Processed foods relate to trans fats that then relate to unhealthy cholesterol ultimately contributing to an increased risk of heart disease. She references information from studies performed by Harvard University implicating over 30,000 deaths each year from trans fats. Trans fats not only raise the bad cholesterol levels in your body, but they
The studies were done by biomedical testing, personal advice, lifestyle support, and change. Ultimately they wanted to ensure the “Health Care Professionals (HCPs) and patients’ experiences of delivering and receiving the National Health Service (NHS) health check in England (article).” CVD is one of the leading killers in the United Kingdom, NHS wanted to design a health check providers can use to prevent CVD by identifying risk factors and reduce its risk by preventing new ones from happening. Health check consists of them doing their initial appointment and then doing a normal biomedical test which consists of cholesterol, blood glucose, blood pressure, etc. During the initial appointment, healthcare providers show pots of fat, salt and sugar to the patients so they can have a visual effect of the recommending daily amount serving for all three things. During the initial or follow up visits (After reviewing blood test results), the provider sits with the patient and create SMART goals to change health behaviors.
Sugar Sugar intake should be taken more serious than it has been. There are too many health issues at risk because of this. Richard persuades the audience in his article “The Bitter Truth about Sugar and Its Effects on Our Health”, to the quality of life or the well being. Sarah Richard states that obesity and diabetes increases the risk of cancer. “Its now regarded as an independent risk factor for cardiovascular diseases as erkk as other chronic diseases, including liver cirrhosis and dementia”(Richards).
Since heart disease continues to be the leading cause of death in the United States, the Coast Guard, in order to assist members, has to look at increasing health promotion resources, not decreasing them. In Reference (b), the American Heart Association established seven ideal cardiovascular health metrics for heart health promotion and disease reduction which includes smoking cessation, normal body mass index, physical activity, healthy diet, and normal levels of cholesterol, blood pressure, and blood glucose. A study in the Journal of the American Medical Association, found in Reference (c), suggests that people adhering to six or more of those seven cardiovascular health metrics are roughly 75 percent less likely to die of heart disease and half as likely to die from any disease at all, than those by abiding by only one or none. The Coast Guard must invest in its members presently by developing an effective wellness strategy that involves more cardiovascular health metrics to avoid spending money on medical care in the
There are many ways to detect and diagnose patients with CVD and atherosclerosis. Risk of obtaining atherosclerosis can be identified by testing blood, the function of the endothelium, and inflammatory mediators. One of the first ways to test for atherosclerosis is to begin testing a patient’s cholesterol, triglyceride, LDL and HDL levels. If any of these numbers are higher than normal then further testing is needed for not only atherosclerosis, but for other disease such as diabetes mellitus or liver disease. Since obesity is associated with atherosclerosis, the body mass index of the patient should be taken as well.
CMS does look at patient readmission rates. Under the new Home health prospective payment system (HH PPS) they are recommending looking further than 30 -day readmission rate. Home health agencies are rated on the number of patient hospital re-admissions. The quality of patient care star rating is what CMS and other private insurance companies use to evaluate the care an agency provides to a patient in a 12-month period. This information is available to the public and It’s to help consumers make an informed health care decision on which agencies to
Every 5 years since 1980, a new edition of the Dietary Guidelines for Americans has been published. The primary goal is to make recommendations about the components of a healthy and nutritionally adequate diet to help promote good health and prevent chronic disease for current and future generations. About half of all American adults have one or more preventable chronic diseases, and about two thirds of US adults are overweight or obese. These conditions have been highly prevalent for more than two decades. Poor dietary patterns, over consumption of calories, and physical inactivity directly contribute to these disorders.
Dr. Kenneth Ring, a professor of psychology at the University of Connecticut was inspired by Dr. Raymond Moody 's work and set out to gather more evidence to support it. He gathered one hundred and two near-death survivors fora his research, and only used verifiable stories (Ring, 1982). For example, if an experiencer reported having seen something in an operating room during an out of body experience, Dr. Ring verified that particular event actually occurred. The more extensive that Dr. Ring 's research became, the more he began to explore the effect of NDE 's on the individual. Nearly all individuals who experienced an NDE found their lives transformed (Ring, 1982).
Referring back to the tone shift in A Call for a Low-Carb Diet, the piece goes on to bring up the statistics that have been discovered that favor the low-carb lifestyle over the regular one. A Call for a Low-Carb Diet has a quote that says, “The notion that dietary fat is harmful, particularly saturated fat, arose decades ago from comparisons of disease rates among large national populations. But more recent clinical studies in which individuals and their diets were assessed over time have produced a more complex picture. Some have provided strong evidence that people can sharply reduce their heart disease risk by eating fewer carbohydrates and more dietary fat, with the exception of trans fats.” This is an example of
“Eating for Health, Not Weight” by Dean Ornish talks about understanding how diets work. Ornish, an American physician, has written many books and articles, such as this one, on how a healthier lifestyle can help “slow, stop, or reverse the progression of early stage prostate cancer, as well as reverse the progression of Type 2 diabetes.” Founding the Preventive Medicine Research Institute, he uses the example of how his thirty-five year-long research program proved that people who ate mainly plant-based meals and engaged in moderate exercise had improved their health. His argument follows mainly on how some diets focus on weight loss instead of long-term condition. However, Ornish fails to realize that many of his strategies, although they may help prevent heart disease, causes other illnesses such as eating disorders.
Much is known about the increased prevalence of malnutrition and its adverse effects on health and well-being. As a result, the United Kingdom has invested in campaigns such as ‘Nutrition Now’ to increase awareness of the importance of hospital nutritional management, as a method to decrease malnutrition. As a result of series of these efforts, knowledge of public’s nutrition is likely to increase, however there is a little doubt if the knowledge can play practically on their daily life. For example, when five hundred patients aged 18-75 were asked nutrition knowledge in England, more than 90% of respondents were aware of recommendations to decrease fat, sugar and salt intake, indicating these basic messages being successfully conveyed. However,
What outcomes will be analyzed and how they will be analyzed? Although the veterans are asked their full name and last four of their social security, the scanning provides the added comfort of providing the security or safety for everyone involved. The outcome of this research will show data that will be analyzed pre and post implementation of the BMCA system, which the approach is to show a significant change in the medication error rate. The outcome will be based on pre and post implementation of the barcode medication system by measuring the medication error rate. There will be 100 veteran patients that will be assessed prior to implementation of the BCMA, and 100 veterans post implementations.
Goals for Type II Diabetes The HgbA1C optimal values for most patients with type 2 diabetes is seven percent or lower, which parallels to an average blood sugar of one hundred and fifty milligrams per deciliter. Until the patient A1C level is at seven or below, he should have his lab checked every three months until the correct adjustments have been made in his medication (American Diabetes Association, n. d.). With these results, the nurse practitioner can better adjust the treatment regimen of the patient. This test can also give the nurse practitioner a better idea of the likelihood that the patient can develop many other complications such as kidney failure, blurred vision associated with retinopathy, or many different types of neuropathies just to name a few (Grossman & Porth, 2013). Lipid density levels for patients should be below one hundred milligrams per deciliter.
The last part I underlined because it drives home a very important part of our challenge today, perhaps in actual disease. What obesity related diseases do we currently have today? High blood pressure, diabetes, heart disease, high cholesterol levels, cancer, infertility, back and joint pain, skin infections, ulcers, and gallstones. Here are 10 health related diseases of obesity. Although there are several more, but hopefully this gets the point across that 100 years ago through patterns of data analysis studied predicted the outcomes we see today.
Then utilizing the results the clinic can drill down to the patients receiving beta-blockers, diabetes (eye & kidney exam) to determine if the correct interventions were being provided by the health care physician and identify gaps in treatment and then ensure the physician receives reminders on preventable measures to close quality care gaps and improve the quality of care provided to patients (Eddy, Pawlson, Schaff, Peskin, Shcheprov, Dziuba & Eng, 2008). I completed a chart audit of over 200 med advantage patient records this week utilizing CPT codes,ICD-9, progress notes, and lab results for HEDIS measures for HgbA1c (9 every 3 months), Diabetic Eye Exams (yearly), Colonoscopy Exam (every 10 years-unless indicated otherwise), Mammograms (yearly after age 50), BP (controlled < 100), and medication adherence (beta blockers, ACE/ARB, cholesterol, diabetic, etc) and my findings would be reported to BCBS, Humana, Clear River, Health Springs and NCQA. The yearly eye diabetic eye exam can detect retinopathy and help ensure early treatment to prevent blindness, control of BP can reduce MI infraction while yearly colonoscopy and mammograms can detect early signs of cancer and HbbA1c can help detect and identify gaps in diabetes