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Life Span Healthy Lifestyle Defining Development • The science of human development… • Seeks to understand how and why people change over time. Life Expectancy • “The average number of years a person is expected to live” Why do some people live longer than other? • Nature • Nurture Which of the following is an example of nature influencing life expectancy? A.The mother smoked while pregnant with the child B. Social-economical status C. The year of birth D.X-Y chromosome anomaly The Life-Span Perspective • Multidirectional http://www.youtube.com/watch?v=cphgANTK0LA • • • • Multicontextual Multicultural Multidisciplinary Plasticity Life expectancy 1850 1890 1920 1950 1970 1990 2011 38.3 42.5 56.3 66.3 67.9 72.7 78.4 Why? • Why is life expectancy going up? History of Health Care • Early Civilization • 1st med schools –Greece –600 B.C. –Hippocrates • “The Father of western medicine” • Edward Jenner –Father of immunology –Smallpox vaccine • 1749 - 1823 Bacteriology • Louis Pasteur – Germ theory – Vaccine advancement • 1822 - 1895 Bacteriology • Joseph Lister –Father of Antiseptic Surgery –Hand-washing • 1827-1912 Bacteriology • Robert Koch –Founder of modern bacteriology –1st “Magic-bullets” –Staining • 1843 - 1910 • Alexander Fleming –Discovered Penicillin • 1881- 1955 Antibiotics • When was penicillin first available as a prescription drug? A. 1868 B. 1927 C. 1928 D. 1939 E. 1943 What was the first vaccine available? A. Small pox B. Pertussis C. Diphtheria D. Tetanus E. Polio What was the first vaccine available? A. Small pox (1796) B. Pertussis (1904) C. Diphtheria (1926) D. Tetanus (1938) E. Polio (1955) 1948 = DPT • Measles (1963) • Mumps (1967) • Rubella (1969) – MMR (1971) • • • • Hepatitis B (1981) Hib (1985) Chickenpox (1996) HPV (2006) • What happened to the small pox vaccine? • D/C 1971 – eradicated Nursing Role • • • • Florence Nightingale Clara Barton Dorothea Dix Lillian Wald Why? • Why is the USA not number 1? Violence plays role in lower U.S. life expectancy • Denver Post • The Associated Press: 09 January 2013 • WASHINGTON — The United States suffers far more violent deaths than any other wealthy nation, due in part to the widespread possession of firearms and the practice of storing them at home in a place that is often unlocked, according to a report released Wednesday by two of the nation's leading health research institutions. Does “old age” = HEALTH? Health “A state of complete physical, mental and social (spiritual) wellbeing, not merely the absence of disease or infirmity” Holistic Health LIFE Health – Illness continuum Health Promotion Empowerment Small Group Questions • Define health, holistic & life expectancy. • Describe in general that history of health care. • Define nature vs. nurture • How have the following people influenced health care? Hippocrates, Jenner, Pasteur, Lister, Koch, Fleming Healthy Lifestyle Nutrition • Malnutrition – Poor dietary practice due to lack of nutrients • Nutritious Diet – – – – Carbohydrates Amino acids Vitamins Minerals Chemical Avoidance • Alcohol Chemical Avoidance: • Caffeine Exercise • 30 min/day Stress reduction Stress • “Anything that upsets our psychological or physiological equilibrium” Stress Fight or Flight Stress Adrenal Gland Adrenalin & Cortisol Fight Or Flight Response General Symptoms of Stress • Respiratory rate –h • Blood shunted from – GI • Blood directed to – Muscles General Symptoms of Stress • Pupils –Dilate • Pain perception –i • Heart rate –h Responses to stress • Physiological • Emotional • Intellectual General Adaptation Syndrome 1.Alarm Stage 2.State of resistance 3.State of exhaustion • Hans Selye Anxiety • “Multisystem response to a stressful situation” Levels of Anxiety • • • • Mild Moderate Severe Panic Stress Health • SRRS –Social Readjustment Rating Scale Stress Reduction Techniques 1. Meditate 2. Imaging 3. Breath deeply 4. Focus on NOW 5. Show some love 1. Massage 2. Take a time out 8. Music 9. Attitude break Disease prevention • Primary – Before disease • Secondary – Diagnosis • Tertiary – Rehabilitation Mental Health • • • • • Adjust Cope Contribute Realistic Fluctuates Emotional Maturity • When individuals are able to control their responses and can express their emotions in socially appropriate ways. Small Group Questions • List 5 healthy lifestyle practices. • What are Hans Selye’s 3 stages of stress? Describe each stage • What is Anxiety? • How can you reduce or manage stress? • What are the levels of disease prevention? Give an example of each level. In GAS, what is the second stage? A.Alarm B. Resistance C. Exhaustion D.Adrenaline E. Adaptation Homework • Read –Key words –Learning objectives –Review questions • Lecture notes