N: Welcome participants if you haven`t done so already. C

Transcription

PTSC: Week 1: Prevent Illness & Disease
PTSC Week 1 - 1
N:
Welcome participants if you haven't done so already.
C:
This week concerns what you can do to prevent common illnesses
and disease.
© Marilyn Hughes Gaston, M.D. & Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.
October 2010
PTSC Week 1 - 2
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Reveal the entire slide. Introduce and read the objectives of the
Module. State that each item will be discussed in detail in the
subsequent slides. Go quickly.
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Book: Prime Time: The African American Woman's Complete Guide to Midlife Health and
Wellness, Gayle K. Porter, MD & Marilyn Hughes Gaston, Ph.D.
African American women are prey in disproportionate numbers to a range of preventable
illnesses in middle age according to the assistant surgeon general of the United States
and a clinical psychologist, respectively, Prime Time is a wellness book aimed at African
American women over the age of 40, covering issues such as heart disease, diabetes,
menopause, and depression.
Also in their prime, and recognizing the lack of good information on the subject, they
offer support and advice to their sisters. The usual prescriptions of diet, exercise, and
stress reduction are included, but each focuses on the medical and emotional needs of
older black women in particular. Statistics dealing specifically with this group are used
when available, and the authors do a good job of identifying certain diseases that may be
more significant for African American women than for the general population.
The authors intersperse their medical advice with personal stories about quitting
smoking and dealing with the death of loved ones.
October 2010
PTSC Week 1 - 3
N:
Reveal the entire slide. Introduce and read the goals of the Module.
State that these goals will be discussed in the subsequent slides.
Go quickly.
October 2010
PTSC Week 1 - 4
N:
Reveal only the title of the slide. Ask Questions and reveal
responses when all points are identified. Thank participants by
name for each answer they provide.
Q:
Why is primary prevention the best way to prevent disease and
ensure a long and healthy life?
A:
With Primary Prevention, take action so:
  you avoid problems in the first place,
  before they are allowed to occur.
October 2010
PTSC Week 1 - 5
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Q:
How would you describe the habits of health and lifestyle that
results from the prevention of disease?
A:
Preventing disease involves developing habits of health and
disease that:
  are daily and repetitive
  are continuous and not episodic
  permeate everything you do
  require focus and planning with your health care team on a
yearly basis.
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Printable Graphic: http://www.girlsinc.org/gc/inc/exercise_chart.htm.
October 2010
PTSC Week 1 - 6
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Q:
A:
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A:
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Reveal only the title of the slide. Ask Questions and reveal responses
when all points are identified. Thank participants by name for each
answer they provide.
How can many illnesses be prevented or delayed?
Illnesses be prevented or delayed by:
  Decreasing risk factors
  Using preventive methods on a daily basis
What are some of the major illnesses that can be prevented? And
what are the levels to which they can be prevented??
Diseases that can be prevented include:
  80% of heart disease and diabetes
  70% of stroke and lung cancer
  90% of lung cancer
  95%: Cervical Cancer & HIV
Heart Health for Black Women, Beverly Yates, Marlowe & Co; January 26, 2000. African-American
women comprise the only demographic group that has seen an increase in heart disease in the last
decade. What does it take to have a healthy heart? Why is heart disease so common among black
people—and black women in particular? Heart Health for Black Women answers these questions with
a combination of charts, recipes, useful information, and helpful activities. And it's a combination
that's geared specifically to a black woman's concerns, with an emphasis on using naturopathic
methods and changing unhealthy habits. With its in-depth explanations and helpful activities, this
book offers hope, help, and reason to fight.
October 2010
PTSC Week 1 - 7
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Q:
A:
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A:
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Reveal only the title of the slide. Ask Questions and reveal responses when all
points are identified. Thank participants by name for each answer they provide.
What is it that CDC has determined can impact your health more than genetics?
Your lifestyle can impact your health more than genetics.
What does it mean to change your lifestyle:
Some of the things you can do to change your lifestyle are:
  Stop Smoking
  Exercise
  Decrease your stress
  Eat better
  Put yourself 1st
Book: Blessed Health: The African-American Woman's Guide to Physical and Spiritual Well-Being,
McCloud, Melody Theresa, Ebron, Angela, Fireside Books, 2/1/2003. Written by a prominent
African-American OB/GYN and a highly respected journalist, Blessed Health is a personal health
and spirituality guide for every stage of a black woman's life. Included here is important
information on: 1) How your body works, and what can be done to prevent or help solve common
health problems, including pelvic infections and fibroid tumors; 2) How to find a doctor that
ministers to your physical and emotional needs; 3) How to successfully cope with illness, from a
faith perspective; 4) How spiritual wisdom and prayer can decrease the harmful effects of stress;
5) How best to take care of your breasts and reproductive organs, and decrease your risk of heart
disease, diabetes, obesity, and cancer; 6) and much, much more, including the latest on
managing menopause.
October 2010
PTSC Week 1 - 8
N:
Introduce and read the points as they appear on the slide. State
that each will be discussed in detail in the subsequent slides.
1.  Smoking
2.  Overweight and Obesity
3.  Inactivity
4.  Stress and Depression
5.  Poor Nutrition
6.  Hypertension
N:
Book: The Black Family Reunion Cookbook, Synopsis, Recipes and Food Memories, The
National Council of Negro Women, Simon & Schuster, May 1993. The Black Family
Reunion Celebrations held in seven cities across America every summer, celebrate and
preserve the values, traditions, and strengths of the African-American family. Inspired by
these festivals.
Book: Sisters Together, Move More, Eat Better, is a national initiative of
the Weight-control Information Network (WIN) designed to encourage
Black women 18 and over to maintain a healthy weight by becoming
more physically active and eating healthier foods. 877-946-4627 Fax:
(202)
828-1028
E-mail:
[email protected].
Weight-control
Information Network, 1 WIN Way, Bethesda, MD 20892-3665
N:
October 2010
PTSC Week 1 - 9
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Q:
A:
Q:
A:
N:
Reveal only the title of the slide. Ask Questions and reveal responses when all
points are identified. Thank participants by name for each answer they provide.
How many deaths is smoking linked to each year?
In the US, smoking is linked to hundreds of thousands of preventable
deaths each year.
What are the leading causes of death due to smoking for African American
women in US?
Lung cancer is the leading cause of cancer death in American women, according to the
American Cancer Society. It accounts for 21 percent of the cancer deaths in Black
women, 90 percent of whom contracted the disease through smoking. Smoking also is a
major contributor to heart disease. So it is relatively simple to decrease one of the risk
factors that could contribute to the development of either heart disease or lung cancer-don't smoke "If you smoke, quit," says Lorraine Cole. "If someone in your house
smokes, help him or her quit." (Ebony, Oct, 2001). Pneumonia and influenza combined
are the eighth-leading cause of death for women in the United States today. Together
they take the lives of more than 36,000 women each year.
Graphic: American Lung Association of Michigan, "Catch Your Breath": Women's Lung
Health Conference and Luncheon: http://www.catchyourbreathmi.org
October 2010
PTSC Week 1 - 10
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Q:
A:
N:
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Reveal only the title of the slide. Ask Questions and reveal responses when all points are
identified. Thank participants by name for each answer they provide.
What diseases can result from being overweight and obese?
50% African-American, 40% Mexican-American; 30% White women are obese: more likely
to suffer from diabetes, cardiopulmonary disease, some forms of cancer, heart disease,
high blood pressure, congestive heart failure and arthritis. (Ebony, Oct, 2004); major risk
factor for multiple illnesses such as: Cancer, Osteoarthritis, Heart Disease, Hypertension,
and many others. Over 65% of people with diabetes die from heart disease or stroke. If
you reduce your body weight by 5 to 7% (10 – 15 lbs) and exercise 150 minutes per week,
you can reduce risk of developing diabetes by 60%.
Is obesity contagious? Having an overweight friend, sibling or spouse raises person's
risk of being obese too, (Harvard Medical School & University of California in study
collected over 32 years: data on more than 12,000 people suggested risk was increased
by 57% if friend was obese, by 40% if sibling was and 37% if a spouse was. Analysis
suggested that person becoming obese most likely causes a change of norms about what
counts as an appropriate body size. "People come to think that it is OK to be bigger since
those around them are bigger, and this sensibility spreads," Nicholas Christakis says,
suggesting that social factors were even more important than physical ones in obesity.
BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/6914397.stm 07/26/2007.
The Quander Quality: The True Story of a Black Trailblazing Diabetic, James W.
Quander & Rohulamin Quander, Robert D. Reed Publishers, (February 28, 2006)
October 2010
PTSC Week 1 - 11
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What are some risks of illnesses that can be reduced by putting
activity in your life?
By putting activity in your life, you can reduce the risk of:
  heart disease
  stroke
  high blood pressure
  colon and breast cancer
  diabetes and overweight/obesity
Does anyone have an example of how being more active improved
your life?
Accept all answers. Thank participants.
Race: White adults (63.7%) and Asian adults (62.1%) were more likely than black adults (51.3%) to
engage in at least some leisure-time physical activity. Chronic diseases are not prevented by vaccines,
nor do they just disappear. Health-damaging behaviors—in particular, tobacco use, lack of physical
activity, and poor nutrition—are major contributors to heart disease and cancer, our nation’s leading
killers. (The Leading Causes of Death, United States and Arkansas, 1995 & 2001, U.S. Dept of Health &
Human Services, Centers for Disease Control & Prevention, [email protected])
Graphic: Blue Monday, Annie Lee
October 2010
PTSC Week 1 - 12
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Q:
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Q:
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Q:
Q:
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Reveal only the title of the slide.
What are some risks you can reduce by putting activity in your life?
You can reduce:
  heart disease & stroke
  high blood pressure
  colon and breast cancer
How can activity improve your life?
Activity can improve your life by improving your:
  Bone Density
  Strength & Flexibility
  Energy Levels
  Sexual Satisfaction
  HDL Cholesterol
Other advantages are that activity decreases or reduces:
  Pounds & Abdominal Fat
  Slows Down Aging Process
  Chance of Fractures
  Stress & Depression
  Triglycerides
Does anyone have any other examples of how being more active can or has
improved your life?
October 2010
PTSC Week 1 - 13
N:
Q:
What are some risks resulting from stress and depression?
A:
Some may include :
  damage to the heart, blood vessels and immune system
  hypertension and heart disease
  stroke and diabetes
  cancer
  overweight and obesity
  a poorly functioning thyroid
N:
Book: Willow Weep for Me - A Black Woman's Journey Through Depression,
Meri N. Danquah, Norton, W. W. & Company, Inc., 1998. This inspiring story
shares an African-American woman's journey through depression, healing and
beyond.
October 2010
PTSC Week 1 - 14
N:
Q:
What is one of the major risks from poor nutrition?
A:
Poor nutrition causes an abundance of lipids (fat) in blood cells. The
abundance of lipids cause large amounts of LDL, the bad cholesterol in
your blood, which cause the build up of plaque in the lining of your
blood vessels making you at risk for heart attacks & strokes.
N:
Graphic: 7-signs-of-a-bad-diet <http://blog.foodfacts.com/index.php/
2009/07/16/7-signs-of-a-bad-diet/7-signs-of-a-bad-diet>;
<http://www.skinnydietsecret.com/>.
N:
In a later module, you will learn how to make better choices by using the
U.S. Department of Agriculture's newest food pyramid guide, called
MyPyramid. It encourages consumers to make healthier food choices
and to get regular exercise. Unlike the older model, food groups are
arranged in vertical, instead of horizontal bands. Band width indicates
portion size. The wider the band, the more food from that group you
should eat. Update: 5/1/2006.
October 2010
PTSC Week 1 - 15
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Q:
What is “The Silent Killer”?
A:
Hypertension OR “high blood pressure” is the “Silent Killer”.
Q:
Why is it called “The Silent Killer”?
A:
It rarely has symptoms, so you must:
  Take Your Blood Pressure Frequently to Diagnose It Early
  Keep It Controlled at Normal Levels.
Q:
What is a Normal Level?
A:
Your blood pressure is normal only if the top number (systolic) is
below 120 and the bottom number (diastolic) is below 70 (120/70).
You have high blood pressure if your top number is 140 or more or
if your bottom number is 90 or more (140/90).
October 2010
PTSC Week 1 - 16
N:
Q:
What are some of the uncontrollable risk factors?
A:
They include:
  Race, gender, age, and family history
Q:
If they're uncontrollable, what's the point of knowing about them?
A:
Most genetic diseases, including heart disease and diabetes, result from
mutations in multiple genes, combined with environmental factors.
Knowing that these contribute to increasing your risk for certain
illnesses should increase your motivation to decrease the other
controllable, modifiable risk factors.
Q:
Does anyone have an example of uncontrollable risk factors in your
family and what you have done to prevent a disease or illness from
occurring?
A:
Uncontrollable risk factors include things like: stop eating fried foods to
decrease risk for heart disease; exercise to decrease risk for high blood
pressure; get mammograms to decrease risk of breast cancer.
N:
October 2010
PTSC Week 1 - 17
N:
Q:
How can you change your life style by looking at your Family
History?
A:
Your health care team can help you to take control of certain
"uncontrollable" illnesses that they can identify by looking at your
family history. They can then:
  identify your risk factors
  put into place preventive habits
  thus, decrease your risk for repeating the history of various
illnesses in your family.
Q:
What are some of the illnesses you can identify in own Family
History?
N:
October 2010
PTSC Week 1 - 18
N:
Introduce and read the points as they appear on the slide. State
that each will be discussed in detail in the subsequent slides.
Q:
How can you Prevent Illnesses & Diseases From Progressing:
A:
To Prevent Illnesses & Diseases From Progressing:
  Get an Early Diagnosis
  Routine Check-ups
  Get Medical Screening Tests
  5 Most Important #s in Health Care
  Practice Self-Care to Prevent:
  Complications
  Progression to Severe Stage
  Premature Death
N:
Book: A Lifetime of Good Health: Your Guide to Staying Healthy,
The National Women's Health Information Center is Sponsored by
the Office on Women's Health in the U.S. Department of Health and
Human Services 800-994-9662.
October 2010
PTSC Week 1 - 19
N:
Q:
What are some ways to ensure early diagnosis?
A:
You can do so by:
  getting routine check-ups
  getting ongoing and comprehensive medical care
  making self-care your #1 goal
Q:
Can anyone give an example of how early diagnose helped you?
A:
N:
Book: Tomorrow Begins Today, National Council of Negro Women, Cheryl
Cooper (Editor), March 2006. A revealing look into the lives of African American
women. The book explores the important issues that women face as they age.
Focusing on finance, health and life satisfaction, and including data gathered
from research conducted by NCNW, Tomorrow Begins Today promotes vital,
vibrant options that show how to make the most of life's stages and, through
self-empowerment, create a successful, fulfilling future.
October 2010
PTSC Week 1 - 20
Q: What are some medical screening tests that could save your life?
A: Some of these tests include:
  Mammogram: Breast Cancer
  Lipid (Fat) profile or panel: Measures amount of cholesterol and triglycerides in blood. Test
helps assess risk of coronary artery disease or vascular disease in other parts of body.
  Pap Smear: Cervical Cancer
  Colonoscopy: Colon And Rectal Cancer
  Bone Density: Osteoporosis
  Electrocardiogram: Heart Disease
  Fasting Blood Sugar & HbA1C
  HIV: Tests blood or oral mucus for presence of antibodies to the virus. AIDS is a chronic, lifethreatening condition caused by the human immunodeficiency virus (HIV)
Q: Does anyone have any examples of how a test that you thought was routine actually found a
disease or illness? Do you schedule annual check-ups? Pap smears? Mammograms? Colonoscopy
every 3-5 years? What else do you check periodically?
A: Accept all answers. Thank participants.
N: Book: African American Women's Health and Social Issues, Catherine Fisher Collins, Greenwood
Publishing Group, Inc, July 2006. New York Empire State College, NY. Focuses on diseases that pose the
greatest threat to African American women today. Topics include heart disease, breast cancer,
understanding sickle cell disease, diabetes, HIV/AIDS, depression, women of color and the roots of
coping, homeless women, and more. For clinicians and social workers. Previous edition: c1996.
Know Your Numbers, Outlive Your Diabetes: 5 Essential Health Factors You Can Master to Enjoy a Long
and Healthy Life, Marlowe Diabetes Library Richard Jackson, Amy Tenderich, (November 30, 2006)
October 2010
PTSC Week 1 - 21
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Q:
What are the FIVE (5) MOST important numbers you should know
that may save your life?
A:
the FIVE (5) MOST important numbers are:
1.  Body Mass Index (BMI)
2.  Abdominal Circumference
3.  Blood Pressure
4.  Fasting Blood Sugar (FBS)
5.  LDL Cholesterol
Q:
Does anyone have any examples of how a test that you thought
was routine actually found a disease or illness?
A:
October 2010
PTSC Week 1 - 22
N: Reveal only the title of the slide. Ask Questions and reveal responses when all points
are identified. Thank participants by name for each answer they provide.
Q: What levels are considered “Normal” for each of the Five important numbers?
A: The “Normal” levels of the FIVE (5) MOST important numbers are:
  Body Mass Index (BMI)
  Normal 18.5-24.9
  Overweight 25-29.9
  Obese - >30
  Morbid Obesity >40
  Abdominal Circumference
  Normal <35 inches
  Blood Pressure
  Normal <120/80
  Prehypertensive – 120-139/80-85
  Hypertensive >140/90
  Fasting Blood Sugar (FBS)
  Normal <100mg/dL
  Prediabetes 100-125 mg/dL
  Diabetes > 126 mg/dL
  LDL Cholesterol
  Normal < 100
  in some cases with other heart risk factors <70
October 2010
PTSC Week 1 - 23
N:
Q:
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Q:
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Q:
A:
N:
Reveal only title of slide. Ask Questions. Reveal responses when all points
are identified. Thank participants by name for each answer they provide.
How does practicing good self care help you?
Good self care helps you prevent an illness from getting worse:
  developing more complications
  progressing to a more severe state
  progressing to premature death
How do you practice good self care?
Practice good self care by:
  getting consistent and comprehensive medical care by partnering with
your primary care MD and appropriate specialists as indicated.
  adhering strictly to the recommended treatment plans.
  taking your medications as prescribed,
  using daily primary prevention activities, e.g.: good nutrition, exercise.
decreasing stress
  Monitoring course of your illness & effectiveness of treatment plan
  regular visits with your health team &
  home monitoring by charting your blood pressure for hypertension, or
blood sugars with diabetes.
Does anyone have an example of how you prevented a disease or illness from
developing complications or getting worse?
Graphic: Funeral Procession, Ellis Wilson
October 2010

N: Welcome participants if you haven`t done so already. C

Transcription

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