Sample ple. Wellness Report SAMPLE REPORT

Transcription

1 Sample ple Wellness Report

2 THIS ASSESSMENT REPORT IS PROVIDED TO YOU FOR INFORMATIONAL PURPOSES ONLY. THIS ASSESSMENT REPORT IS NOT DESIGNED OR INTENDED TO BE COMPREHENSIVE OR EXHAUSTIVE. THIS ASSESSMENT REPORT IS NOT INTENDED TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. LIFECARE ADVISES THAT YOU ALWAYS SEEK THE ADVICE OF YOUR PHYSICIAN OR OTHER QUALIFIED HEALTH PROVIDER WITH ANY QUESTIONS YOU MAY HAVE REGARDING A MEDICAL CONDITION. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY IN SEEKING IT BECAUSE OF THE INFORMATION ON THE ASSESSMENT REPORT OR SOMETHING YOU HAVE READ ON THE WEBSITE. IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY, CALL YOUR DOCTOR OR 911 IMMEDIATELY.

3 INTRODUCTION Health Assessment Completion date: 06/17/2009 Congratulations on completing your Health Assessment. This personalized member report offers solutions to improve your overall health and well being and has been developed based solely on your responses and on current suggested/recommended guidelines. The Health Assessment and your member report have been designed to address the most signifi cant factors impacting wellness, including work/life and workplace issues, with an emphasis on addressing modifi able health risks those factors under your control. This information is not diagnostic or meant to replace your personal physician s recommendations, and should be used in conjunction with input from your physician to help put you on a path to better health and well being. By completing the Health Assessment and reviewing this report you have taken important steps toward taking greater responsibility for health! WELLNESS SCORE (Your score: 95 out of 300) Your score 95 High Risk Very High Risk (0-60) High Risk (61-120) Moderate Risk ( ) Low Risk ( ) Very Low Risk ( ) This score is based on your overall responses to the Health Assessment and provides a benchmark for to gauge your current health compared to others of your age and gender. This number is helpful for comparison purposes once you have made healthy lifestyle changes and take the Health Assessment again. The goal is to have a higher score, which indicates a lower health risk category. REPORTED HEALTH CONDITIONS You report the following health conditions: diabetes, hypertension. SELF-RATED HEALTH You have indicated that your overall health is fair. Many factors can impact overall health and it s important to review with your physician what you can do to improve your health and sense of wellbeing. Be sure to review this with your physician at your next visit you alone are responsible for your health. If you have health concerns or issues that are not captured in this Health Assessment, discuss them with your physician. 1

4 MY RISK PROFILE General Health Current Baseline Wellness Score High Risk Very High Risk Self-rated Health At Risk At Risk LifeStyle Behaviors Current Baseline BMI High Risk High Risk Nutrition High Risk High Risk Physical Activity High Risk High Risk Smoking Moderate Risk High Risk Blood Pressure At Risk At Risk LDL Cholesterol At Risk At Risk HDL Cholesterol At Risk At Risk Prediabetes Diabetes Reported Diabetes Reported Behavioral Health Current Baseline Alcohol Consumption At Risk At Risk Insomnia Low Risk At Risk Depression Moderate Risk High Risk Stress Moderate Risk High Risk Work/Life Stress High Risk High Risk Preventive Health Current Baseline Medication Adherence Moderate Risk High Risk Motor Vehicle Safety Moderate Risk High Risk Cancer Screening Low Risk At Risk Regular Checkups per Physician Low Risk At Risk Dental Care At Risk At Risk Tetanus Low Risk At Risk 2

5 BODY MASS INDEX (BMI) (Your BMI is: 31) Your BMI 31 Obese Underweight (Below 18.5) Normal ( ) Overweight ( ) Obese (30.0 and Above) BMI is a number calculated from a person s weight and height. BMI provides a reliable indicator of body composition for most people and is used to screen for weight categories that may lead to health problems. The higher the BMI number the greater the possibility for health risks. You are among the more than 1 in 3 adults in the US with a BMI >30, and are obese. Obesity increases the risk of many diseases and health conditions. These include Coronary heart disease Type 2 diabetes Cancers (endometrial, breast, and colon) Hypertension (high blood pressure) Lipid problems (for example, high total cholesterol or high levels of triglycerides) Stroke Liver and Gallbladder disease Sleep apnea and respiratory problems Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint) Gynecological problems (abnormal menses, infertility) It s important to work towards achieving a healthy weight (BMI ) in order to reduce the risk of many diseases. Given your height, your desired weight is 125 lbs. to 168 lbs. You should talk with your doctor for guidance, and think about the benefi ts and barriers to better weight management. An important way to lower your BMI and maintain a healthy weight is by combining better nutrition with increased physical activity. NUTRITION (Your score: 10 out of 30) Your score 10 High Risk Very High Risk (0-5) High Risk (6-15) Moderate Risk (16-24) Low Risk (25-30) You indicated that you are not following a low-fat diet. Eating a low fat diet is a good way not only to lose weight or maintain weight loss, but also to improve heart health and circulatory system health. Eating a diet that s high in fat is higher in calories and often leads to undesirable weight gain. 3

6 Eating a low-fat diet means doing things like: Eating chicken without the skin Eating low-fat cheeses and other low-fat dairy products Using light or fat-free salad dressing or eating salad without dressing Eating fruits and vegetables as snacks Eating bread without butter. You indicated that you are not consuming the recommended amount of fruits and vegetables each day. Guidelines encourage this food group and recommend at least 2 servings of fruits and 2-3 servings of vegetables every day as they provide essential nutrients needed for optimal health. Here are some examples of what counts as 1 cup/1 serving: 1 cup of vegetables, such as 12 baby carrots or 1 cup of black beans A large plate of salad, such as spinach or lettuce A medium glass of 100% vegetable or fruit juice. 1 cup of fresh, frozen, or canned fruit, such as 8 large strawberries or 2 canned peach halves 1 fruit, such as an apple, pear, banana, or peach 2 snack containers of applesauce A large handful of dried fruit, like raisins or apricots Choose from a variety of fruits and vegetables each day and try to increase your intake to 4-5 total servings everyday. You indicated that you are not frequently consuming red meat or processed meat. Congratulations! This is a good step toward better health. Recent research has confi rmed that people who eat more red meat or processed meat have higher risks for death, when compared with people, like you, who do not have a high consumption of these foods. White meats, such as poultry and fi sh, are excellent substitutes. PHYSICAL ACTIVITY/EXERCISE (Your score: 15 out of 40) Your score 15 Moderate Risk Very High High Moderate Low Very Low Risk (0) Risk (5) Risk (15) Risk (30) Risk (40) You reported that you are getting less than the recommended amount of exercise. Regular physical activity is one of the most important things you can do for your health. Physical activity is anything that gets your body moving. It can help: Control your weight Reduce your risk of cardiovascular disease Reduce your risk for type 2 diabetes and metabolic syndrome Reduce your risk of some cancers Strengthen your bones and muscles Improve your mental health and mood Improve your ability to do daily activities and prevent falls, if you re an older adult Increase your chances of living longer 4

7 If you re not sure about becoming active or boosting your level of physical activity because you re afraid of getting hurt, the good news is that moderate-intensity aerobic activity, like brisk walking, is generally safe for most people, and provides a tremendous health benefit. According to the most recent physical activity guidelines, you need to do two types of physical activity each week to improve your health aerobic and musclestrengthening. Adults need at least: 2 hours and 30 minutes (150 minutes) of moderate-intensity aerobic activity (i.e., brisk walking) every week and muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms). Aim for more physical activity on most days. Schedule your exercise and try to make it a habit. Exercising with a friend or co-worker may help keep you on track! SMOKING You indicated that you are a former smoker. It s great that you have stopped smoking. You ve already started to reap the benefits of not smoking, which add up for every year that you continue to be a non-smoker. Stopping smoking, as you have done, is one of the most important steps you can take to lower your chances of lung and other cancers, heart disease, and stroke. Not smoking not only helps you but also helps those close to you given the negative health effects of second-hand smoke. Keep up the good work! BLOOD PRESSURE 120/80 or less Blood pressure is the force of blood against the artery walls. It is often written or stated as two numbers. The top number, the systolic pressure, represents the pressure when the heart contracts. The bottom number, the diastolic pressure, represents the pressure when the heart rests between beats. You indicated that you have high blood pressure or hypertension. High blood pressure or hypertension for adults is defi ned as a systolic blood pressure of 140 mmhg or higher or a diastolic blood pressure of 90 mmhg or higher. Your physician may set a different BP target for you, based upon other underlying conditions. Hypertension is a major risk factor for heart disease including heart attacks, stroke, blindness, and chronic kidney disease. High BP can be treated with lifestyle modifications such as weight control, exercise, healthy diet, limiting alcohol - and with medications. You indicated that you are taking a medication for high blood pressure. It s important that you continue to take your blood pressure medication(s) as prescribed by your doctor, even if you feel fine. Hypertension is known as a silent killer because it usually has no noticeable signs or symptoms until other serious problems arise. 5

8 CHOLESTEROL HDL: >60 LDL: <100 You reported that you have had your cholesterol level checked within the past 5 years. For women, the U.S. Preventive Services Task Force strongly recommends starting screening for all women aged 45 and older for cholesterol or lipid disorders but only if they are at increased risk for coronary heart disease. HDL is the good cholesterol that helps keep cholesterol from building up in arteries. You reported that your HDL level is low. The goal is for HDL to be as high as possible (greater than 60). Low HDL is considered a risk factor for heart disease although it is not as strong a risk factor as is a high LDL (bad cholesterol). Increasing physical activity, not smoking, maintaining a healthy weight, and eating low-fat foods may help elevate HDL levels. LDL is the bad cholesterol and is the main source of cholesterol buildup and blockage in arteries. You reported that your LDL level is high. LDL cholesterol should be lowered to a target of 100 or less for greatest reduction of heart disease risk. Regular physical activity, not smoking, eating low fat foods and achieving and maintaining a healthy weight may help to control cholesterol levels. You reported that a cholesterol lowering medication has been prescribed for you. It s important to continue to take this medication as prescribed in order to derive the maximum benefi t from it in terms of lowering your LDL cholesterol to a desired range, and to discuss any concerns you may have regarding this medication with your physician. DIABETES You reported that you have diabetes. If you haven t done so already, go to The American Diabetes Association for useful information and resources, such as information about conditions associated with diabetes and how to prevent them, as well as information about oral medications and insulins. Make it a priority to take good care of your body. The time you spend now on eye care, foot care and skin care, as well as your heart health and oral health, could delay or prevent the onset of dangerous diabetes complications later in life. It is important to stay in close communication with your physician as you manage your diabetes. ALCOHOL Your response indicated that you may have a serious drinking problem. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) specifi es that women should not be drinking 4 or more alcoholic drinks in one day. For most adults, moderate alcohol use -- one drink per day for women -- causes few if any problems. (One drink equals one 12-ounce bottle of beer or wine cooler, one 5-ounce glass of wine, or 1.5 ounces of 80-proof distilled spirits.) Don t drink at all if you plan to drive, if you have any medical conditions that can be worsened by drinking, if you are pregnant or planning to get pregnant, if you take medications that should not be mixed with alcohol, or if you are an alcoholic 6

9 in recovery. If controlling your alcohol is becoming a problem, consider contacting Alcoholics Anonymous and be sure to discuss this problem with your physician. SLEEP Your responses indicated that you are frequently having trouble sleeping and that this is having an impact on your daily activities. According to the National Sleep Foundation 2002 Sleep in America poll, 58 percent of adults in this country reported at least one symptom of insomnia in the past year. Restorative sleep is very important for overall health and wellbeing. Poor sleep may affect your work as well as have a significant impact on your home life and mood. When insomnia symptoms occur more than a few times a week and impact a person s daytime functions, the symptoms should be discussed with a doctor or other health care provider. There s much that can be done to help with this problem. Temporary sleep diffi culties are common and can usually be improved with simple measures such as not having caffeinated beverages after dinner, avoiding strenuous activities close to bedtime, using relaxation techniques, and lifestyle changes. Most people with sleep difficulties get better with simple treatment and you may want to evaluate this further and speak with your physician. DEPRESSION (Your score: 4 out of 6) Very Low Risk (0) Low Risk (1-2 ) Moderate Risk (3-4) High Risk (5-6) 4 Your score Moderate Risk Your response to the depression screening test indicated that you have a moderate probability for depression. Everyone occasionally feels blue or sad, but these feelings are usually fl eeting and pass within a couple of days. When a person has a depressive disorder, it interferes with daily life, normal functioning, and causes pain for both the person with the disorder and for those who care about the individual. Depression is a common but potentially serious illness, and most who experience it need treatment to get better. Most people with depression get better with treatment, and you may want to talk with your physician about this to determine if you would benefit from further evaluation and treatment. STRESS You report that stress is having some impact on your health. Stress, especially if it s persistent, and diffi cult to manage, is not good for you. Although stress is the natural response to the demands of daily living, how we handle it determines its overall effect. If your level of stress becomes difficult to manage, or 7

10 is having a significant impact on your work or home life, it may be a good idea to get help. People who have dealt with stress successfully say that it s a good idea to: Learn what triggers your stress Talk with someone about how you re feeling Be more physically active, and eat regularly and well Find a way to relax whatever works for you WORK/LIFE STRESS INDEX (Your score: 255) 0-29 Your score 255 High Low (0-29) Moderate (30-99) High (100+) Work/Life imbalance can have a very negative effect on health and wellbeing as well as upon your ability to be actively engaged and productive at the workplace or at home. The Work/Life Stress Index helps to determine potential work/life stressors that may be impacting your wellbeing. You identifi ed the following life events that may be contributing to work/life stress or imbalance: Spouse stops working or loses job Caring for a family member with special needs Major fi nancial concerns The following recommended reading may help in coping with or resolving these life events: Coping with Job Loss Finding Help for Young Children with Disabilities Resources for Adults with Disabilities Knee Deep In Debt To view these materials and access additional recommended reading, visit the Related Content section within your Account Activity on the [Company Name] Member Portal. Instructions on how to access this portal can be found in the For More Information section near the end of this report. PRIMARY PHYSICIAN, CHECK-UPS You reported having an identified primary care physician (PCP). Good! This is a necessary and critical first step to assuring better health outcomes. A PCP provides care that is comprehensive, coordinated, and continuous, and should assure that recommended preventive health and other interventions are maintained and followed up properly. Be sure to keep your PCP abreast of any changes in your perceived health or wellbeing and be sure to discuss any changes in your eating habits, physical activity, sleep, emotional well-being or health symptoms with your PCP. You reported following your PCP s recommendations regarding regular 8

11 check-ups. Great! You re doing your part to take ownership of your health. Regular checks ups are important to assure that problems can be identifi ed early and don t become more signifi cant or severe unnecessarily. A thorough check up on a regular basis, especially if done by a PCP who has been caring for you continuously, can often make a big difference in health outcomes. Stay on track with this key to better health! MEDICATION ADHERENCE You reported missing some doses of your prescription medications. It s important to be sure to take medications as prescribed in order to benefit fully from the medication and to avoid poor control of the underlying condition being treated. Medication reminders such as an automated alarm message or a medication minder box may be helpful if this is a recurring problem. Be sure to talk with your doctor about any concern for side effects or other issues related to your medication(s). MOTOR VEHICLE SAFETY You reported not always using a seat belt when driving or riding in a car. Safety belts are well known to be effective in reducing motor vehicle related deaths and injuries. When you wear a safety belt, others riding with you, and especially children, get the message to buckle up too. For your safety and for your loved ones, get in the habit of buckling up every time you get into a car. CANCER SCREENING You reported not having had a screening mammogram within the past 2 years. Screening tests (such as mammograms) are given routinely to women who appear to be healthy and are not suspected of having breast cancer. Their purpose is to fi nd breast cancer early, before any symptoms can develop and when the cancer usually is easier to treat. According to the most recent statistics, 1 out of every 7 women will get breast cancer over a 90-year life span. The U.S. Preventive Services Task Force recommends screening mammography, with or without clinical breast examination, every 1-2 years for women aged 40 and older. You reported having had a Pap smear within the past 3 years. Great! You are keeping up with this important and very well documented preventive health intervention. The U.S. Preventive Services Task Force strongly recommends Pap smear screening for cervical cancer. 9

12 DENTAL CARE You reported not having seen your dentist within the past year for an oral exam/cleaning. Research has linked oral health with systemic health conditions including diabetes, cardiovascular disease, and oral cancer. It s important to be sure that periodontal disease (gum disease) is kept in control and regular dental care can be very benefi cial. Healthy People 2010 goals include good dental care and regular checkups. VACCINATION You reported having had a tetanus booster shot within the past 10 years. Great! Keep up to date with this and other vaccinations for better health and wellbeing. Recommendations regarding adult vaccinations are available from the Centers for Disease Control & Prevention. You reported not having had a flu shot this past year. Flu vaccination is recommended for people above the age of 50 or if other risk factors are present based upon medical, occupational, lifestyle, or other indications. Recommendations regarding adult vaccinations are available from the Centers for Disease Control & Prevention. Flu vaccination has been shown to decrease the attack rate of fl u and you may want to discuss with your PCP whether this yearly vaccine is appropriate for you. RELATED PROGRAMS AND YOUR STAGE OF CHANGE This program offers help in leading a healthier life. Available program components are listed below. The program uses a Stages of Change approach, a science-based approach to understanding where you are in considering change and how people move toward changing to lead healthier lives. According to this approach, the 5 Stages of Change are: Precontemplation: You do not intend to change your behavior in the near future Contemplation: You intend to change your behavior in the next 6 months Preparation: You intend to change your behavior in the next month Action: You are already doing the healthy behavior Maintenance: You have maintained the healthy behavior for more than 6 months Screened Out: Not eligible for behavior change at this time. Based upon your responses in the Health Assessment, your stage of change in key areas is displayed below: Program Your Current Total Health Solutions Stage of Change HEALTHY EATING Precontemplation Join the online program to help with healthy eating. EXERCISE Preparation Join the online program to help with exercise. 10

13 Program Your Current Total Health Solutions Stage of Change SMOKING Maintenance Join the online program to help with smoking cessation. MANAGING HIGH BLOOD PRESSURE MANAGING CHOLESTEROL DEPRESSION PREVENTION STRESS MANAGEMENT Preparation Preparation Contemplation Contemplation Join the online program to help with managing high blood pressure. Join the online program to help with managing cholesterol Join the online program to help with depression prevention. Join the online program to help with stress management. You may be eligible for other benefi ts related to health and wellbeing. To view these benefi ts, visit the Related Benefits section within your Account Activity on the [Company Name] Member Portal. Instructions on how to access this portal can be found in the For More Information section of this report. FOR MORE INFORMATION Access your [Company Name] Member Portal Log on to and enter your Screen Name and Password. Not registered yet? Follow the New Users link sign up using your work address or Registration Code: xxx and Member ID: xxx Trouble logging in? Call the Help Desk at PLANNER You have enrolled in the [INSERT] program. Your Health Coach will call you on: [DATE] [TIME] RELATED READING To view recommended reading for your particular situation, visit the Related Content section within your Account Activity on the [Company Name] Member Portal. 11

14 REFERENCES Centers for Disease Control and Prevention Vaccination Schedule US Preventive Services Task Force Healthy People National Heart, Lung, and Blood Institute National Institute on Alcohol Abuse and Addiction Alcoholics Anonymous American Diabetes Association National Agricultural Library USDA level=1&tax_subject=389 National Sleep Foundation Your_Sleep.htm National Institute of Diabetes and Digestive and Kidney Diseases 12