Wellness And Home Safety

Wellness

BII WELLNESS RECOMMENDATIONS

FALL PREVENTION:

1. DISCUSS YOUR MEDICATIONS WITH YOUR PHYSICIAN/SEEK LOWEST DOSE IF POSSIBLE:
   1. MEDICATIONS THAT AFFECT THE BRAIN  
      1. PSYCHOACTIVES THAT TEND TO CAUSE SEDATION OR DROWSINESS
      1. BENZODIAZEPINES:  ex. ATIVAN, VALIUM, RESORIL, XANAX
      1. NON-BENZODIAZEPINE:  ex. AMBIEN, SONATA, LUNESTA
      1. ANTIPSYCHOTICS: ex. ABILIFY,RISPERDAL,SEROQUEL, ZYPREXA
      1. ANTICONVULSANTS: ex. DEPAKOTE, NEURONTIN/GABAPENTIN
      1. ANTIDEPRESSANTS: ex.  ZOLOFT, CELEXA, LEXAPRO, PAXIL, PROZAC,EFFEXOR, WELLBUTRIN, ELEVIL, TRAZADONE,
      1. OPIOID/NARCOTICS: ex. CODIENE, HYDROCODONE, OXYCODONE, FENTANYL, METHADONE, MORPHINE
      1. ANTICHOLINERGICS: ex. BENADRYL, MECLIZINE, PROMETHAZINE, ANTIVERT, NYQUIL, TYLENOL PM,FLEXERIL,  TRICYCLIC/SSRI
   1. MEDICATIONS THAT AFFECT BLOOD PRESSURE
      1. A SUDDEN DROP IN BP  CAN INCREASE A RISK FOR FALLS
         1. ALPHA BLOCKERS: FLOMAX, CARDURA, HYTRIN, MINIPRESS
         1. DIURETICS
   1. MEDICATIONS THAT LOWER BLOOD SUGAR
      1. HYPOGLYCEMIA CAN INCREASE RISK FOR FALLS IN PT WITH DIABETES
         1. METFORMIN
2. KNOW WHY YOU ARE TAKING EACH MEDICATION AND THE PROPER DOSAGE
3. BE AWARE OF MEDICATION SIDE EFFECTS,ESPECIALLY IF YOU TAKE MORE THAN 4 MEDICINES
4. TAKE YOUR MEDICINE AS PRESCRIBED AND FOLLOW ALL DIRECTIONS ON THE LABELS
5. BRING ALL YOUR MEDICATIONS INCLUDING PRESCRIPTION, OTC, DRUGS, VITAMINS AND HERBAL REMEDIES TO YOUR MD OR PHARMACIST TO BE REVIEWED
6. USE THE SAME PHARMACY FOR ALL PRESCRIPTIONS-IT MAKES IT EASIER TO CHECK FOR PROBLEMS
7. AVOID DRINKING ALCOHOL WHEN TAKING MEDICATIONS, IT CAN AFFECT HOW THE WORK,WORSEN SIDE EFFECTS AND CAUSE BALANCE ISSUES
8. REVIEW HOME SAFETY HAZARDS THAT CAN INCREASE YOUR RISK FOR FALLS( SEE ATTACHED CHECKLIST)
9. HAVE YOUR VISION ASSESSED
10. USE NIGHT LIGHTS/ FLASH LIGHTS/TURN ON LIGHTS IN THE DARK

IF YOU FALL, WRITE DOWN IMMEDIATELY WHERE AND WHEN YOU FELL, HOW YOU FELL AND WHAT YOUR WERE DOING AND FEELING AT THE TIME YOU FELL-CALL YOUR MD ASAP

VITAMIN D SUPPLEMENTATION

 IF YOU HAVE FALLEN > 2X THIS YEAR PLEASE DISCUSS YOUR VIT D LEVELS WITH YOUR PHYSICIAN. RECOMMENDED DAILY ALLOWANCES FOR VIT D (600 IU IF 19-70 YEARS OLD AND 800 IU  IF > 70)

DIABETIC FOOT CARE

1. INSPECT YOUR FEET DAILY FOR CUTS, BLISTERS OR SWELLING AND KEEP TOENAILS GROOMED
2. NEVER GO BAREFOOT
3. KEEP YOU FEET WARM AND DRY WITH WELL FITTED SHOES
4. STOP SMOKING-THIS AFFECTS THE CIRCULATION  TO THE FEET, INCREASE RISK OR ULCERS
5. KEEP GOOD GLYCEMIC CONTROL
6. DRY YOUR FEET AFTER SHOWER/BATH ESPECIALLY BETWEEN YOUR TOES
7. KEEP SKIN MOISTURIZED BUT NOT IN BETWEEN TOES
8. WASH YOUR FEET WITH WARM WATER EVERY DAY
9. WEAR CLEAN SOFT SOCKS THAT FIT YOU CORRECTLY
10. CONSULT WITH YOUR PHYSICIAN/PODIATRIST EVERY 6 MONTHS FOR ASSESSEMENT
11. TWO COMMON MECHANISMS BY WHICH FOOT DEEFORMITY AND NEUROPATHY MAY INDUCE SKIN BREAKDOWN IN PERSONS WITH DIABETES. THE FIRST MECHANISM IS DUE TO PROLONGED LOW PRESSURE OVER A BONY AREA DUE TO TIGHT OR ILL FITTING SHOES. OTHER MECHANISMS OF ULCERATION INVOLVE PROLONGED REPETITIVE MODERATE STRESS.

NUTRITIONAL COUNSELING FOR WEIGHT CONTROL/DIABETES MANAGEMENT/WEIGHT LOSS

DIETICIAN RESOURCES:

              COMMUNITY HEALTH NETWORK:                                      317-355-4680

              EATRIGHTIN.ORG

1. MOST WEIGHT LOSS OCCURS BECAUSE OF DECREASE CALORIC INTAKE ALONG WITH  ENGAGING IN REGULAR PHYSICAL ACTIVITY
2. PHYSICAL ACTIVITY ASSISTS WITH MANAGING WEIGHT, REDUCING BLOOD PRESSURE, REDUCING RISK FOR TYPE 2 DIABETES, REDUCES ARTHRITIS PAIN, REDUCES OSTEOPOROSIS AND FALL RISK, REDUCES SYMPTOMS OF DEPRESSION AND ANXIETY
3. TO MAINTAIN YOUR WEIGHT WORK YOUR WAY UP TO 150 MINUTES OF MODERATE INTENSITY AEROBIC ACTIVITY
4. TO LOSE WEIGHT YOU WILL NEED A HIGH AMOUNT OF PHYSICAL ACTIVITY AND TO ADJUST YOUR DIET TO REDUCE YOUR CALORIES YOUR EATING AND DRINKING
5. MODERATE EXERCISES/CALORIC BURN EXAMPLES:
   1. WALKING BRISKLY 15 MIN MILE/140-230 CALORIES
   1. LIGHT YARD WORK/165 CALORIES
   1. LIGHT SNOW SHOVELING/220 CALORIES
   1. ACTIVELY PLAYING WITH CHILDREN/185 CALORIES
   1. BIKING AT A CASUAL PACE/145 CALORIES
6. RESOURCE: WWW.CDC.GOV/HEALTHYWEIGHT/PHYSICAL_ACTIVITY

SMOKING CESSATION RESOURCES

American Cancer Society http://www.cancer.org/Healthy/StayAwayfromTobacco/GuidetoQuittingSmoking/index

 American Heart Association  http://www.heart.org/HEARTORG/GettingHealthy/QuitSmoking/Quit-Smoking_UCM_001085_SubHomePage.jsp

American Lung Association – http://www.lung.org/stop-smoking  

CDC State Tobacco Activities Tracking & Evaluation (STATE) System – www.cdc.gov/statesystem  (an interactive application that displays current and historical state-level data on tobacco use prevention and control)

National Tobacco Control Program – http://www.cdc.gov/tobacco/tobacco_control_programs/ntcp/

Smoke Free – http://www.smokefree.gov (en Espanol http://espanol.smokefree.gov)

Smoke Free Quit Guide – http://www.smokefree.gov/apps/

FDA 101: Smoking Cessation Products http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm198176.htm

Pathways to Freedom: Winning the Fight Against Tobacco http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/pathways/index.htm 

Smoking Quit and Information Lines  (800) LUNG-USA : helpline and education for those wishing to stop smoking  (800) QUIT-NOW : educational materials and coaches that can help you quit smoking or chewing tobacco  (877) 44U–QUIT: individualized counseling, printed information, and referrals to other sources

DEPRESSION RESOURCES

Community Hospital                     317-355-2560

IU Health                                        317-274-5000

Franciscan Health Network          317-783-8383

St Vincent                                       317-388-4800