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    A HA HEALTHYEALTHY

    LLIFESTYLEIFESTYLE, A K, A KEYEYTTOO A BA BETTERETTER LLIFEIFE

    Michael R. Santos, RN, MDMichael R. Santos, RN, MD

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    OBJECTIVESOBJECTIVES Learn how to prevent lifestyle diseases

    Become aware of the different diseases thatlifestyle could be a main contributory factor

    Gain primary skills in the assessment of thefollowing diseases

    Know different techniques to aid in lifestyle

    modifications

    Acquire competency in the recognition ofearly signs and symptoms of these diseases

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    OOVERVIEWVERVIEW Lifestyle diseases are diseases that appear to become

    ever more widespread as countries become moreindustrialized

    Lifestyle diseases are different from other diseases

    because they are potentially preventable, and can belowered with changes in diet, lifestyle, andenvironment

    Lifestyle diseases are a result of an inappropriaterelationship of people with their environment

    The onset of these lifestyle diseases is insidious, theytake years to develop, and once encountered do not

    lend themselves easily to cure

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    CCONTRIBUTORYONTRIBUTORY FFACTORSACTORSModifiable Risk Factors

    Diet

    Vices

    Obesity

    Sedentary Lifestyle

    Stress

    Work Hazard

    Environment

    Health Practices

    Non-Modifiable

    Risk Factors

    Age Sex

    Family History

    Race

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    TTHEHE DDISEASESISEASES

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    AALZHEIMERLZHEIMERSS DDISEASEISEASE A progressive neurologic

    disorder that affects the brain

    resulting in cognitive

    impairments

    CAUSES:

    Unknown

    Potential factors- Amyloidplaques in the brain, Oxidative

    stress, neurochemical

    deficiencies

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    EARLY CLINCAL MANIFESTATIONS

    Forgetfulness

    Recent memory loss

    Difficulty in learning

    Deterioration in personal hygiene Inability to concentrate

    AALZHEIMERLZHEIMERSS DDISEASEISEASE

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    LATE CLINICAL MANIFESTATIONS

    Difficulty in abstract thinking

    Difficulty communicating

    Severe deterioration in memory,

    language and motor function

    Repetitive action- perseveration

    Personality changes

    AALZHEIMERLZHEIMERSS DDISEASEISEASE

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    AALZHEIMERLZHEIMERSS DDISEASEISEASE

    PREVENTION

    Healthy diet

    Moderate exercise

    Keeping mentally and socially active

    Maintaining optimum level of

    glucose

    Prevent CVD

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    A group of metabolic diseasescharacterizedcharacterized by elevated levels

    of glucose in the blood resultingfrom defects in insulinsecretion, insulin action, insulinreceptors or any combination ofconditions.

    DDIABETESIABETES MMELLITUSELLITUS (DM)(DM)

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    TRIAD OF SYMPTOMS

    Polyuria Polydipsia

    Polyphagia

    DDIABETESIABETES MMELLITUSELLITUS (DM)(DM)

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    OTHER SIGNS & SYMPTOMS

    Body weakness

    Easily fatigued

    Visual changes

    Poor wound healing

    Recurrent skin and mucus infections

    DDIABETESIABETES MMELLITUSELLITUS (DM)(DM)

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    Prevention Diet: avoid food rich in

    sugar and carbohydrates Good Exercise Regimen

    Maintain a healthy weight Regular check-up

    Minimize stress

    DDIABETESIABETES MMELLITUSELLITUS (DM)(DM)

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    DDIABETESIABETES MMELLITUSELLITUS

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    Death of myocardialtissue in regions of theheart due to an abrupt

    interruption of

    coronary blood supply

    HHEARTEART AATTACKTTACK (AMI)(AMI)

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    SIGNS & SYMPTOMS

    Chest pain

    Difficulty of breathing Cold and clammy skin

    Nausea and vomiting

    Restlessness and sense of impending doom

    Irregular heart beat

    Gradual decrease in BP

    HHEARTEART AATTACKTTACK (AMI)(AMI)

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    PREVENTION

    Diet: Avoid food rich in fats and cholesterol

    Maintaining a healthy weight Good regular exercise program

    Prevent DM and Hypertension

    Limit stressors in life

    Have a regular wellness check-up every year

    Cultivate relaxing activities

    HHEARTEART AATTACKTTACK (AMI)(AMI)

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    TREATMENT MODALITIES FOR HIGH RISK PATIENTS

    HHEARTEART AATTACKTTACK (AMI)(AMI)

    CORONARY

    ARTERYBYPASSGRAFT

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    TREATMENT MODALITIES FOR HIGH RISK PATIENTS

    HHEARTEART AATTACKTTACK (AMI)(AMI)

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    TREATMENT MODALITIES FOR HIGH RISK PATIENTS

    HHEARTEART AATTACKTTACK (AMI)(AMI)

    Percutaneous

    TransluminalCoronary

    Angioplasty

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    TREATMENT MODALITIES FOR HIGH RISK PATIENTS

    HHEARTEART AATTACKTTACK (AMI)(AMI)

    S

    tentused

    in

    PTCA

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    An umbrella term that refers to

    any functional abnormality of

    the CNS related to disrupted

    blood supply

    A condition due to the lack of

    oxygen to the brain that maylead to reversible or irreversible

    paralysis

    BBRAINRAIN AATTACKTTACK (S(STROKETROKE/CVA)/CVA)

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    BBRAINRAIN AATTACKTTACK (S(STROKETROKE/CVA)/CVA)

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    CLINICAL MANIFESTATIONS

    Numbness or weakness

    Confusion or change of Levelof Consciousness

    Motor and speech difficulties

    Visual disturbance

    Severe headache

    BBRAINRAIN AATTACKTTACK (S(STROKETROKE/CVA)/CVA)

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    PREVENTIVE MEASURES

    Know your blood pressure, have it checkedcostantly, and, if it is elevated, work with your

    doctor to keep it under control; Find out if you have atrial fibrillation, which

    encourages the formation of blood clots that couldcause a stroke;

    If you smoke, stop;

    If you drink alcohol, do so in moderation;

    Find out if you have high cholesterol;

    BBRAINRAIN AATTACKTTACK (S(STROKETROKE/CVA)/CVA)

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    PREVENTIVE MEASURES If you have diabetes, follow your physician's

    recommendations to control the condition;

    Include exercise in your daily routine;

    Eat a low-salt, low-fat diet;

    Ask your physician if you have circulation problems thatcould increase the risk of stroke; and

    If you experience any stroke symptoms, including suddenweakness of the face or a limb, a blurring of vision,dizziness, or an intense headache, seek immediate medicalattention

    BBRAINRAIN AATTACKTTACK (S(STROKETROKE/CVA)/CVA)

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    Diseases characterized by

    uncontrolled, abnormal growth ofcells

    Breast is the most common CA forwomen and Prostate CA for men

    Lung and Colorectal CA are bothcommon in men and women

    CCANCERANCER (CA)(CA)

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    EARLY WARNING SIGNS

    Changes in bowel or bladder habits

    Sores that don't heal

    Obvious changes in a mole or wart

    Unusual vaginal bleeding or discharge

    A new lump or thickening in a breast orelsewhere

    Difficulty swallowing or frequent indigestion

    A bothersome cough or hoarseness

    CCANCERANCER (CA)(CA)

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    PREVENTION Early detection of cancer

    Health awareness

    Performing monthly TSE and BSE

    Diet: Avoid fatty and processed food; Increase intake offood rich in fiber

    Exercises

    Avoid long exposure to the harmful rays of the sun

    Stop smoking

    Alcohol in moderation

    CCANCERANCER (CA)(CA)

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    A consequence of chronic liver

    disease

    Irreversible chronic inflammatorydisease

    Massive degeneration and

    destruction of hepatocytes

    LLIVERIVER CCIRRHOSISIRRHOSIS

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    LLIVERIVER CCIRRHOSISIRRHOSIS

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    ETIOLOGIC FACTORS

    Post-infection

    Alcohol

    Cardiac diseases

    Schistosoma Biliary obstruction

    LLIVERIVER CCIRRHOSISIRRHOSIS

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    Normal Function Abnormality in function1. Stores glycogen = Hypoglycemia

    2. Synthesizes proteins = Hypoproteinemia

    3. Synthesizes globulins =Decreased Antibodyformation

    4. Synthesizes Clotting factors = Bleeding tendencies

    5. Secreting bile = Jaundice and pruritus

    6. Converts ammonia to urea =Hyperammonemia

    7. Stores Vit and minerals =Deficiencies of Vit and min

    8. Metabolizes estrogen = Gynecomastia, testicular

    atrophy

    LLIVERIVER CCIRRHOSISIRRHOSIS

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    LLIVERIVER CCIRRHOSISIRRHOSIS CCOMPLICATIONSOMPLICATIONS

    EsophagealEsophageal VaricesVarices (EV)(EV)

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    LLIVERIVER CCIRRHOSISIRRHOSIS CCOMPLICATIONSOMPLICATIONS

    CaputCaput MedusaeMedusae

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    LLIVERIVER CCIRRHOSISIRRHOSIS CCOMPLICATIONSOMPLICATIONS

    HemorrhoidsHemorrhoids

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    LLIVERIVER CCIRRHOSISIRRHOSIS CCOMPLICATIONSOMPLICATIONS

    AscitesAscites

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    PREVENTIVE MEASURES

    Avoid alcoholic beverages

    Avoid indiscriminate use of OTC drugs

    Prevent Heart Diseases

    Avoid food rich in fats and cholesterol

    Healthy sex practices

    LLIVERIVER CCIRRHOSISIRRHOSIS

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    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

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    These are group of disorders associated

    with recurrent or persistent obstruction

    of air passage and airflow, usuallyirreversible

    The most common cause of COPD is

    cigarette smoking. Chronic bronchitis,Emphysema and Bronchiectasis are the

    common disorders.

    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

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    CLINICAL MANIFESTATIONS

    Shortness of breath

    Difficulty of breathing

    Easily fatigued

    Restlessness

    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

    Cold and clammy

    skin

    Chest retractions

    Skin paleness

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    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)E

    M

    PHY

    S

    EM

    A

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    BRO

    N

    CHIE

    CTASI

    S

    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

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    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

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    PREVENTIVE MEASURES

    Stop smoking

    Avoid second hand smoking

    Wear appropriate masks if working inhazardous conditions

    Oral and bronchial hygiene

    Avoid recurring respiratory infections

    Increase body resistance

    CCHRONICHRONIC OOBSTRUCTIVEBSTRUCTIVE

    PPULMONARYULMONARY DDISEASESISEASES (COPD)(COPD)

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    PPEPTICEPTIC UULCERLCER DDISEASEISEASE

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    is an ulcer (defined asmucosal erosions equal to

    or greater than 0.5 cm) ofan area of thegastrointestinal tract that

    is usually acidic and thusextremely painful

    PPEPTICEPTIC UULCERLCER DDISEASEISEASE

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    CLINICAL MANIFESTATIONS

    Severe abdominal pain

    Feeling of fullness and bloatedness Nausea and vomiting

    Hematemesis (Blood in the vomitus) Melena (Black and tarry stool)

    Excessive salivation (Ptyalism)

    PPEPTICEPTIC UULCERLCER DDISEASEISEASE

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    PREVENTIVE MEASURES

    Avoid fatty and spicy food and increase intakeof high fiber food; limit intake of highly acidic

    beverages Eat right on time, do not skip meals

    Avoid indiscriminate use of NSAIDs

    Eliminate stressors in life

    Stop smoking

    Moderate alcohol consumption

    PPEPTICEPTIC UULCERLCER DDISEASEISEASE

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    Increase in the bloodpressure exceeding 30

    mmHg in the systolicpressure and 20 mmHg

    in the diastolic pressure

    HHYPERTENSIONYPERTENSION

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    CONTRIBUTORY FACTORS Hypercholesterolemia

    Obesity

    DM, Heart & Renal Diseases

    Fatty Liver

    Sex

    Age

    Family History

    Sedentary Lifestyle

    HHYPERTENSIONYPERTENSION

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    CLINICAL MANIFESTATIONS

    Dizziness and headache

    Blurring of vision

    Nausea and vomiting

    Edema Cold and clammy skin

    HHYPERTENSIONYPERTENSION

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    PREVENTIVE MEASURES

    Weight reduction

    Reducing dietary sugar intake

    Decrease table salt consumption

    Increase intake food rich in fiber

    Stop smoking

    Moderate consumption of alcohol

    Eliminate stressors in life

    HHYPERTENSIONYPERTENSION

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    10 G10 GOODOODLLIFESTYLEIFESTYLE

    PPRACTICESRACTICES

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    1. S1. STOPTOP SSMOKINGMOKING

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    2. A2. ADDDD AACTIVITYCTIVITY

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    3. C3. CONTROLONTROL YYOUROUR WWEIGHTEIGHT

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    4. E4. EATAT PPLENTYLENTY OFOF

    FFRUITSRUITS & V& VEGGIESEGGIES

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    5. E5. EATAT LLOWOW--FFATAT DDIETIET

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    6. F6. FILLILL UUPP OONN FFIBERIBER

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    7. S7. SUPPLEMENTUPPLEMENT YYOUROUR DDIETIET

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    8. M8. MODERATIONODERATION IINN AALCOHOLLCOHOL

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    9. G9. GETET SSCREENEDCREENED

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    10. K10. KNOWNOW YYOUROUR RRISKISK FFACTORACTOR

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    AANN OOUNCEUNCE OOFF

    PPREVENTIONREVENTION IISS BBETTERETTERTTHANHAN A PA POUNDOUND OOFF

    CCUREURE..

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    TTHEHE

    EENDNDThank You Very Much!