440 Exam 1

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440 Exam 1
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2014-09-29 23:53:07
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440 Exam 1
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  1. Definition of Wellness
    Integrated and dynamic levels of functioning oriented towards self-dependence and maximizing potential
  2. Wellness Dimensions (9)
    • Physical
    • Financial
    • Occupational
    • Cultural
    • Emotional
    • Spiritual
    • Intellectual
    • Environmental
    • Social
  3. Physical Dimension
    - What you do to keep your body healthy

    • 7-8 hours of sleep 
    • Daily healthy choices
    • Nutritionally balanced diet
    • Visits doctor routinely
  4. Financial Dimension
    - managing current and future financial situation

    • Aware of debt/financial situation
    • Long and short-term goals for financial success
  5. Social
    • Builds healthy relationships
    • Aware of others' feelings
    • Network of friends and coworkers that provide support and validation
  6. Cultural
    • Understanding, awareness, and respect for various aspects of diversity
    • Aware of cultural background, appreciation for various other backgrounds
  7. Spiritual
    - Sense of purpose and meaning

    • Core set of beliefs/guiding principles
    • Respects that others may have different beliefs
    • Recognizes relationship between spirituality and identity in individuals
  8. Environmental
    • Understands relationship between individual and environment
    • Appreciates effects of positive environment
    • Recognizes limits to controlling environment
  9. Intellectual
    • Lifelong learning
    • Seeks to further critical thinking and global awareness
  10. Emotional
    • Successfully expresses and manages a full range of emotions
    • High self-esteem & body image
    • Knows where to seek mental health support
  11. Occupational
    • Enjoys career - fulfilling and meaningful
    • Pursues additional opportunities to reach professional goals
    • Has interests outside of work
  12. Factors Influencing Premature Death &
    Longevity?
    Which have largest Impact?
    Manageable Factors:

    • Smoking
    • Lipid management
    • Blood Pressure
    • Glucose Management
    • Obesity
    • Activity Levels
    • Uncontrolled Stress

    • Not Manageable:
    • Family History
    • Gender
    • Age
    • Ethnicity

    • Largest Impact:
    • Lifestyle choices = 80% of chronic disease
    • Heredity - less
  13. Behaviors From The California Human Population
    Laboratory Study That Contribute To Increases In Longevity
    • 7-8 Hours of sleep
    • Regular well-balanced meals (including breakfast)
    • Moderate or no alcohol (6-12 oz/day)
    • Didn't smoke
    • 5-7 days/week of PA
    • Maintained healthy body weight
  14. Leading Expenses Contributing To Health Care Costs
    And What Reasons Contribute To Those Health Care Cost Increases
    • Leading Expenses:
    • Hospital costs increased
    • Costs for doctor's visits increased
    • Cost for home health care increased
    • Administrative costs increased*
    • Prescription drugs costs increased*

    *Most

    • Reasons for Increase:
    • Population Growth
    • Aging Population
    • Inappropriate use of medical services
    • Research and Technology
    • Increase in medical insurance
    • Increase in number and severity of malpractice suits
    • Increase in number of cases of chronic disease
  15. Leading Causes Of Death for 2011 And Which Ones Can Impacted By Physical Activity

    Heart disease
    Cancer
    COPD
    Stroke
    Accidents
    Alzheimer's
    Diabetes
    Kidney Disease
    Flu/Pneumonia 
    Suicides
    • 1. Heart Disease - 595,444 (24%) YES
    • 2. Cancer - 573,855 (23%) YES
    • 3. COPD - 137,789 (5.5%) YES
    • 4. Stroke - 129,180 (5.2%) YES
    • 5. Accidents - 118,043 (4.75%) NO
    • 6. Alzheimer's - 83,308 (3.3%) PROMISING
    • 7. Diabetes - 68,905 (2.79%) YES
    • 8. Kidney Disease - 50,472 (2%) NO
    • 9. Flu/Pneumonia - 50,003 (2%) YES
    • 10. Suicide - 37,393 (1.5%) NO
  16. Goals For Healthy People 2020 
    And Examples?
    • Increase PA
    • Reduce overweight and obesity
    • Reduce tobacco use
    • Reduce substance abuse
    • Increase responsible sexual behavior
    • Improve mental health
    • Reduce injury and violence
    • Improve environmental quality
    • Increase immunization rates
    • Increase access to healthcare
  17. Explain Some Identifying Differences Between The Health-Behavior Change Theories
    • Self-Determination Theory:
    • Motivation for behavior = either pursuit of pleasure or avoidance of pain

    • Theory Of Reasoned Action and Planned Behavior:
    • People more likely to change if perceive a positive outcome
    • People who believe they can control their behavior have stronger plans to accomplish behavior

    • Health Belief Model:
    • People engage in health related behavior if:
    • Have an interest in health
    • Think they are vulnerable to a malady
    • Think benefits > barriers
    • Think particular illness is severe
  18. The Characteristics Of The Seven Stages Of
    Prochaska’s Transtheoretical Model Of Behavior 
    Change
    • Pre-Contemplation
    • Contemplation
    • Preparation
    • Taking Action
    • Maintenance
    • Termination
    • Relapse
  19. Pre-Contemplation
    • No intention of changing, resists efforts
    • Pros < cons

    • Exercise:
    • Offer health risk appraisal (matches against database)
    • Educate about benefits of exercise
  20. Contemplation
    • Indecisive about changing, no commitment
    • Pros = cons

    • Exercise:
    • Offer clear guidelines for beginners
    • Provide positive role models
  21. Preparation
    • Wants to change but doesn't know how
    • Lacks confidence in ability to change
    • Pros = cons

    • Exercise
    • Individualized exercise programs and goals
    • Personal strategy
  22. Taking Action
    • Made attempt in last 6 months
    • Has goals, more committed
    • Pros > cons
    • Greatest risk for relapse

    • Exercise:
    • Help establish routine
    • Help determine appropriate reinforcers
    • Prepare for relapse
  23. Maintenance
    • Sustained Action for 6 or more months
    • Less likely to relapse
    • New behavior part of lifestyle
    • Temptations less enticing
    • Enjoys benefits of change

    • Exercise:
    • Encourage larger degree of social support
    • Review and change any exercise goals
  24. Termination
    Maintained new behavior for more than 1 year

    • Exercise:
    • Make necessary adjustments
    • Scheduled review of status
  25. Relapse
    Wanted behaviors stop - return to unwanted behaviors
  26. Steps to Respond to Relapse
    • Identify situation associated with relapse
    • Focus on things that encourage behavior
    • Provide realistic outcomes for occasional lapses
    • Encourage target behavior as part of daily living
    • Interruption = normal/typical
    • Adjust plans to accommodate unique changePlan acceptable alternatives
  27. Premack Principle
    Withholding something desirable until less desirable behavior accomplished

    • Example:
    • Not allowed to watch TV until run
  28. Behavioral Contract
    • Goal
    • Timeframe
    • Ways to monitor
    • Goal supporting activities
    • Premack Principle
    • Identify barriers
    • Countermeasures for barriers
  29. Personal Financial Goals
    • Pay off college loans
    • Pay for apartment
    • Pay for graduate school
  30. Steps for Establishing Credit
    • Have checking and savings account
    • Obtain secure credit card (reports to 3 major credit bureaus, rewards & no fees)
    • Set up a secured loan
    • Keep purchases under credit limit
    • Attempt to pay off total balance each month
  31. Debt Expense
    Cost of not being able to pay a bill

    • How to avoid:
    • Develop budget
    • Stay within budget and out of debt
    • Support a savings plan
    • Keep purchases under credit limit
    • Attempt to pay off total balance each month
  32. 1. Heart Disease
    - 595,444 (24%) YES
  33. 2. Cancer
    - 573,855 (23%) YES
  34. 3. COPD
    - 137,789 (5.5%) YES
  35. 4. Stroke
    - 129,180 (5.2%) YES
  36. 5. Accidents
    - 118,043 (4.75%) NO
  37. 6. Alzheimer's
    - 83,308 (3.3%) PROMISING
  38. 7. Diabetes
    - 68,905 (2.79%) YES
  39. 8. Kidney Disease
    - 50,472 (2%) NO
  40. 9. Flu/Pneumonia
    - 50,003 (2%) YES
  41. 10. Suicide
    - 37,393 (1.5%) NO

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