Health and Wellness Flashcards

Biomarkers and Parameters

1
Q

Normal Blood Pressure

A

Competency 3.2.1: Health & Wellness
<120 systolic
AND
<80 diastolic mmHg

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2
Q

Elevated Blood Pressure

A

Competency 3.2.1: Health & Wellness
120-129 systolic
AND
<80 diastolic mmHg

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3
Q

Hypertension

A

Competency 3.2.1: Health & Wellness
130-139 systolic
OR
80-89 diastolic mmHg

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4
Q

High Blood Pressure (Stage 2 Hypertension)

A

Competency 3.2.1: Health & Wellness

140+ systolic / OR 90+ diastolic mmHg

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5
Q

Crisis Blood Pressure

A

Competency 3.2.1: Health & Wellness
180+ systolic/ AND OR 120+diastolic mmHg

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6
Q

Optimal Cholesterol

A

Competency 3.2.6: Health & Wellness

Total ~150
Triglycerides <150
HDL
Men: ≥40
Women: ≥50
LDL ~100

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7
Q

High Blood Pressure Symptoms

A

Competency 3.2.1: Health & Wellness
None, “The Silent Killer”
Leads to heart disease and stroke

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8
Q

Type 1 Diabetes

A

Competency 3.2.2: Health & Wellness

● Pancreas not making insulin
● insulin-dependent
● Not preventable and no cure
● 5-10% of people with diabetes have T1D
● Requires insulin injections or pump

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9
Q

Type 2 Diabetes

A

Competency 3.2.2: Health & Wellness
● Insulin Resistant: body doesn’t use insulin well and can’t keep blood sugar at normal levels
● 90% of people with diabetes have Type 2.
● Develops over many years and can be prevented/delayed with healthy lifestyle changes

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10
Q

Type 1 Diabetes Risk Factors

A

Competency 3.2.2: Health & Wellness

● Family history
● Where you live
● Environment
● Autoimmune disease / damage to pancreatic cells

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11
Q

A1c Test

A

Competency 3.2.2: Health & Wellness

Average blood sugar over 2-3 months, % blood sugar attached to hemoglobin
No fasting required

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12
Q

Random Blood Sugar Test

A

Competency 3.2.2: Health & Wellness

Done anytime
≥200 mg/dL indicates diabetes

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13
Q

Oral Glucose Tolerance Test

A

Competency 3.2.2: Health & Wellness

Requires fasting, drinking sugar liquid as blood sugar levels tested over 2 hours
Normal: <140 mg/dL
Prediabetes: 140-199 mg/dL
Diabetes: ≥200 mg/dL

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14
Q

Fasting Blood Sugar Test

A

Competency 3.2.2: Health & Wellness

Fasting required
Normal: ≤99 mg/dL
Prediabetes: 100-125 mg/dL
Diabetes: ≥126 mg

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15
Q

Body Mass Index

A

Competency 3.2.3: Health & Wellness

(BMI) screening tool to estimate body fat; can be inaccurate for athletes and some ethnic groups (weight/height X 703 lbs = BMI)
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obesity: >30.0

Obese Class I: 30-34.9
Obese Class II: 35-39.9
Obese Class III: >40

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16
Q

Waist Circumference

A

Competency 3.2.3: Health & Wellness

Measures waist inches, visceral fat; best predictor of metabolic risk, obesity

Men
Low Risk: ≤37 inches
Intermediate Risk: 37.1-39.9 inches
High Risk:>40+ inches

Women
Low Risk: ≤31.5 inches
Intermediate Risk: 31.6-34.9 inches
High Risk:>35 inches

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17
Q

Waist/Hip Ratio

A

Competency 3.2.3: Health & Wellness

WHR correlates to visceral fat
At risk measurements:
Men: >0.95
Women: >0.85

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18
Q

Exercise Recommendations

A

Competency 3.3.3: Health & Wellness

  1. Moderate intensity aerobic 150 min/week (30 min/day X 5 days) AND 2+ days muscle strength training
  2. Vigorous intensity aerobic 75 min/week (1 hour 15 minutes/week) ANDn2 days muscle strength training
  3. Mix moderate/vigorous aerobic 2 days/week AND 2 days muscle strength training
    *Older adults need BALANCE training in addition
    *Pregnant women can maintain prior to pregnancy exercise
    *Limited by chronic conditions, do as much to avoid inactivity. Some better than nothing.
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19
Q

Sodium

A

Competency 3.3.2: Health & Wellness

Dash Diet recommends <2,300mg/day
<1,500 lowers blood pressure more

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20
Q

Autogenic Training

A

Competency 3.3.5: Health & Wellness

Concentrate on physical sensations of
heaviness and warmth as relaxing different
parts of body

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21
Q

Health & Wellness

A

Competency 3.1.1: Health & Wellness

● more than the absence of disease

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22
Q

Health-Related Quality of Life

A

Competency 3.1.1: Health & Wellness

● (HRQOL) an individual’s or a group’s perceived
physical and mental health over time.
● Linked to patient outcomes
● Focus on deficits in patient function (pain,
negative effects)

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23
Q

Travis Illness-Wellness Continuum

A

Competency 3.1.1: Health & Wellness

● Wellness is a process, never a static state
● Wellness paradigm vs treatment paradigm
● Absence of illness does not indicate health or
optimal health.

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24
Q

Wellness Paradigm

A

Competency 3.1.1: Health & Wellness

● it’s not where patient is on the continuum, but the direction they’re facing at any point on the continuum

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25
Treatment Paradigm
Competency 3.1.1: Health & Wellness ● Endpoint is death; healing from treatment ends at neutral
26
Hypertension Warning Signs & Symptoms
Competency 3.2.1: Health & Wellness ● Often NO warning signs, silent killer ● Leads to heart disease and stroke
27
High Blood Pressure Risk Factors
Competency 3.2.1: Health & Wellness ● Age: risk increases with age ● Women as likely as men ● Race: people of African heritage ● Family history: 6/10 people who have diabetes also have HBP; about 9/10 Americans will develop HBP
28
High Blood Pressure Modifiable Risk Factors
Competency 3.2.1: Health & Wellness ● Unhealthy Diet ● Physical Inactivity ● Obesity/Overweight ● Alcohol/Tobacco ● Low potassium/high salt intake
29
Manage High Blood Pressure Plan
Competency 3.2.1: Health & Wellness ● Do NOT smoke ● Manage medications ● Exercise 150 min/week (Daily 30 minutes, 5 days/week) ● Healthy Diet: LIMIT sodium and alcohol ● Weight maintenance ● Stress management
30
Diabetes Increases Risk for…
Competency 3.2.2: Health & Wellness ● Heart disease and stroke ● Lifestyle changes decrease risks
31
Diabetes Symptoms
Competency 3.2.2: Health & Wellness ● increased urination often at night ● increased thirst ● unexplained weight loss but very hungry ● blurred vision ● numbness or tingling in hands/feet ● Very tired ● Dry skin ● Sores that heal slowly ● Type 1 may also have these
32
Gestational Diabetes
Competency 3.2.2: Health & Wellness ● Pregnant women who have never had diabetes ● Increases the risk for type 2 diabetes later in the mother’s life
33
Pre-Diabetes
Competency 3.2.2: Health & Wellness ● Body cells don’t respond normally to insulin; pancreas makes more insulin; blood sugar rises ● Reversible
34
Diabetes Risk Factors
Competency 3.2.2: Health & Wellness ● Age: 45 or older ● Race: American Indian, black, Asian, Hispanic, or Pacific Islander, and have at least one other risk factor ● Family history: parent or sibling with T2D ● Damaged pancreas cells ● Gestational Diabetes ● Environment ● Non-Alcoholic Fatty Liver Disease (NAFLD)
35
Pre-Diabetes Risk Factor
Competency 3.2.2: Health & Wellness ● Having pre-diabetes is a risk factor for developing diabetes in the future
36
Diabetes Modifiable Risk Factors
Competency 3.2.2: Health & Wellness ● Overweight/Obesity ● Physical Inactivity ● Pre-Diabetes ● High Blood Pressure ● High cholesterol/triglycerides ● Smoking ● Diet
37
Obesity
Competency 3.2.3: Health & Wellness ● A complex disease that occurs when weight is higher than what is healthy for height ● SDOH (social determinants of health), genetics, medications contribute
38
Obesity Increases Risk for…
Competency 3.2.3: Health & Wellness ● High Blood Pressure ● High LDL cholesterol, low HDL cholesterol, high levels of triglycerides ● Type 2 Diabetes ● Coronary Heart Disease ● Stroke ● Osteoarthritis ● Sleep apnea and breathing problems ● Some cancers (endometrial, breast, colon, kidney, gallbladder, and liver) ● Low quality of life ● Mental illness such as clinical depression, anxiety ● Body pain and difficulty functioning
39
Leading Cause of Death in United States
Competency 3.2.4: Health & Wellness ● Heart Disease ● Coronary artery disease (CAD) is the most common type of heart disease in the United States.
40
Coronary Artery Disease (CAD)
Competency 3.2.4: Health & Wellness ● The first sign of CAD is often a heart attack. ● CAD is caused by plaque buildup in the wall of the arteries that supply blood to the heart ● Angina, chest pain, is the most common symptom of CAD.
41
Heart Attack (myocardial infarction/MI) Signs & Symptoms
Competency 3.2.4: Health & Wellness ● Pain in jaw, neck, or back ● Weak, light-headed, or faint, angina, chest pain, pain in arms or shoulders ● Shortness of breath, tired, nauseous (women) ● Silent MI symptoms may be brief/mild ● 1 in 5 heart attacks are silent
42
Heart Failure
Competency 3.2.4: Health & Wellness ● Heart can’t pump enough blood/oxygen to organs
43
Risk Factors for CAD
Competency 3.2.4: Health & Wellness ● Medical conditions: high blood pressure, high cholesterol, diabetes. ● Behavior: unhealthy diet, physical inactivity, obesity, excessive alcohol consumption, tobacco use ● Not modifiable Risk Factors: age, family history, male gender higher risk
44
Stroke
Competency 3.2.4: Health & Wellness ● Stroke risk increases with age, genetics, family history
45
Stroke Emergency Treatment
Competency 3.2.4: Health & Wellness F.A.S.T. ● Face drooping ask to smile ● Arm weakness ask raise both arms ● Speech difficulty ask repeat a phrase ● Time to call 911 Treatment DELAY increases risk of permanent brain damage or death.
46
Stroke Signs & Symptoms
Competency 3.2.4: Health & Wellness ● Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body ● Sudden confusion, trouble speaking, or difficulty understanding others 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
47
Causes of Stroke
Competency 3.2.4: Health & Wellness ● Heart disease, high blood pressure, atrial fibrillation, high cholesterol, and diabetes ● If you have had a stroke, you are at high risk for another stroke.
48
Ischemic Stroke
Competency 3.2.4: Health & Wellness ● Blood clots or particles block blood vessels to brain ● Plaque can cause blockages by building up in the blood vessels
49
Hemorrhagic Stroke
Competency 3.2.4: Health & Wellness ● Blood vessels burst in the brain and damage surrounding brain tissue. ● Surgery treatment
50
Metabolic Syndrome/Insulin Resistance
Competency 3.2.5: Health & Wellness ● Group of Risk factors that increase risk for heart disease, diabetes and stroke ● Insulin Resistance Syndrome Metabolic Syndrome: Must have 3 out of 5 to diagnose 1. Abdominal obesity/large waistline/apple shaped 2. High triglyceride level (150+) or on medication for high triglycerides 3. Low HDL cholesterol (Men <40 and Women <50) or on medication to treat low HDL 4. High blood pressure or on blood pressure medication 5. High fasting blood sugar or on medications to treat high blood sugar
51
Arthritis
Competency 3.2.5: Health & Wellness ● Inflammation or swelling of one or more joints, tissues around the joint, and connective tissues. ● Degenerative Joint Disease
52
Most Common Form of Arthritis
Competency 3.2.5: Health & Wellness ● Osteoarthritis: breakdown of cartilage and bone within a joint ● No cure
53
Signs & Symptoms of Osteoarthritis
Competency 3.2.5: Health & Wellness ● Not usually bilateral ● Pain or aching ● Stiffness ● Decreased range of motion (or flexibility) ● Swelling
54
Osteoarthritis Lifestyle Modification Plan
Competency 3.2.5: Health & Wellness ● Quit smoke/drinking ● Exercise ● Manage weight ● Protect joints ● Self-management ● Healthy Diet
55
Osteoarthritis Risk Factors
Competency 3.2.5 : Health & Wellness ● Smoking ● Unhealthy diet ● Physically Inactive ● Overweight/Obese
56
Rheumatoid Arthritis Signs & Symptoms
Competency 3.2.5: Health & Wellness ● Pain or aching in more than one joint ● Stiffness in more than one joint ● Tenderness and swelling in more than one joint ● The same symptoms bilaterally on both sides of the body (e.g., both hand or both knees) ● Weight loss ● Fever ● Fatigue or tiredness
57
Fibromyalgia Signs, Symptoms & Treatment
Competency 3.2.5: Health & Wellness ● Pain and stiffness all over the body ● Fatigue and tiredness ● Depression and anxiety ● Sleep problems ● Problems with thinking, memory, and concentration ● Headaches including migraines *Other symptoms may include: ▪ Tingling or numbness in hands and feet ▪ Pain in the face or jaw, including disorders of the jaw TMJ, GI problems, abdominal pain, bloating, constipation, and IBS
58
Common Factor in Most Chronic Diseases
Competency 3.2.5: Health & Wellness ● Chronic inflammation ● Acute inflammation is a healthy response to injury, but chronic inflammation leads to disease
59
Anti-Inflammatory Diet
Competency 3.2.5: Health & Wellness ● Vegetables (green, leafy) ● Fruit ● Nuts ● Fatty fish ● Olive oil ● Tomatoes
60
# ???? C-Reactive Protein (CRP)
Competency 3.2.5: Health & Wellness ● Made by the live ● Higher levels, less blood flow ● Lab measurement indicating inflammation in the body
61
LDL
Competency 3.2.6: Health & Wellness ● AKA “bad cholesterol” ● Low Density Lipoproteins ● Lead to plaque buildup in arteries, heart disease, and stroke
62
HDL
Competency 3.2.6: Health & Wellness ● High Density Lipoprotein ● Carries bad LDL out of body ● High is good
63
My Plate - USDA
Competency 3.3.2: Health & Wellness ● Fruits and vegetables half the plate: Juice can be a fruit ● Make half of grains whole grains. Refined grain choices should be enriched with B vitamins and iron. Fiber is not added back to enriched grains ● Vary protein: Seafood, meat, poultry, and eggs, beans, peas, and lentils, nuts, seeds, and soy ● Dairy: low fat or fat-free dairy includes milk, yogurt, cheese, lactose-free milk and fortified soy milk and yogurt
64
Harvard Healthy Eating
Competency 3.3.2: Health & Wellness ● Focuses on QUALITY of diet ● Fruits and Veggies: 1⁄2 of plate. Aim for color and variety; potatoes don’t count as vegetables ● Whole grains: 1⁄4 of plate ● Protein: 1⁄4 of plate. Limit red meat, and avoid processed meats such as bacon and sausage. ● Hydration: Drink water, coffee and tea. Skip sugary drinks, limit milk and dairy products to one to two servings per day, and limit juice to a small glass per day. ● Stay Active: The red figure running across the Healthy Eating Plate is a reminder ● Includes Healthy Oils
65
DASH Diet
Competency 3.3.2: Health & Wellness ● Hypertension Diet ● Lower in sodium 2300 mg ● Vegetables, fruits, and whole grains ● Fat-free or low-fat dairy products ● Limit high saturated and trans fat ● Limit sugar-sweetened beverages and sweets ● Rich in potassium, calcium, magnesium, fiber, and protein
66
Adequate Sleep
Competency 3.3.4: Health & Wellness ● Short sleep is < 6 hours/night. ● Necessary for proper immune, endocrine, and neurological functioning ● Lack of sleep linked to traffic accidents, work errors, and decreased productivity.
67
Sleep Hygiene
Competency 3.3.4: Health & Wellness ● Consistent to bed and wake at the same time each night/day ● bedroom is quiet, dark, relaxing, and at a comfortable temperature ● Remove electronic devices from bedroom ● Avoid large meals, caffeine, and alcohol before bedtime ● Exercise during the day
68
Social Determinants of Health (SDOH)
Competency 3.3.5: Health & Wellness ●Economic stability (socioeconomic status) ●Education access and quality ●Healthcare access and quality ●Neighborhood and built environment○transportation, housing, access to services ●Social and Community context ○Discrimination ●Nonmedical factors that influence health outcomes ●The conditions in the environments where people are born, live, learn, work, play, worship, and age that affect quality-of-life outcomes and risks ●People who don't have access to grocery stores are less likely to have good nutrition ●Contribute to health disparities and inequities. ●Major impact on health, well-being, and quality of life ●Social isolation is a predictor of adverse health outcomes
69
Mental Health
Competency 3.3.2: Health & Wellness ●Emotional, psychological, and social well-being ●Handle stress, relate to others, make healthy choices
70
Depression
Competency 3.3.2: Health & Wellness ●Causes: genetic, biological, environmental, and psychological factors ●Increases risk diabetes, heart disease, stroke ●More than just a feeling of being sad or "blue" for a few days ●Recognize need to refer
71
Tobacco
Competency 3.3.6: Health & Wellness ●Largest preventable lifestyle habits associated with death and chronic disease
72
Smoking
Competency 3.3.6: Health & Wellness ●LEADING cause of preventable death in the U.S. ●Causes cancer, heart disease, stroke, lung diseases, diabetes, COPD, emphysema, bronchitis. Increases risk for tuberculosis, eye diseases, and rheumatoid arthritis.
73
Prescription Opioids
Competency 3.3.7: Health & Wellness ●Treat moderate-to-severe pain following surgery/ injury, or health conditions such as cancer ●Methadone, Oxycodone (such as OxyContin®) Hydrocodone (such as Vicodin®)
74
Benzodiazepines
Competency 3.3.2: Health & Wellness ●Concurrent use of opioids and benzodiazepines increases the risk of fatal overdose. ●Central nervous system depressants used to sedate, induce sleep, prevent seizures, and relieve anxiety. alprazolam (Xanax®), diazepam (Valium®), and lorazepam (Ativan®)