Planning For Health in Academia

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Planning For Health in Academia

• Bette B. Felton DrPH, RN
• March 8, 2006
• SCHOLAR-OLLI, Cal State East Bay

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Plan for the session

• Overview of content
• Awareness of and management of physical status,
  chronic issues and medications
• Updates for Optimizing Nutrition
• Activity and Exercise Adjustments
• Facilitating and Financing Health Care

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Physical Awareness and Awareness of Self

• University faculty/staff are typical in physical
  status and health
• There is more knowledge about us than there was
  10 years ago.
• The increasing extent of chronic problems.
• Dual, triple and quadruple diagnoses

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Management of Chronic Problems

• Examples are
• Diabetes
• Chronic Obstructive Lung Disease
• Cardiovascular problems
• Muscular Skeletal Problems
• Cancer
• Mental Illness

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The Complexity of Multiple Medications-
Polypharmacy

• Prescriptions, Over the counter, Herbal Meds and
  others
• Problems of access, handling, taking, forgetting,
  mixing, and monitoring
• Side effects and contraindications
• Preparing and updating a medication list for
  three others to have

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Making Sense of the Lives we Lead

• Stress Management
• Self Actualization
• Spiritual Reconsideration
• Life Review
• End of Life Plans

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Depression-Loss and Loneliness When is it
dysfunctional grieving?

• Necessary Losses- Feeling lost and lonely vs.
  clinical depression
• Stigma and new knowledge of depression in the
  elderly
• Treatments and cautions

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Nutrition New studies every day

• A valid definition Nutrition is the relationship
  between humans and their food
• Macro and micronutrient needs
• Need for water and hydration

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A New Healthy Eating Pyramid (Willett, 2001)
White rice and bread, potatoes pasta,sweets
Red Meat, Butter
Alcohol in moderation, Unless contraindicated
Multiple vitamins, for most
Dairy or Calcium 1-2 times
Fish, Poultry, Eggs- 0-2 times
Nuts and legumes- 1-3 times
Vegetables (lots)
Fruits- 2-3 times a day
Plant oils-olive, canola, soy, sunflower, peanut
etc.
Whole grain foods
Daily Exercise and Weight Control
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Activity and Exercise- Its all beneficial and
healthy

• The old cliché-Use or lose!
• Benefits of activity are physical, mental and
  social
• What are characteristics of healthy activity
• Aeration
• Enjoyment
• Vigor and Rigor

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Planning for Strength, Endurance and Flexibility

• Why all three aspects?
• How can we accommodate special needs?
• Customizing activity plans to include all three
  aspects
• Maintaining a good plan-cross training and
  ensuring social supports
• How will we resume activity after illnesses or
  surgery?

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Negotiating the Maze of Health Care Decisions and
Finance

• The Impact of Medical Care in Human Health
• The Changing Environment of Health Care
• access to care
• financing care
• The need for assertiveness, advocacy and social
  support in 21st century health care