GETTING HEALTHY TOGETHER: �THRIVING IN COMMUNITIES
AMY B. LOCKE, MD, FAAFP
PROFESSOR AND CHIEF WELLNESS OFFICER
UNIVERSITY OF UTAH HEALTH
What does it mean �to be well?
THE CONTINUUM OF HEALTH
Poor health
Optimal health
WHO WELLNESS DEFINITION
Wellness is the optimal state of health of individuals and groups. There are two focal concerns: the realization of the fullest potential of an individual physically, psychologically, socially, spiritually and economically, and the fulfillment of one’s role expectations in the family, community, place of worship, workplace and other settings.
World Health Organization, accessed October 30, 2006
University of Wisconsin
PREVENTION IS THE FOUNDATION
High risk/cost
intervention
Early, lower risk treatments
Stress management
Health behaviors/environment
PERSONAL WELL-BEING: FOUNDATIONS OF HEALTH
Resting State
Stressor
Manage stress
Healthy People 2030, U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Retrieved [date graphic was accessed], from https://health.gov/healthypeople/objectives-and-data/social-determinants-health
Economic Stability
Social and Community
Neighborhood Built Environment
Access Quality Healthcare
Access Quality Education
Building the Foundations of Health
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A healthy diet, regular exercise and not smoking can eliminate 80% of heart disease and 70% of some cancers.
Willett; Eat, Drink and Be Healthy; 2005
Date of download: 3/28/2017
© The Author(s) 2016. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
Leading risk factors for disease-related death and disability-adjusted life years in the United States, 2010. �
NUTRITION: WHAT IS A GOOD DIET?
MEDITERRANEAN STYLE DIET
1. de Lorgeril et al. Circulation 1999 2. Esposito et al JAMA 2004 3. Esposito et al. Endocrine 2016
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Barriers and Opportunities for Healthy Eating
Afshin et al. 2014
Global
Governmental
Agriculture, industry, market
Community Environment
Sociocultural
Individual
PHYSICAL ACTIVITY
DIABETES PREVENTION PROGRAM
Guidelines evidence
Knowler et al. NEJM 2002
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SLEEP
SLEEP
1. Smith et al Am J Psych 2002 2. Morin et al JAMA 1999
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CONNECTION
MINDFULNESS
Bringing
non-judgmental awareness to the present moment
Connection
Thriving
“I define connection as the energy that exists between people when they feel seen, heard, and valued; when they can give and receive without judgment; and when they derive sustenance and strength from the relationship.”
- Brené Brown
What is one strategy you have used to help you eat healthier, be more active or get more sleep?
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STRESS
FOUR CAUSES OF STRESS INJURIES
Life threat | Loss | Inner conflict | Wear and tear |
A traumatic injury Due to the experience of or exposure to intense injury, horrific or gruesome experiences, or death | A grief injury Due to the loss of people, things or parts of oneself | A moral injury Due to behaviors or the witnessing of behaviors that violate moral values | A fatigue injury Due to the accumulation of stress from all sources over time without sufficient rest and recovery |
Shanafelt et al. Caring for the health care workforce during a crisis: Creating a resilient organization. AMA STEPS Forward. 2020. https://www.ama-assn.org/system/files/2020-05/caring-for-health-care-workers-covid-19.pdf
STRESS RESPONSE CYCLE
Nagoski and Nagoski, 2020, Burnout: The Secret to Unlocking the Stress Cycle
Resting State
Stressor
Manage stress
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COMPLETE THE STRESS RESPONSE CYCLE
Burnout: The Secret to Unlocking the Stress Cycle by Emily Nagoski Ph.D. and Amelia Nagoski, D.M.A
Discussion
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