Wellness

Question 0

Top 2 leading contributors to premature death

Answer 0

Tobacco

Physical inactivity / diet

Question 1

2 aspects of wellness

Answer 1

Fullest potential physically, psychologically, socially, spiritually, economically

Fulfillment of one’s role in family, community, workplace, etc

Question 2

Only cause of death that’s increasing

Answer 2

Chronic lower respiratory diseases (from smoking)

Question 3

Who smokes most?

Answer 3

Men
Less than hs education
Below poverty lvl

Question 4

Recommendation to get spiral CT scan for lung cancer

Answer 4

30 pack years
55-80 year old
* get annually

Question 5

Rx for smoking cessation

Answer 5

Bupropion (Zyban)

Varenicline (Chantix)

Question 6

Readiness to change / 5 A’s

Answer 6

Ask (about tobacco use)
Advise
Assess (willingness to quit)
Assist
Arrange (FU)

Question 7

Preparing to quit

Answer 7

S: set quit date
T: tell people you plan to quit
A: anticipate challenges
R: remove cigarettes
T: talk to doctor about getting help

Question 8

Stages of change

Answer 8

Precontemplation (no action intended)
Contemplation (intending to take action within next 6 months)
Preparation (action in <1 mo)
Action (already changing bx)
Maintenance (engaged in bx for at least 6 mo)

Question 9

Leasing cause of death overall

Answer 9

Heart disease

Question 10

DASH diet

Answer 10

Dietary Approach to Stop Hypertension

Low sodium, cholesterol, sat fat, total fat

High fruits, veggies, fiber, potassium, low fat dairy

Question 11

Mediterranean diet - what they eat and what disease it helps

Answer 11

Plant based foods
Fish/poultry
Little red meat
Olive oil
Red wine
Fresh fruit 

Diabetes

Question 12

Weight watchers

Answer 12

Portion control

Points system

Question 13

Dean Ornish Program

• basics
• helps with wha disease

Answer 13

Whole foods
Walk 30 min/day
Stress reduction (stretching, meditation)
Group support
* reverses atherosclerosis

Question 14

Pharmacotherapy for weight loss

Answer 14

Orlistat (lipase inhibitor), not controlled substance, expensive, low compliance

Sympathomimetics (controlled substance, cheap, palpations, inc BP)

Question 15

5 A’s of physical activity

Answer 15

Assess current physical activity
Advise (individualize the message)
Agree (shared decision making)
Assist with resources 
Arrange FU

Question 16

Results of turning back the clock study

Answer 16

Doing 4 healthy habits (diet, exercise, weight, not smoke) = 40% reduction in morbidity and mortality in 4 years

Question 17

5th healthy habit

Answer 17

Alcohol - lower CVD!

Question 18

How many minutes of physical activity a week

Answer 18

150 min