To educate and empower women about total wellness through Information & the opportunity for interaction.

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1 To educate and empower women about total wellness through Information & the opportunity for interaction.

2 INTRODUCING THE BOARD Sharon Baker Amy Astin Sonya Briscoe Susan Culberson Louise Michelson JoAnne Owens Miriam Peterson Nelle Reagan Ansley Rice Laurie Johnson

3 OBJECTIVES: DISCUSS FACTORS TO MAINTAIN GOOD HEALTH EXPLORE RECOMMENDED SCREENINGS LEARN THE NUMBERS FOR COMMON TESTS DETERMINE VACCINE REQUIREMENTS OUTLINE HEALTHY LIFESTYLE PATTERNS

4 CDC 41% of people over 65 say their health is very good or excellent.

5 OLDER BODIES DO REQUIRE ATTENTION! GET ANNUAL PHYSICALS: Determine any possible threats to your health EARLY. EXPLORE INSURANCE COVERAGE. Check coverage and affordability. EXPLORE USING TAX CREDITS: Speak with a qualified attorney about your income & eligibility. STAY HEALTHY: Maintenance becomes important.

6 THE REALITY OF HEALTH DAILY CHOICES MATTER MOST DISEASE DOESN T JUST HAPPEN KNOW WHAT TO ASK OR SHARE LEARN SYMPTOMS, TESTS, TREATMENTS ADJUST YOUR LIFESTYLE RISKS!

7 PHYSICAL HEALTH SCREENING OBESITY BLOOD PRESSURE CHOLESTEROL BLOOD GLUCOSE AND TYPE 2 DIABETES OSTEOPOROSIS CANCER HEPATITIS C HIV SEXUALLY TRANSMITTED INFECTIONS

8

9 GENES OR ENVIRONMENT? GENES LOAD THE GUN LIFESTYLE PULLS THE TRIGGER

10 You are what you eat! HEART DISEASE OSTEOPOROSIS DIABETES CANCER

11 WEIGHT

12 BODY MASS INDEX (BMI) MEASURE OF OVERWEIGHT AND OBESITY. CALCULATED FROM YOUR HEIGHT AND WEIGHT.

13

14 THE BMI SCORE MEANS THE FOLLOWING: BMI Underweight Below 18.5 Normal Overweight Obesity 30.0 and Above

15 PROBLEMS WITH BMI: POOR ESTIMATE OF BODY FAT MALE/FEMALE VARIATION HIGH BMI IF YOU'RE VERY MUSCULAR.

16

17 WHY MEASURE? Excess belly fat is strongly linked with health problems.

18 WHAT IS ABNORMAL? WAIST SIZE GREATER THAN: 35 INCHES FOR WOMEN 40 INCHES FOR MEN.

19

20 BLOOD PRESSURE MEANING TOP NUMBER BOTTOM NUMBER DIAGNOSIS Below 120 Below 80 Normal blood pressure Between Between Between Between Prehypertension Stage 1 hypertension

21 CHOLESTEROL MEDICARE PAYS EVERY FIVE YEARS..

22 GREATER THAN 50 TRIGLYGERIDES LESS THAN 130 LESS THAN 130

23

24 WHY GOOD OR BAD? LDL FORMS PLAQUE. HDL REMOVES CHOLESTEROL FROM THE BLOOD & REDUCES LDL.

25 FATTY DEPOSITS HARDEN

26 PLAQUE FRAGMENTS CAUSE STROKES OR HEART ATTACKS

27 BLOOD GLUCOSE

28 NORMAL BONE IS DENSE AND STRONG BONE WITH OSTEOPOROSIS IS POROUS AND WEAK

29 SCREEN EVERY 2 YEARS AFTER 65 Screening: uses ultrasound Diagnostic: uses X-ray

30 KNOW YOUR T SCORE! What Does a T-score Mean? T-scores determine how your bone mass compares to that of a population of normal young adult women. Above 1 1 to 2 Low Bone Mass Bone Mass is 10 20% below normal Fracture Risk is doubled Below 2 Osteoporosis Bone Mass is >20% below normal Fracture Risk is quadrupled

31 KNOW YOUR FRAX PREDICTOR OF 10-YEAR PROBABILITY OF FRACTURE. SEE HANDOUT. GO TO WEB SITE FOR CALCULATOR.

32 HEPATITIS C IF BORN BETWEEN 1945 AND 1965; BLOOD TRANSFUSION BEFORE 1992; OR ILLEGAL INJECTABLE DRUG USE.

33 SENIORS ARE SEXUALLY ACTIVE

34 SEXUALLY TRANSMITTED DISEASES (CDC) REPORTS INCREASES IN ADULTS 65 AND OVER. CHLAMYDIA SYPHILIS GONORRHEA

35 WHY? MANY SENIORS ARE DATING AGAIN. LESS AWARE OF THEIR RISKS FOR HIV LESS LIKELY TO PRACTICE SAFE SEX NO WORRY ABOUT PREGNANCY SO LESS CONDOM USE. THINNING AND DRYNESS OF VAGINAL TISSUE RAISES RISK. SENIORS LESS LIKELY TO DISCUSS THEIR SEXUAL HABITS OR DRUG USE WITH THEIR DOCTORS DOCTORS ARE LESS LIKELY TO ASK THEIR OLDER PATIENTS ABOUT THESE ISSUES.

36

37 CANCER SCREENING COLORECTAL BREAST CERVICAL LUNG

38 MEDICARE COVERS: Colonoscopy every two years IF high risk. Every 10 years beginning at age 50.

39 Yes, I want to reschedule my colonoscopy. Let s say I did it yesterday!

40 BREAST CANCER Screening mammogram every 12 months. A diagnostic mammogram IF screening mammogram is abnormal. ***Medicare pays for both men and women to have diagnostic mammograms more frequently than once a year.

41 CERVICAL CANCER: Pap Test

42 NEW GUIDELINES: NO SCREENING IF: Over age 65 No cervix. No history of abnormal Pap or Cervical cancer. 3 negative Paps

43 FROM SCREENING TO PREVENTION

44 RECOMMENDED VACCINES INFLUENZA PNEUMONIA VACCINES SHINGLES TETANUS-DIPHTHERIA-PERTUSSIS (TDAP)

45 MENTAL HEALTH ISSUES

46 MENTAL HEALTH & SUBSTANCE ABUSE CHECKS: DEPRESSION TOBACCO USE ALCOHOL MISUSE COGNITIVE IMPAIRMENT

47

48 SAFETY & FUNCTIONAL ABILITY FALL RISK VISION/HEARING TEST HOME SAFETY ASSESSMENT ELDER ABUSE

49 RECOMMENDATIONS

50 SEE HEALTHCARE PROVIDER EACH YEAR

51 MAINTAIN AN ACTIVE SOCIAL LIFE

52 EAT MORE COLORFUL FOODS

53 PRACTICAL TIPS PURSE/CAR FOODS HEALTHY SNACKS CASE OF WATER IN CAR

54 LIMIT ALCOHOL USE

55 EXERCISE 30 MINUTES PER DAY

56 GET ADEQUATE SLEEP

57 DECREASE STRESS SMALL TIME OUTS SHORT DAILY DEVOTION MEDITATE

58

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