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Lifestyle of Health: Eight Ways

 
 Course Number  LWH320                                                                                                                4768
 Objectives At the end of the course, you will be equipped to choose a health lifestyle consisting of the general abstinence of smoking, alcohol, sweets and animal products and consisting of exercise, faith, and family and community support. 
 Credit Hours and Fee  3.0 CE Credit Hours with a fee of $24.00
 Instructor  Rudolf Klimes, PhD (Indiana University), MPH (Johns Hopkins University), Adjunct Professor at Folsom Lake College, Folsom CA.


Welcome to this 3-contact-hour Continuing Education  course (RN-CEP 11430, MFT- PCE 39) with instant online processing and certification 24/7.  Study the course below, take the 12-question multiple-choice TEST, register and pay online. If you score 75% or above, you may print your CE certificate on your printer as soon as you finish. If you have difficulty printing your certificate, click here.. You may retake the test once.

TEST

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A lifestyle 
Without Smoking and Alcohol Without many sweets and animal products With Exercise and Faith With Family and Community

Introduction

The volume 146, number 9, October 2009 issue of U.S News and World Report had on pages 82-83 an article entitled 10 Tips for Living to 100. In that article, under item 9, it stated that we can Live like a Seventh-day Adventist. Under that heading are eight items that are reproduced here in a edited form. The other items concerned avoidance of retirement and neurotic behavior,  and daily flossing, exercises, fiber-rich cereals, sleep, whole foods, habits and social connections. Some of these items are also covered in this study directly or indirectly.

 

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1. Without Smoking

You can do without tobacco.                         

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2. Without Alcohol

There are two ways to avoid alcohol health problems, namely not to use alcohol, or to use it in moderation. Not to use it is safer. Alcohol is a drug with all the side effects and dangers of a drug.

The following is from http://www.cdc.gov/alcohol/quickstats/general_info.htm

There are approximately 79,000 deaths attributable to excessive alcohol use each year in the United States.1 This makes excessive alcohol use the 3rd leading lifestyle-related cause of death for the nation.2 In the single year 2005, there were over 1.6 million hospitalizations3 and over 4 million emergency room visits4 for alcohol-related conditions.

The Standard Measure of Alcohol

In the United States, a standard drink is any drink that contains 0.6 ounces (13.7 grams or 1.2 tablespoons) of pure alcohol. Generally, this amount of pure alcohol is found in

  • 12-ounces of regular beer or wine cooler.
  • 8-ounces of malt liquor.
  • 5-ounces of wine.
  • 1.5-ounces of 80-proof distilled spirits or liquor (e.g., gin, rum, vodka, whiskey).

Immediate Health Risks

Excessive alcohol use has immediate effects that increase the risk of many harmful health conditions. These immediate effects are most often the result of binge drinking and include the following:

  • Unintentional injuries, including traffic injuries, falls, drownings, burns and unintentional firearm injuries.7
     
  • Violence, including intimate partner violence and child maltreatment. About 35% of victims report that offenders are under the influence of alcohol.8 Alcohol use is also associated with 2 out of 3 incidents of intimate partner violence.8 Studies have also shown that alcohol is a leading factor in child maltreatment and neglect cases, and is the most frequent substance abused among these parents.9
     
  • Risky sexual behaviors, including unprotected sex, sex with multiple partners, and increased risk of sexual assault. These behaviors can result in unintended pregnancy or sexually transmitted diseases.10,11
     
  • Miscarriage and stillbirth among pregnant women, and a combination of physical and mental birth defects among children that last throughout life.12,13
     
  • Alcohol poisoning, a medical emergency that results from high blood alcohol levels that suppress the central nervous system and can cause loss of consciousness, low blood pressure and body temperature, coma, respiratory depression, or death.14

Long-Term Health Risks

Over time, excessive alcohol use can lead to the development of chronic diseases, neurological impairments and social problems. These include but are not limited to:

  • Neurological problems, including dementia, stroke and neuropathy.15,16
  • Cardiovascular problems, including myocardial infarction, cardiomyopathy, atrial fibrillation and hypertension.17
  • Psychiatric problems, including depression, anxiety, and suicide.18
  • Social problems, including unemployment, lost productivity, and family problems.19,20
  • Cancer of the mouth, throat, esophagus, liver, colon, and breast.21
  • In general, the risk of cancer increases with increasing amounts of alcohol.
  • Liver diseases, including:
    • Alcoholic hepatitis.
    • Cirrhosis, which is among the 15 leading causes of all deaths in the United States.22
    • Among persons with Hepatitis C virus, worsening of liver function and interference with medications used to treat this condition.23
  • Other gastrointestinal problems, including pancreatitis and gastritis

http://www.cdc.gov/alcohol/quickstats/general_info.htm

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 3. Without many Sweets

Excessive sugar use is harmful to your health. Avoidance of free sugar is recommended by some sources.

 

Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake.

Department of Psychology, Princeton University, Princeton, NJ 08540, USA.

[Avena, N.M., Rada, P., Hoebel B.G., 2007. Evidence for sugar addiction: Behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience and Biobehavioral Reviews XX(X), XXX-XXX]. The experimental question is whether or not sugar can be a substance of abuse and lead to a natural form of addiction. "Food addiction" seems plausible because brain pathways that evolved to respond to natural rewards are also activated by addictive drugs. Sugar is noteworthy as a substance that releases opioids and dopamine and thus might be expected to have addictive potential. This review summarizes evidence of sugar dependence in an animal model. Four components of addiction are analyzed. "Bingeing," "withdrawal," "craving" and "cross-sensitization" are each given operational definitions and demonstrated behaviorally with sugar bingeing as the reinforcer. These behaviors are then related to neurochemical changes in the brain that also occur with addictive drugs. Neural adaptations include changes in dopamine and opioid receptor binding, enkephalin mRNA expression and dopamine and acetylcholine release in the nucleus accumbens. The evidence supports the hypothesis that under certain circumstances rats can become sugar dependent. This may translate to some human conditions as suggested by the literature on eating disorders and obesity.

PMID: 17617461 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/pubmed/17617461

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4. Without many or any animal products

 

Many people get along well without ingesting animal products. Most of those are vegetarian or lacto-ovo vegetarians, that is vegetarians who eat milk and egg products.

 

Vegetarian Diets

 

Vegetarian diets can meet all the recommendations for nutrients. The key is to consume a variety of foods and the right amount of foods to meet your calorie needs. Follow the food group recommendations for your age, sex, and activity level to get the right amount of food and the variety of foods needed for nutrient adequacy. Nutrients that vegetarians may need to focus on include protein, iron, calcium, zinc, and vitamin B12.

  Nutrients to focus on for vegetarians
  • Protein has many important functions in the body and is essential for growth and maintenance. Protein needs can easily be met by eating a variety of plant-based foods. Combining different protein sources in the same meal is not necessary. Sources of protein for vegetarians include beans, nuts, nut butters, peas, and soy products (tofu, tempeh, veggie burgers). Milk products and eggs are also good protein sources for lacto-ovo vegetarians.
  • Iron functions primarily as a carrier of oxygen in the blood. Iron sources for vegetarians include iron-fortified breakfast cereals, spinach, kidney beans, black-eyed peas, lentils, turnip greens, molasses, whole wheat breads, peas, and some dried fruits (dried apricots, prunes, raisins).
  • Calcium is used for building bones and teeth and in maintaining bone strength. Sources of calcium for vegetarians include fortified breakfast cereals, soy products (tofu, soy-based beverages), calcium-fortified orange juice, and some dark green leafy vegetables (collard greens, turnip greens, bok choy, mustard greens). Milk products are excellent calcium sources for lacto vegetarians.
  • Zinc is necessary for many biochemical reactions and also helps the immune system function properly. Sources of zinc for vegetarians include many types of beans (white beans, kidney beans, and chickpeas), zinc-fortified breakfast cereals, wheat germ, and pumpkin seeds. Milk products are a zinc source for lacto vegetarians.
  • Vitamin B12 is found in animal products and some fortified foods. Sources of vitamin B12 for vegetarians include milk products, eggs, and foods that have been fortified with vitamin B12. These include breakfast cereals, soy-based beverages, veggie burgers, and nutritional yeast.

 

Tips for Vegetarians
  • Build meals around protein sources that are naturally low in fat, such as beans, lentils, and rice. Don’t overload meals with high-fat cheeses to replace the meat.
  • Calcium-fortified soy-based beverages can provide calcium in amounts similar to milk. They are usually low in fat and do not contain cholesterol.
  • Many foods that typically contain meat or poultry can be made vegetarian. This can increase vegetable intake and cut saturated fat and cholesterol intake. Consider:
    • pasta primavera or pasta with marinara or pesto sauce
    • veggie pizza
    • vegetable lasagna
    • tofu-vegetable stir fry
    • vegetable lo mein
    • vegetable kabobs
    • bean burritos or tacos
  • A variety of vegetarian products look (and may taste) like their non-vegetarian counterparts, but are usually lower in saturated fat and contain no cholesterol.
    • For breakfast, try soy-based sausage patties or links.
    • Rather than hamburgers, try veggie burgers. A variety of kinds are available, made with soy beans, vegetables, and/or rice.
    • Add vegetarian meat substitutes to soups and stews to boost protein without adding saturated fat or cholesterol. These include tempeh (cultured soybeans with a chewy texture), tofu, or wheat gluten (seitan).
    • For barbecues, try veggie or garden burgers, soy hot dogs, marinated tofu or tempeh, and veggie kabobs.
    • Make bean burgers, lentil burgers, or pita halves with falafel (spicy ground chick pea patties).
    • Some restaurants offer soy options (texturized vegetable protein) as a substitute for meat, and soy cheese as a substitute for regular cheese.
  • Most restaurants can accommodate vegetarian modifications to menu items by substituting meatless sauces, omitting meat from stir-fries, and adding vegetables or pasta in place of meat. These substitutions are more likely to be available at restaurants that make food to order.
  • Many Asian and Indian restaurants offer a varied selection of vegetarian dishes.

Tips for Following a Vegetarian Diet
The MyPyramid Ten Tips Nutrition Education Series provides consumers and professionals with high quality, easy-to-follow tips in a convenient, printable format. These are perfect for posting on a refrigerator.

For more information, check out the USDA National Agriculture Library's Vegetarian Nutrition Resource List.

http://www.mypyramid.gov/tips_resources/vegetarian_diets.html

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5. With Exercise

 

Of all the ways to prevent ill health, exercise is one of the most effective and important.

 

Guidelines for Personal Exercise Programs

MAKING A COMMITMENT

You have taken the important first step on the path to physical fitness by seeking information. The next step is to decide that you are going to be physically fit. This pamphlet is designed to help you reach that decision and your goal.

The decision to carry out a physical fitness program cannot be taken lightly. It requires a lifelong commitment of time and effort. Exercise must become one of those things that you do without question, like bathing and brushing your teeth. Unless you are convinced of the benefits of fitness and the risks of unfitness, you will not succeed.

Patience is essential. Don’t try to do too much too soon and don’t quit before you have a chance to experience the rewards of improved fitness. You can’t regain in a few days or weeks what you have lost in years of sedentary living, but you can get it back if your persevere. And the prize is worth the price.

In the following pages you will find the basic information you need to begin and maintain a personal physical fitness program. These guidelines are intended for the average healthy adult. It tells you what your goals should be and how often, how long and how hard you must exercise to achieve them. It also includes information that will make your workouts easier, safer and more satisfying. The rest is up to you.

CHECKING YOUR HEALTH

If you're under 35 and in good health, you don't need to see a doctor before beginning an exercise program. But if you are over 35 and have been inactive for several years, you should consult your physician, who may or may not recommend a graded exercise test. Other conditions that indicate a need for medical clearance are:

  • High blood pressure.
  • Heart trouble.
  • Family history of early stroke or heart attack deaths.
  • Frequent dizzy spells.
  • Extreme breathlessness after mild exertion.
  • Arthritis or other bone problems.
  • Severe muscular, ligament or tendon problems.
  • Other known or suspected disease.

Vigorous exercise involves minimal health risks for persons in good health or those following a doctor’s advice. Far greater risks are presented by habitual inactivity and obesity.

DEFINING FITNESS

Physical fitness is to the human body what fine tuning is to an engine. It enables us to perform up to our potential. Fitness can be described as a condition that helps us look, feel and do our best. More specifically, it is:

“The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure- time activities and meeting emergency demands. It is the ability to endure, to bear up, to withstand stress, to carry on in circumstances where an unfit person could not continue, and is a major basis for good health and well-being.”

Physical fitness involves the performance of the heart and lungs, and the muscles of the body. And, since what we do with our bodies also affects what we can do with our minds, fitness influences to some degree qualities such as mental alertness and emotional stability.

As you undertake your fitness program, it’s important to remember that fitness is an individual quality that varies from person to person. It is influenced by age, sex, heredity, personal habits, exercise and eating practices. You can’t do anything about the first three factors. However, it is within your power to change and improve the others where needed.

KNOWING THE BASICS

Physical fitness is most easily understood by examining its components, or “parts.” There is widespread agreement that these four components are basic:

Cardiorespiratory Endurance - the ability to deliver oxygen and nutrients to tissues, and to remove wastes, over sustained periods of time. Long runs and swims are among the methods employed in measuring this component.

Muscular Strength - the ability of a muscle to exert force for a brief period of time. Upper-body strength, for example, can be measured by various weight-lifting exercises.

Muscular Endurance - the ability of a muscle, or a group of muscles, to sustain repeated contractions or to continue applying force against a fixed object. Pushups are often used to test endurance of arm and shoulder muscles.

Flexibility - the ability to move joints and use muscles through their full range of motion. The sit-and- reach test is a good measure of flexibility of the lower back and backs of the upper legs.

Body Composition is often considered a component of fitness. It refers to the makeup of the body in terms of lean mass (muscle, bone, vital tissue and organs) and fat mass. An optimal ratio of fat to lean mass is an indication of fitness, and the right types of exercises will help you decrease body fat and increase or maintain muscle mass.

A WORKOUT SCHEDULE

How often, how long and how hard you exercise, and what kinds of exercises you do should be determined by what you are trying to accomplish. Your goals, your present fitness level, age, health, skills, interest and convenience are among the factors you should consider. For example, an athlete training for high-level competition would follow a different program than a person whose goals are good health and the ability to meet work and recreational needs.

Your exercise program should include something from each of the four basic fitness components described previously. Each workout should begin with a warmup and end with a cooldown. As a general rule, space your workouts throughout the week and avoid consecutive days of hard exercise.

Here are the amounts of activity necessary for the average healthy person to maintain a minimum level of overall fitness. Included are some of the popular exercises for each category.

WARMUP - 5-10 minutes of exercise such as walking, slow jogging, knee lifts, arm circles or trunk rotations. Low intensity movements that simulate movements to be used in the activity can also be included in the warmup.

MUSCULAR STRENGTH - a minimum of two 20-minute sessions per week that include exercises for all the major muscle groups. Lifting weights is the most effective way to increase strength.

MUSCULAR ENDURANCE - at least three 30-minute sessions each week that include exercises such as calisthenics, pushups, situps, pullups, and weight training for all the major muscle groups.

CARDIORESPIRATORY ENDURANCE - at least three 20-minute bouts of continuous aerobic (activity requiring oxygen) rhythmic exercise each week. Popular aerobic conditioning activities include brisk walking, jogging, swimming, cycling, rope-jumping, rowing, cross-country skiing, and some continuous action games like racquetball and handball.

FLEXIBILITY - 10-12 minutes of daily stretching exercises performed slowly, without a bouncing motion. This can be included after a warmup or during a cooldown.

COOL DOWN - a minimum of 5-10 minutes of slow walking, low-level exercise, combined with stretching.

A MATTER OF PRINCIPLE

The keys to selecting the right kinds of exercises for developing and maintaining each of the basic components of fitness are found in these principles:

SPECIFICITY - pick the right kind of activities to affect each component. Strength training results in specific strength changes. Also, train for the specific activity you’re interested in. For example, optimal swimming performance is best achieved when the muscles involved in swimming are trained for the movements required. It does not necessarily follow that a good runner is a good swimmer.

OVERLOAD - work hard enough, at levels that are vigorous and long enough to overload your body above its resting level, to bring about improvement.

REGULARITY - you can’t hoard physical fitness. At least three balanced workouts a week are necessary to maintain a desirable level of fitness.

PROGRESSION - increase the intensity, frequency and/or duration of activity over periods of time in order to improve.

Some activities can be used to fulfill more than one of your basic exercise requirements. For example, in addition to increasing cardiorespiratory endurance, running builds muscular endurance in the legs, and swimming develops the arm, shoulder and chest muscles. If you select the proper activities, it is possible to fit parts of your muscular endurance workout into your cardiorespiratory workout and save time.

MEASURING YOUR HEART RATE

Heart rate is widely accepted as a good method for measuring intensity during running, swimming, cycling, and other aerobic activities. Exercise that doesn’t raise your heart rate to a certain level and keep it there for 20 minutes won’t contribute significantly to cardiovascular fitness.

The heart rate you should maintain is called your target heart rate. There are several ways of arriving at this figure. One of the simplest is: maximum heart rate (220 - age) x 70%. Thus, the target heart rate for a 40 year-old would be 126.

Some methods for figuring the target rate take individual differences into consideration. Here is one of them:

  • Subtract age from 220 to find maximum heart rate.

     
  • Subtract resting heart rate (see below) from maximum heart rate to determine heart rate reserve.

     
  • Take 70% of heart rate reserve to determine heart rate raise.

     
  • Add heart rate raise to resting heart rate to find target rate.

Resting heart rate should be determined by taking your pulse after sitting quietly for five minutes. When checking heart rate during a workout, take your pulse within five seconds after interrupting exercise because it starts to go down once you stop moving. Count pulse for 10 seconds and multiply by six to get the per-minute rate.

CONTROLLING YOUR WEIGHT

The key to weight control is keeping energy intake (food) and energy output (physical activity) in balance. When you consume only as many calories as your body needs, your weight will usually remain constant. If you take in more calories than your body needs, you will put on excess fat. If you expend more energy than you take in you will burn excess fat.

Exercise plays an important role in weight control by increasing energy output, calling on stored calories for extra fuel. Recent studies show that not only does exercise increase metabolism during a workout, but it causes your metabolism to stay increased for a period of time after exercising, allowing you to burn more calories.

How much exercise is needed to make a difference in your weight depends on the amount and type of activity, and on how much you eat. Aerobic exercise burns body fat. A medium-sized adult would have to walk more than 30 miles to burn up 3,500 calories, the equivalent of one pound of fat. Although that may seem like a lot, you don’t have to walk the 30 miles all at once. Walking a mile a day for 30 days will achieve the same result, providing you don’t increase your food intake to negate the effects of walking.

If you consume 100 calories a day more than your body needs, you will gain approximately 10 pounds in a year. You could take that weight off, or keep it off, by doing 30 minutes of moderate exercise daily. The combination of exercise and diet offers the most flexible and effective approach to weight control.

Since muscle tissue weighs more than fat tissue, and exercise develops muscle to a certain degree, your bathroom scale won’t necessarily tell you whether or not you are “fat.” Well-muscled individuals, with relatively little body fat, invariably are “overweight” according to standard weight charts. If you are doing a regular program of strength training, your muscles will increase in weight, and possibly your overall weight will increase. Body composition is a better indicator of your condition than body weight.

Lack of physical activity causes muscles to get soft, and if food intake is not decreased, added body weight is almost always fat. Once-active people, who continue to eat as they always have after settling into sedentary lifestyles, tend to suffer from “creeping obesity.”

WHEN TO EXERCISE

The hour just before the evening meal is a popular time for exercise. The late afternoon workout provides a welcome change of pace at the end of the work day and helps dissolve the day’s worries and tensions.

Another popular time to work out is early morning, before the work day begins. Advocates of the early start say it makes them more alert and energetic on the job.

Among the factors you should consider in developing your workout schedule are personal preference, job and family responsibilities, availability of exercise facilities and weather. It’s important to schedule your workouts for a time when there is little chance that you will have to cancel or interrupt them because of other demands on your time.

You should not exercise strenuously during extremely hot, humid weather or within two hours after eating. Heat and/or digestion both make heavy demands on the circulatory system, and in combination with exercise can be an overtaxing double load.
 

http://www.fitness.gov/fitness.htm

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6. With Faith

Many studies show that an active faith can contribute to good health. The idea that our bodies are on loan from God is one that makes us accountable. And that is helpful.

 

Review Spiritual Health and one or more of the following websites.

LWH300: 2806: Mind and Body: A Relaxed Attitude
LWH301: 1528: Spiritual Health: Serving the Whole Person
LWH305: 3062: Health and Spirituality
LWH311: 2228: Healing Meditation: A Way of Stress Reduction

LWN731: 2282: Spiritual Care: Help in Distress: Nurse Patient Interaction
LWN741: 1814: End-of-Life Care with Palliative Services
LWN751: 3354: End-of-Life Health Care: What it Takes                                                  
LWN761: 4740: Advance Directive: Planning Issues

and www.Bibled.org

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7. With Family

 

Family support is helpful for health. One of the ways to support is described  below.

 

Learn More About My Family Health Portrait

 

Why is family health history useful?

Your family health history can help your health care practitioner provide better care for you. It can help identify whether you have higher risk for some diseases. It can help your health care practitioner recommend actions for reducing your personal risk of disease. And it can help in looking for early warning signs of disease.

What are the key features of the Surgeon General's family health history tool?

The Surgeon General's "My Family Health Portrait" is an internet-based tool that makes it easy for you to record your family health history. The tool is easy to access on the web and simple to fill out. It assembles your information and makes a "pedigree" family tree that you can download. It is private--it does not keep your information. It gives you a health history that you can share with family members or send to your health care practitioner.

How long does it take to fill out the form? What do I do with it then?

It should only take about 15 to 20 minutes to build a basic family health history. Individuals with larger families will spend more time entering in their information. Then you have the option of sharing it with other family members, if you wish. They may help provide information you didn't know. And relatives can start with your information and create their own history. You will also probably want to provide your health history to your health care practitioner. You and your health care practitioner should review it together before making it part of your medical record.

What about my privacy? Does the government (or others, like my employer) have access to my information?

The Surgeon General's family health history tool does NOT make your health information available to the government or to anyone else but you. It only provides the software for organizing your information. By accessing the tool on the web, you make use of that software. But the information you fill in is never available to anyone else, unless you decide to share it. After you fill in your information, it is available only to you for downloading into your own computer. After that, it's up to you whether you want to share the information with other family members or provide it to your health care practitioner.

What if I need help in filling out the tool?

The tool should be easy to complete. But help is available from the Application Support Desk at the National Cancer Institute's Center for Biomedical Informatics and Information Technology (CBIIT). You can contact the CBIIT help desk by email at ncicb@pop.nci.nih.gov and by telephone at 888.478.4423 (toll free) or 301-451-4384. The CBIIT help desk is open from 8:00 AM to 8:00 PM Eastern time, but they can take recorded messages from 8:00 PM to 8:00 AM Eastern time. The help desk can assist you with problems with the tool, but questions about your health history or medical conditions should be referred to a qualified health professional.

Why is it important that the tool "re-indexes" as different family members use it?

If you share your family health history with a relative, they can use your information as a starting point to create their own family health history. This is made even easier by re-indexing. "Re-indexing" means your relatives can make themselves the center of the information, start their own family health history, and the information that you provided is automatically readjusted to show its correct relationship to them.

How can I encourage other family members to share their health information?

Privacy is important, and no one should be forced to share personal health information if they don't wish to. But knowledge of family health histories may be spread over different family members, so sharing can help create the best product. Maybe the best way to encourage sharing is to help make it clear how this information can help health care practitioners provide better care and make more informed decisions.

What security precautions should I take when I share information with relatives?

Since the information that is aggregated by the FHH tool is personal health information, you should take reasonable precautions when sending this information to relatives. You should encrypt the information before sending it via email. If you don't have access to encrypted email; it may be better to transfer the information on a CD or memory stick; either in person or by regular mail.

What if my knowledge about my family health history is incomplete or imprecise?

Very few people are likely to have detailed and precise information about their family members/ health histories. But any information can be helpful. Once you have completed your history, it is important to talk about it with your health care practitioner. He or she may be able to help provide perspective, or even provide more detail based on the knowledge you bring.

Will the family health history tool give me advice on actions I should take?

No. The Surgeon General's tool helps gather information that will be useful for you and your health care practitioner, but it does not provide medical advice. You should consult with a health professional about advice based on your family health history information.

 

https://familyhistory.hhs.gov/fhh-web/popup/getHelp/helpDetailsLearnMore.action#users

 

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8. With Community

A community can help individuals have better health. That effort may start with community involvement and health literacy.

What is health literacy?

Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health                  information and services needed to make appropriate health decisions.1

Health literacy is dependent on individual and systemic factors:

  • Communication skills of lay persons and professionals
  • Lay and professional knowledge of health topics
  • Culture
  • Demands of the healthcare and public health systems
  • Demands of the situation/context

Health literacy affects people's ability to:

  • Navigate the healthcare system, including filling out complex forms and locating providers and services
  • Share personal information, such as health history, with providers
  • Engage in self-care and chronic-disease management
  • Understand mathematical concepts such as probability and risk

Health literacy includes numeracy skills. For example, calculating cholesterol and blood sugar levels, measuring medic                         ations, and understanding nutrition labels all require math skills. Choosing between health plans or comparing prescription drug coverage requires calcula                                     ting premiums, copays, and deductibles.

In addition to basic literacy skills, health literacy requires knowledge of health topics. People with limited health                       litera                                                      cy often lack knowledge or have misinformation about the body as well as the nature and causes of disease. Without this    kn                owledge, they may not understand the relationship between lifestyle factors such as diet and exercise and various health outcomes.

Health information can overwhelm even persons with advanced literacy skills. Medical science progresses rapidly.                      What people may have learned about health or biology during their school years often becomes outdated or forgotten, or it is incomplete. Moreover, health in                   information provided in a stressful or  unfamiliar situation is unlikely to be retained.

http://www.health.gov/communication/literacy/quickguide/factsbasic.htm

 
 
 
 

 

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Library  Explore   http://www.healthfinder.gov/Prevention/    http://health.nih.gov/category/WellnessLifestyle    http://www.adventist.org/mission_and_service/health.html.en


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