to launch
 Consult with dietitian and
kitchen
 Prepare kitchen
 Educate residents, families
and staff
 Promote opt-in

12. Measuring Outcomes
 Baseline: Activities of Daily
Living: ABAS
 Labs: Triglyceride to HDL Ratio
 Height and initial weight
 Follow up: Weight every 2
weeks
 Check in with residents and
families
 Final: ABAS, Triglyceride to
HDL Ratio, Weight

13. incubating Leadership

14. Thank You