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0.5
Karl Kraus
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 Healthy nurse as one who actively
focuses on creating and maintaining a
balance and synergy of physical,
intellectual, emotional, social, spiritual,
personal and professional wellbeing.
ANA
 Nurses prioritize their own physical,
intellectual, personal and professional
wellbeing
Good health will help to handle the
demands of profession.
Nurses are in spotlight as the
most trusted profession
 We have a significant influence on
others by living a balanced lifestyle
focusing on our own health and
wellness.
Serve as a model for the
communities.
Help others lead healthier life.
Transform the health of the nation
Nurses are less healthy than the
average American. Research shows
that nurses are more likely to be
overweight, have higher levels of
stress, and get less sleep.
For nearly every indicator the health of
nurses is worse than that of the average
American R
E
S
SLEEP
E
A
R
C
H
compared to all other occupations
Will we accept the CHALLENGE
Indian Profile of Health Care Workers
 Organisation for Economic Co-operation and
Development, (OECD )
Doctors 592,215 Nurses 737,000
1.Physical activity
2.Sleep
3.Nutrition
4.Quality of life
5.Safety
N Nutrition
EIGHT LAWS OF HEALTH
E - Exercise

W - Water

S Sunshine

T Temperance

A Air

T Trust in God
 NUTRITION
Burden -N
of Cardiovascular disease
 Cereals & tubers
Whole grains for minerals
Pulses & Grams
Nuts and seeds
Vitamins & flavinoids -coloured foods
Antioxidants
Phytochemicals
Plant sterols
Protein concentrate shows amino acid
rich in lysine (Mohamed and others
2009).
RAGI

Finger millet mineral contents are

markedly higher & its protein is
relatively better balanced; it contains
more lysine, threonine, and valine than
other millets (Ravindran 1991; Sripriya
and others 1997)
 VARAGU

Kodo millet and little millet has higher

Polyunsaturated fatty acids
(Malleshi and Hadimani 1993 ; Hegde and
Chandra 2005)
 for 1 cup cooked millet
Calories 286 Thiamine (mg) 0.3
Carbohydrate (g) 57 Polyunsaturated fat
Total fat (g) 2.4 (g) 1.2
Cholesterol (mg) 0 Niacin (mg) 3.2
Saturated fat (g) 0.4 Dietary fibre (g) 3.1
Sodium (mg) 5 Magnesium (mg) 106
Monounsaturated Protein (g) 8
fat (g) 0.4 Zinc (mg) 2.2
 Millet is a gluten-free whole grain
3 antioxidative phenolic compounds,
1 serotonin derivative, and 2
flavonoids barnyard millet grains.
Their structures were established to
be N-(p-coumaroyl) serotonin,
luteolin, and tricin.
 Is alkaline - digests easily.
Hydrates colon & prevents
constipation .
Acts as a prebiotic feeding
microflora in your inner
ecosystem.
Serotonin to reduce stress.
Millets- Research

High nutritive value comparable to that of

major cereals such as wheat and rice
(Parameswaran and Sadasivam 1994.
Millet proteins are good sources of essential
amino acids except lysine and threonine but
are relatively high in methionine.
Rich sources of phytochemicals and
micronutrients (Mal and others 2010; Singh
and others 2012.
 Plant Protection in colours
Red -purple anthocyanins Reduces clot
formation
Red lycopene Cancer fighter
Yellow to green Lutein & Fights cataracts &
zeaxanthine macular
degeneration
green Isothiacyanates fights cancer
,indoles
Orange, yellow, Antioxidant beta prevents cancer
dark green carotene
brown Isoflavinoids, Reduces risk of
phytosterols cancer ,scavenger
Diseases of civilization?
EXERCISE
 How to Begin your Exercise Plan

Identify your goals and document

Give yourself a deadline
Date and sign your list of goals
with a witness present
Keep your goals visible
Your workout plan should include:
2-5 minute warm-up and 2-5
minute cool-down
Proper stretching
Cardiorespiratory exercise
Muscular fitness
 Before and After your Initial Workout
1) 2-5 minute warm-up will increase your
blood flow, oxygen, energy and elevate
your muscle temperature.
2) 2-5 minute cool-down
Prevents blood pooling in the extremities
Reduces feelings of dizziness
Lowers heart rate and blood pressure
Helps dissipate lactic acid
Stretching recommended
 Focus on muscles on reduced range of motion
Stretch to the point inducing discomfort
Hold stretches for 15-30 seconds
Perform 2-4 repetitions for each stretch
Perform stretches in a slow, controlled manner
with a gradual progression to greater ranges of
motion
Stretch Break

Stretching
(Recommended
Daily
 Cardiorespiratory Fitness
(Recommend: 30 minutes a day 3-5 times a week)

Treadmill Tennis
Cycling Racquetball
Running/Jogging Basketball
Long walks
Sports/Recreation
Swimming
Dance
 Muscular Fitness Exercises
(Resistance Training Program: 2 days per week)
short-term and long-term goals for
muscular fitness
Identify muscle groups
Determine frequency of training
Determine number of sets and
repetitions
Determine intensity (load of
resistance)
Womens Health Initiative Observational Study
Vigorous exercise* Walking
P=0.008
P=0.004

1.0
1.0
0.8
0.8
0.6
0.6
0.4
0.4
0.2
0.2
0.0
0.0
 30 minutes 7 days/week,
minimum 5 days/week
Production of Endorphins
Vasodilation
Circulation
Supressed inflammatory
responses
Ca retention within the bones
Adverse Effects of Physical Inactivity

Physical Inactivity

Inflammation Dyslipidemia

Age Hypertension

Diabetes Mellitus Smoking

Obesity Hypercoagulability

Genetics Atherosclerosis Novel Risk Factors

W -WATER
 Water, other fluids, and fatal coronary heart
disease:Chan J, Knutsen SF, Blix GG, Lee JW, Fraser GE.

Whole blood viscosity, plasma

viscosity, hematocrit, and fibrinogen
are considered independent risk
factors for coronary heart disease and
can be elevated by dehydration.
 Sunlight deficiency could increase
blood cholesterol by allowing squalene
metabolism to progress to cholesterol
synthesis rather than to vitamin D synthesis
 Sunshine - 10-3pm

Boosts immunity
Strengthens bones
Wards off cancer
Strengthens the
vessel wall
Coagulation process
normalized
T-TEMPERANCE
 Temperance
Total abstinence from substances that are harmful and
moderate use of substances that are helpful

Unhealthy
diet

Caffeine Alcohol/
Smoking
 Tobacco Cessation Algorithm
Ask and document tobacco use status Prevent Relapse
Recent Quitter
Congratulate successes
Current User (<6 months)
Encourage
Advise Provide a strong, personalized Discuss benefits experienced by patient
Address weight gain, negative mood, and
message
lack of support
Assess Readiness to quit in next 30
Not Ready
days Increase Motivation
Relevance to personal situation
Ready Risks: short and long-term, environmental
Assist: Negotiate plan Rewards: potential benefits of quitting
Roadblocks: identify barriers and solutions
STAR**
Repetition: repeat motivational intervention
Discuss pharmacotherapy Reassess readiness to quit
Social support
Provide educational materials
**STAR
Arrange Follow-up to check plan or adjust meds
Call right before and after quit date Set quit date
Weekly follow-up x 2 weeks, then monthly x 6 Tell family, friends, and coworkers
months Anticipate challenges: withdrawal,
Ask about difficulties (withdrawal, depressed
breaks
mood)
Build upon successes Remove tobacco from the house,
Seek commitment to stay tobacco-free car etc.
10 deep breaths a day
 Air Pollution
A Statement for Healthcare Professionals From the Expert Panel on Population and
Prevention Science of the American Heart Association

Several plausible mechanistic pathways

have been described, including enhanced
coagulation/thrombosis, a propensity
for arrhythmias, acute arterial
vasoconstriction, systemic inflammatory
responses, and the chronic promotion of
atherosclerosis.
R- REST / SLEEP
If you sleep less than six hours per night
and have disturbed sleep, you stand a
48 percent greater chance of developing
or dying from heart disease and a 15
percent greater chance of developing or
dying of a stroke. The trend for late
nights and early mornings is actually a
ticking time bomb for our health
Rest-Why dont we get enough rest?
10 - 3am
Impaired memory and thought
processes
Depression
Decreased immune response
Poor job satisfaction
Poor sense of self worth
 10 Tips to Get Better Rest

Cut caffeine Eating time

Abstain from alcohol Abstain from nicotine
Relax before bedtime Avoid napping
Exercise Keep bedroom
Keep bedroom dark ventilated
and quiet Avoid watching TV,
Stick to a sleep eating or discussing
schedule emotional issues in bed
1.Psychologic anxiety, depression
2.Psychosocial work stress
discrimination, emotional support
3.Social-structural socioeconomic
status, social integration, neighborhood
effects
 Healthy Development .

HOW TO TAKE CHARGE OF YOUR HEALTH ?

Educational toolkits
Interactive resources
Nutrition assessments
Physical activity recommendations
Public outreach
 Goal Setting Activity

Be S.M.A.R.T. about your Goals!

Specific
Measurable
Action-oriented
Realistic
Time restrained
 Worker Wellness and Well-Being
Nutrition
Combatting Stress
Womens Health and Fitness
Mens Health
Cancer Awareness
Healthy Sleep
Work-Life Balance
By living an active, healthy
lifestyle, nurses not only
benefit their own personal
well-being, but they serve as a
model for the communities in
which we live and serve.
 Research
For nearly every indicator, the health of Americas
nurses is worse than that of the average American.
Nurses are more likely to be overweight, have higher
levels of stress and get less than the recommended
hours of sleep. Because health care delivery requires
24/7 support, the demands of shift work exacerbate
the health of nurses. In addition, hazards such as
workplace violence and musculoskeletal injuries are
contributing factors to poorer health. According to the
Bureau of Labor Statistics, registered nurses have the
fourth highest rate of injuries and illnesses that result
in days away from work when compared to all other
occupations
 1. Calling to Care
2. Priority to Self-Care
3. Opportunity to Role Model
4. Responsibility to Educate
5. Authority to Advocate
Nurses are less healthy than the average American. Research shows that nurses are more
likely to be overweight, have higher levels of stress, and get less sleep. As the largest and
most trusted health care profession, nurses are critical to the health of the nation.
Healthy nurses are great role models for their patients, colleagues, families, and
neighbors.

That is the goal of the Healthy Nurse, Healthy Nation Grand Challenge, an
initiative to connect and engage nurses, employers, and organizations around
improving health in five areas: physical activity, nutrition, rest, quality of life,
and safety.
 By choosing nutritious foods and an active
lifestyle, managing stress, living tobacco-free,
getting preventive immunizations and
screenings, and choosing protective measures
such as wearing sunscreen and bicycle
helmets, nurses can set an example on how to
BE healthy.
What is the Health Status of Nurses ?
Health indicators Life expectancy (years) 65.4
Birth rate (per 1000) 25.4 Death rate (per
1000) 8.1 Infant mortality rate (per 1000) 66

Indicators of health status of the Indian

population Ophthalmology: Annual incidence
of cataract, the cause of 80 percent of
blindness, is 3.8 million cases. The total
potential for surgical cataract removal is 1.75
million cases per year
 Components of healthy life style
Abstinence from tobacco use
Regular physical exercise
Balanced nutritious diet rich in vegetables nd
fruits, and low in fats and refined sugar
Avoidance of pre and extramarital sex
Avoidance of alcohol and substance abuse
Trust in God
 Health Care in India
Prevention, and early diagnosis and treatment, if feasible,
are the most cost-effective strategies for most diseases

Promoting healthy life style from early life is a no cost

intervention which needs to be incorporated in school
curricula. There is need for increasing public awareness of
the benefits of healthy life style
There is a
marked shortage
of trained nurses
 This nationwide movement connects and
engages nurses and organizations to take
positive action in physical activity, sleep,
nutrition, quality of life and safety. Will you
accept the challenge?
 This summary contains preliminary highlights and key findings from the American Nurses
Associations (ANA) Health Risk Appraisal (HRA). It is a snapshot of registered nurse (RN) and
student nurse participants responses received between October 2013 and October 2014. The
results cannot be generalized to the broader nursing workforce. Data will be analyzed periodically
as long as the HRA is active and open to participants.
Overview
Overall, the majority of participants said they feel positive about their workplace health and safety
conditions. Yet they indicated there is room for improvement. Participants top perceived risk was
overwhelmingly workplace stress. They expressed concern about the risk of injury from lifting and
repositioning patients or equipment. Bullying and incivility in the workplace are prevalent, as are
physical assaults by patients or their family members. Many participants reported heavy workloads
that often necessitate working outside scheduled work hours to complete tasks, such as arriving
early to work and/or staying late.
The majority of participants are above their ideal weight range for their height. A significant
personal safety risk identified is distracted driving, such as texting or talking on the phone while
driving. On the positive side, most participants said they had access to worksite wellness and health
promotion programs, and a very low percentage said they smoke cigarettes.
 sleep
Sleep is a physical humility, an acknowledgement that all our efforts will
fall short unless God blesses them.
It is in vain that you rise up early and go late to rest, eating the bread of
anxious toil; for he gives to his beloved sleep. - Psalm 127:2 (ESV)
 Prospects In view of the growing population and higher
incidence of non-communicable diseases, it is estimated
that the demand for quality healthcare in India will
increase. The role of the private sector is likely to further
increase with preference for private care and governments
constrains of limited resources. For more information or
assistance in exploring business opportunities and
establishing a presence in the Indian market, please
contact: Ms. Srimoti Mukherji, Commercial Specialist The
U.S. Commercial Service in India The American Center 24
Kasturba Gandhi Marg, New Delhi Phone: 91-11-23316841,
Fax: 91-11-23315172 Email:
New.Delhi.office.box@mail.doc.gov
 Cancer: The total number of cancer cases in India was estimated at 924,790 in
2001. This is projected to increase to 1,229,968 by 2011 and to 1,557,800 by 2021.
Cardiovascular diseases: The mortality rate due to cardiac arrest and related
causes was estimated at 2.4 million in 1990. With increasing urbanization the
problem is on the rise.
Malaria: Projected to increase from 2.03 million cases in 2001 to 2.62 million cases
in 2021.
Hypertension, diabetes and renal diseases: These stress and lifestyle related
disorders are on the rise. The diabetic population in India is projected to increase
from 40 million of 2001 to 47 million people in 2010. Hypertension is lower in rural
areas but on an increase in urban cities. Prevalence rate in Delhi alone is 17.34
percent. Both hypertension and diabetes further cause renal disorders.
Neurological and psychiatric disorders and addictions: The current prevalence rate
for neurological disorders is 15 to 20 people per thousand.
The most common ailments are epilepsy, migraine, cerebrovascular disorders,
Parkinsons disease and peripheral neuropathies.
It is estimated that 1 percent of the population is suffering from serious psychiatric
illnesses, 10-15 percent have neuro-disorders, and 2.5 percent are mentally
retarded.
Source: ICRA report on Indian Healthcare and TIFAC