LIVING WELL WITH HYPERTENSION 2-1/2 HOUR SESSION ZERO AND MEASUREMENT OF BLOOD PRESSURE AT SESSION ZERO AND WEEK 6 CDSME STEPPING UP YOUR NUTRITION

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2 LIVING WELL WITH HYPERTENSION 2-1/2 HOUR SESSION ZERO AND MEASUREMENT OF BLOOD PRESSURE AT SESSION ZERO AND WEEK 6 CDSME STEPPING UP YOUR NUTRITION (SUYN) 2-1/2 HOUR SESSION ZERO TO ASSESS MALNUTRITION RISK IN COMMUNITY-DWELLING OLDER ADULTS, VALIDATED NUTRITION SCREEN AND PRE-/POST HANDGRIP STRENGTH AT WEEK 6 CDSME OR WEEK 7 - STEPPING ON FALLS PREVENTION

3 INCREASED NUMBERS OF PARTICIPANTS AND INCREASED WORKSHOP RETENTION RATES IDENTIFIED HYPERTENSION RISK USING STOPLIGHT DOCUMENTED IMPROVEMENT/REDUCTION IN BLOOD PRESSURE FROM PRE- TO POST CDSME

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5 DEMOGRAPHIC PERCENT HYPERTENSION 74% MULTIPLE CHRONIC CONDITIONS 63% MEDICARE 75% MEDICAID 29% AFRICAN AMERICAN 55% CAUCASIAN 42%

6 MEASURE PRE POST LOSING WEIGHT 61% 64% SYSTOLIC DIASTOLIC WEIGHT KNOW HOW TO MANAGE MY HEALTH 68% TAKE ACTIVE ROLE IN MY OWN HEALTH 79% MORE MOTIVATED TO TAKE CARE OF MY HEALTH 69% KNOW HOW TO MAKE LIFESTYL CHANGES LIKE DIET AND PHYSICAL ACTIVITY 68%

7 EVIDENCE-BASED OUTCOMES PROGRAM-SPECIFIC BEHAVIORAL- DIETARY, PHYSICAL ACTIVITY, SELF-MANAGEMENT CLINICAL PRE-/POST WORKSHOP - BP, WEIGHT/BMI, % FAT PARTICIPANTS ASSESSED FOR CHRONIC CONDITIONS/HYPERTENSION INCREASED PARTICIPANT ENGAGEMENT/ACTIVATION SELF-REPORT (KNOW HOW TO MANAGE SYMPTOMS AND CONDITIONS, CAN MAKE AN ACTION PLAN, ETC.)

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9 Project support

10 Participants will understand the importance of balanced nutrition for the prevention of falls and will be able to identify the key warning signs of poor nutrition Nutrition status and muscle health are linked to falls risk Exercise and protein are key factors to help maintain and build strong muscles Through action planning and collaboration with your healthcare professional, you can begin reducing your falls risk

11 HOW NUTRITION AFFECTS FALLS WHY MUSCLE MATTERS WHERE S THE PROTEIN NUTRIENTS TO KNOW: PROTEIN AND FLUID ROLE PLAY, PROBLEM-SOLVING AND ACTION PLANNING PERSONAL NUTRITION RISK SCORE A VALIDATED TOOL MEASURES MALNUTRITION RISK AND FOOD INSECURITY GRIP STRENGTH MEASUREMENT (WEEK 1 AND END OF WEEK 7) POTENTIAL FOLLOW-UP AT 3 MONTHS

12 Seniors in the Community: Risk Evaluation for Eating and Nutrition Valid and reliable for identification of nutritional risk in community-dwelling older adults (16 questions) Individuals circled their nutrition risk score on a stoplight: = high nutrition risk (total less than 50) = moderate nutrition risk (score less than 54) = no/low nutrition risk (score higher than 54) Participants are encouraged to dietitian when score is in the range and are encouraged to and/or a

13 High Nutrition Risk: Score below 50 Consult with your healthcare team as soon as possible to address the areas of nutrition concern and improve your nutrition status. Moderate Nutrition Risk: Score Take action to improve your nutrition health. Discuss option with your healthcare team and identify resources to help you reduce your risk. Low Nutrition Risk: Score above 54 Your eating habits are working to keep you healthy and strong.

14 EFFECTIVENESS OF LEADER TRAINING WORKSHOP IMPLEMENTATION/FIDELITY PARTICIPANTS MALNUTRITION RISK CHANGE IN KNOWLEDGE ABOUT THE LINK BETWEEN MALNUTRITION, AGING AND FALLS BEHAVIOR CHANGE (INCREASE PROTEIN AND FLUIDS) HANDGRIP STRENGTH (PRE-/POST-) IMPLEMENTATION OF ACTION PLAN STRATEGIES AROUND NUTRITION

15 NUTRITION PRACTICES PERCENT NEVER OR RARELY EAT WITH SOMEONE 12% SOMETIMES HAVE PROBLEMS GETTING FOOD (HEALTH, INCOME, TRANSPORTATION, ETC.) 50% FOOD DIDN T LAST/NO FUNDS FOR MORE 10% OFTEN SKIPPED MEALS 11% SOMETIMES SKIPPED MEALS 78%

16 ID PROTEIN NUTRITION PREVENTS FALLS KNOW HOW MUCH FLUID UNDERSTAND MY RISK PRE POST

17 ACTION PLAN GOALS PERCENT Eat at least 3 meals a day 17% Eat more protein 19% Eat more fruits/vegetables 17% Eat with others 3% Try new foods 6% Drink more fluid 19% Get help with shopping 3% Talk with doctor or dietitian 17%

18 LEADER CRITERIA (MUST UNDERSTAND AND HAVE SELF-MANAGEMENT FACILITATION SKILLS) TRAINED IN EVIDENCE-BASED PROGRAM (CDSME, STEPPING ON, MATTER OF BALANCE) REGISTERED DIETITIAN NURSE