blood pressure #'s Flashcards

1
Q

Blood pressure numbers

7th report

A

Normal systolic: less than 120 mm Hg
diastolic: less than 80 mm Hg

At Risk (prehypertension)	systolic: 120–139 mm Hg
diastolic: 80–89 mm Hg

High Blood Pressure (hypertension) systolic: 140 mm Hg or higher
diastolic: 90 mm Hg or higher

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2
Q

The American College of Cardiology/American Heart

blod pressures

A

Normal systolic: less than 120 mm Hg
diastolic: less than 80 mm Hg

Elevated systolic: 120–129 mm Hg
diastolic: less than 80 mm Hg

High blood pressure (hypertension) systolic: 130 mm Hg or higher
diastolic: 80 mm Hg or higher

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3
Q

Illness wellness continuum

A

Illness : disability symptoms signs

Wellness: awareness education growth

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4
Q

A1c #’s and risk

A

Diabetes 6.5% or above

Prediabetes 5.7 – 6.4%

Normal Below 5.7%

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5
Q

Fasting blood sugar 3”s and risk

A

Diabetes 126 mg/dL or above

Prediabetes 100 – 125 mg/dL

normal 99 mg/dL or below

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6
Q

glucose Tolerance Test

A

diabetes 200 mg/dL or above

pre diabetes 140 – 199 mg/dL

normal 140 mg/dL or below

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7
Q

BMI numbers and risk

A

If your BMI is less than 18.5, it falls within the underweight range.
If your BMI is 18.5 to 24.9, it falls within the normal or Healthy Weight range.
If your BMI is 25.0 to 29.9, it falls within the overweight range.
If your BMI is 30.0 or higher, it falls within the obese range.

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8
Q

Your waistline may be telling you that you have a higher risk of developing obesity-related conditions if you are1

A

A man whose waist circumference is more than 40 inches

A non-pregnant woman whose waist circumference is more than 35 inches

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9
Q

Sings of stoke

A

Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body.
Sudden confusion, trouble speaking, or difficulty understanding speech.
Sudden trouble seeing in one or both eyes.
Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
Sudden severe headache with no known cause.

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10
Q

F.A.S.T. Is Key for Stroke

A

F—Face: Ask the person to smile. Does one side of the face droop?

A—Arms: Ask the person to raise both arms. Does one arm drift downward?

S—Speech: Ask the person to repeat a simple phrase. Is the speech slurred or strange?

T—Time: If you see any of these signs, call 9-1-1 right away.

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11
Q

symptoms of heart attack?

A

Chest pain or discomfort. Most heart attacks involve discomfort in the center or left side of the chest that lasts for more than a few minutes or that goes away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain.
Feeling weak, light-headed, or faint. You may also break out into a cold sweat.
Pain or discomfort in the jaw, neck, or back.
Pain or discomfort in one or both arms or shoulders.
Shortness of breath. This often comes along with chest discomfort, but shortness of breath also can happen before chest discomfort.

Other symptoms of a heart attack could include unusual or unexplained tiredness and NESUEA or vomiting. Women are more likely to have these other symptoms.

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12
Q

Cholesterol numbers

A

Total cholesterol Less than 200 mg/dL

LDL (“bad”) cholesterol Less than 100 mg/dL

HDL (“good”) cholesterol Greater than or equal to 60 mg/dL

Triglycerides Less than 150 mg/dL

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13
Q

DASH Diet sodium

A

2300, 1500 even better

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14
Q

DASH

A

Dietary Approaches to Stop Hypertension (DASH) is an eating plan to lower or control high blood pressure. The DASH diet emphasizes foods that are lower in sodium as well as foods that are rich in potassium, magnesium and calcium — nutrients that help lower blood pressure.

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15
Q

physical activity guidelines for adults

A

For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Preferably, aerobic activity should be spread throughout the week.
ƒ Additional health benefits are gained by engaging in physical activity beyond the equivalent of 300 minutes (5 hours) of moderate-intensity physical activity a week.
ƒ Adults should also do muscle-strengthening activities of moderate or greater intensity and that involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

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16
Q

children activity recc

A

Aerobic: Most of the 60 minutes or more per day should be either moderate- or vigorous-intensity aerobic physical activity and should include vigorous- intensity physical activity on at least 3 days a week.
• Muscle-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include muscle-strengthening physical activity on at least 3 days a week.
• Bone-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include bone-strengthening physical activity on at least 3 days a week.

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17
Q

cdc sleep recommendations

A

Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends
Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature
Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom
Avoid large meals, caffeine, and alcohol before bedtime
Get some exercise. Being physically active during the day can help you fall asleep more easily at night.

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18
Q

MOTOVATIONAL INTERVIEWING

PREP CHANGE TALK

IMPLEMENTING CHANGE TALK

A

DARN CAT

desire

Ability

Reason

Need

-

Commitment

Activation

Taking steps

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19
Q

PERMA model

A

Positive emotion

Engagement

Relationships

Meaning

Achievement

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20
Q

Self determination Theory

Basic human needs

A

Competence

Autonomy

Relatedness

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21
Q

Waist to hip ratios

A

Women
.80low

.85medium

.85+high

Men

.95 low

  1. 0 Medium
  2. 0 + high
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22
Q

MI SPIRIT

A

PACE

PARTNERSHIP

ACCEPTANCE

COMPASSION

EVOCATION

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23
Q

MI core skills

A

OARS

Open ended questions

Affirmations

Reflections

Summaries

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24
Q

MI

FOUR PROCESSES

A

EFEP

ENGAGING

FOCUSING

EVOKING

PLANNING

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25
NVC PRINCIPLES
OFNR OBSERVATIONS FEELINGS NEEDS REQUESTS
26
3 core coaching skills
Mindful listing Open ended inquiry Perceptive reflections
27
AI STAGES
``` Define Design - Dream Discover Destiny ```
28
AI principles
``` Positive Anticipatory Stimulatory Poetic Constructionist ```
29
Initial / intake coaching session :
- describe coaching process - coach clarify roles - determined if client is appropriate for coaching - establish coaching agreement - allow client to self determine goals and actions steps - review assessment /data /biometrics - discuss guidelines ( logistics, fees, scheduling)
30
Discovery call (6)
Your Discovery Form should include the following 6 components: Their contact information Their version of radiant health How their life would be different if they lived that vision What’s holding them back from living that vision The health and wellness changes they’d like to create/experience in life On a 1-10 scale, their willingness to invest time, money and energy into a coaching relationship
31
Woop
Wish Outcome Obstacle Plan
32
SDT continuum
``` Amotovation ^ Extrinsic: External regulation Introjected regulation Identified regulation Integrated regulation ``` ^ Intrinsic motivation
33
SCT TRIADIC CAUSTION
Personal Behavioral Environmental
34
SCT 6 constructs
1. Reciprocal Determinism 2. observational learning 3. Behavioral capability 4. Reinforcements 5 expectations 6. Self efficacy
35
Sources of self efficacy
1. Mastery experiences 2. Vicarious experience 3. Social persuasion 4. Physiological arousal
36
BMI equation
BMI is weight in kilograms divided by height in meters squared
37
Three levels of listening
1 - internal 2- focused 3. Global
38
HIPA
Health Insurance Portability and Accountability Act
39
First session
Set the climate/stage Establish rapport Gauge client’s intentions for coaching/obtain information why coaching is sought Determine if the individual is a candidate for health and wellness coaching and is an appropriate candidate for you specifically Explain the coaching process Establish the Coaching Agreement Guidelines and specific parameters of the coaching relationship (e.g., roles, logistics, fees, scheduling, inclusion of others if appropriate, confidentiality) Client vs. coach responsibilities, setting appropriate expectations Understand type of coaching relationship (i.e., short laser coaching session vs. long-term coaching relationship, telephonic, coaching apps, face-to-face, incentivized coaching) Review assessments, if any used, and other data sources Ensure appropriate time management of this and all sessions
40
initial stages of coaching
is spent exploring the client’s values, vision, purpose, and priorities.
41
Early in coaching
Have client assess current state of his/her health and/or wellbeing Explore the client’s vision of his/her optimal health and/or wellbeing Identify gaps between current state and client’s desired lifestyle/outcomes Explore and clarify client preference for priority areas of focus Establish or refine client’s specific long-term goals that lead toward desired outcomes Establish or refine client’s short-term SMART goals or action steps for what will be accomplished between sessions Support the client in achieving the SMART goals or action steps including back-up plans Establish client’s preferences for learning and maintaining accountability
42
Routine Ongoing Sessions
Connect, have client self-assess state at beginning of each session Check-in on prior session commitments/action steps . Invite client to select focus for session Establish or refine client’s short-term SMART goals or action steps for what will be accomplished between sessions Articulate new action steps and adjust plan if needed, with self-monitoring 1.4.6. Discover and reflect client’s learning, including “take-aways” from session Communicate appreciation of client’s work Invite the client to provide feedback to the coach on the coaching provided
43
Five Principles of Motivational Interviewing
Express Empathy Develop Discrepancy Avoid Confrontation Roll with Resistance Support self-efficacy and optimism
44
Thought sequence
Thought - feeling - action - result
45
TTM 10 processes of change
``` Consciousness raising, counterconditioning, dramatic relief, environmental reevaluation, helping relationships, reinforcement management, self-liberation, self-reevaluation, social-liberation, and stimulus control. ```
46
Domains of emotional intelligence
Self awareness Self management Social awareness Relationship management
47
Fulfillment
Intersection of skill and challenge
48
Flourishing
Happiness that includes feeling go AND doing good
49
NHIS. NATIONAL HEALTH INTERVIEW SURVEY
Quality of well-being scale Global life satisfaction Satisfaction with emotional and social support Feeling happy in the last 30 days
50
Social determinants of health
SHEEN Social and community Health and health care Economic stability Education Neighborhoods and build environments
51
Metabolic syndrome diagnosis
- large waist line (35w 40m) - elevated triglycerides >150 - low HDL Below 40 men Below 50 women - elevated BP above 130/85 - high fasting bloodsugar above 100mg/do
52
Goal setting theory mechanics
Direct attention Energizing Task persistence Effective strategies
53
3 tasks for those in contemplation
Determine pros and cons of changing Determine barriers to change Develop solutions to over come barriers
54
6 dimensions of wellness
emotional, occupational, physical, social, intellectual, and spiritual.
55
Acceptance (pace) components
Absolute worth Accurate empathy Autonomy support Affirmation
56
MI Acceptance
Absolute Worth Autonomy support Accurate Empathy Affirmation
57
NVC ( both side )
Observations not evalutions Feelings not thoughts Needs not strategies Requests not demands
58
3 skills to respond to sustain talk
Encourage your clients commitment change support self efficacy generate a plan set of action goals
59
When client is in Preparation stage use?
PACE "A's"
60
Client is exhibiting discord - what do?
Apologies, affirm, shift focus