1. Obesity is
    considered a major factor in having or dying from a heart attack, stroke, or other cardiovascular disease; developing high blood pressure, high cholesterol or diabetes.
  2. Increase in serving sizes
    in restaurants and fast food establishments.
  3. 2005 USDA MyPyramid is
    based on studies about nutrients and the way people eat in the US.
  4. It takes into consideration the need for
    daily activity and makes recommendations in both areas.
  5. Emphasizes that nutrition be
    kept simple, be physically active, stay within calorie limits, and enjoy foods rich in essential nutrients from all 5 food groups.
  6. Ten Readily food high in phytonutrients and antioxidants such as vit A and E are
    apples, almonds, blueberries, broccoli, red beans, salmon, sweet potatoes, vegetable juice, wheat germ, and spinach.
  7. Any amout of physical activity
    is helpful.
  8. Important thing is to such
    an activity you like, that fits in with your busy life stlye.
  9. If you have medical issues
    check with your doctor before starting to exercise. Start slowly and listen to your body.
  10. Vigorous physical activity include
    running/jogging, bicycling, swimming, aerobic exercise, walking, heavy yard work, weight lifting and basketball.
  11. Three important parts to a workout
    • 1. warm-up
    • 2. main activity
    • 3. cool-down
  12. Warm-up
    prepares the muscles, ligaments, and tendons for action before more vigorous use.
  13. Cool-down
    prevents the blood from pooling in the legs, which could limit the amt of blood returning to the heart.
  14. Also reduces
    muscle soreness, dizziness, and the amt of fatigue products, such as lactic acid, that build up in the blood.
  15. Start day with stretch and flex
    • 1. before getting out of bed- stretch
    • 2. back muscles- lay on back draw knees to your chest
    • 3. lower back- roll knees to side and back to center.
    • 4. when getting up- roll to side use your elbows and arms to push up
  16. Stretching is essential - at work
    • 1. Improve circulation and prevent muscle cramps- do a seated spinal twist
    • 2. Correct posture- stand up straight
    • 3. Deep breathing- helps relieve tension in lowe back, neck, and shoulders.
    • 4. A head roll- relieve tension in head, upper shoulders, and back.
    • 5. Back stretches while sitting stretch the back, neck, and arm muscles.
    • 6. Relieve back pain by sitting on edge and lift a weight alternate
    • 7. Side stretches may relieve tensed arm, hip, and lower back muscle.
  17. Preventing back injuries
    • 1. use the right kind of lifting devices
    • 2. learn proper use of lifting device
    • 3. bring pt services to bedside rather than transporting
  18. Picking up infections include
    • 1. clothes and uniforms while bending over a pt
    • 2. Stethoscopes, bp monitors,
    • 3. Artificial nails and long natural nails
  19. Burnout is
    negative attitude and behavioral change about one's career, working with patients, and self care.
  20. Burnout reasons include
    • 1. unrealistic expectations
    • 2. required to perform tasks against personal values
    • 3. working under severe rules
    • 4. bored work that doesnt challenge u
    • 5. feeling trapped- economic reasons
  21. Changes in attitude and behavior
    • 1. lack of respect for patients
    • 2. blaming patients
    • 3. becoming cynical
    • 4. feeling emotionally exhausted
    • 5. forgetting self care
    • 6. noticing more conflicts at home
  22. Preventing burnout
    • 1. try to experience empathy (respectful detached concern)
    • 2. develop a detached way of evaluating yourself
    • 3. develop time management skills to balance personal and professional life
    • 4 use humor to keep perspective
    • 5. maintain nursing skills
  23. Nurses will experience secondary traumatic stress which include
    hypertension, gastritis, peptic ulcers, and fatigue.
  24. Prevention include
    • 1. getting sufficient rest
    • 2. proper diet and personal relaxation
    • 3. positive relations with peers
  25. Chemical dependency refers
    to abuse of alcohol and/or other drugs.
  26. Alcohol is a
    drug that acts like a depressant.
  27. Two emotional characteristics pose challenge to treatment
    • 1. denial is very strong
    • 2. person who drinks is usually skilled manipulator.
  28. Codependency is
    when a person has a pathological need to be needed by others. become obsessed with fixing behaviors of others.
  29. Codependent nurses
    • 1. become involved in patients lives
    • 2. react to quickly to feelings
    • 3. react with sense of intensity and urgency
    • 4. believe only they can offer best care
    • 5. are devastated by pts criticism
    • 6. rescue, persecute, feel victimized
  30. Dealing with negative stress
    • 1. recreation- enjoyable activities
    • 2. relaxation- decrease in P, RR, BP, muslce tension and metabolic rate
    • 3. meditation- quiet environment, mental device, passive attitude
    • 4. imagery- visualize calm, happy place
    • 5. brief relaxation- yawning, doing nothing, breathing easy
    • 6. progressive relaxation- tense all muscle groups together-deep relax
    • 7. yoga- strengthens body, increase flex, improves circulation, lowers bp
    • 8. sleep- adequate sleep, go to bed at same time, develop pattern to help in sleep
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