Plan For Change

By Group 5

Identified problem: Obesity

Ineffective Health Maintenance

The people of Grand Traverse County have a lack of familiarity with neighborhood resources as evidenced by higher than average obesity rate, cardiac disease rates, diabetes mellitus disease, and malignant neoplasms.

Intervention

Improve access to health maintenance activities Make sure patients are aware of offered activities and availability

Community agency in charge of project

Rationale: The mission of Munson Healthcare is to both “provide superior quality care and to promote community health" (Munson 2008).

Munson Medical Center

Outcome Measures

Some expected outcomes may include :

• Client verbalizes two measures necessary to achieve weight reduction

• Client demonstrates appropriate selection of healthy meals or menu planning toward the goal of weight reduction

• Client begins an appropriate program of exercise by choosing two activities to perform at least three times per week for six weeks

• Client is able to make positive dietary changes as evidences by utilization of available resources

Food Pyramid

The client will list the six food groups of the food pyramid

and describe the correlation between food and exercise.

The client will have fun while learning about nutrition by

participating in learning activities.

Given a food label, the viewer will list the carbohydrate/protein/fat/calories of a

serving size of a specific food.

Nutrition information helpful forYour own nutritional requirements

Serving sizesSpecial dietslow sodiumlow fatlow potassiumhigh fiber

The viewer will describe how portion sizes have changed over the last 20 years

and the increased caloric intake resulting from that change.

How portion size has changed

Recommended Daily Allowances(RDA’s) for a 2000 calorie diet

Grains – 6 ouncesFruits - 2 cupsvegetables – 2 ½ cupsDairy products- 3 cups Meats/beans – 5 ½ ounces

Serving Sizes

Morbidity and mortality are linked to a poor diet and a sedentary lifestyle

Almost 2/3 of Americans are overweight> 50% do not get enough activity

Nutrition Is Important to Good Health

Diet habits influenced by :•Family•Food preparation•Eating behaviors

Eating Habits

Poor eating habits develop in childhood

•60% of kids eat more than RDA of fat

• Less than 20% of kids eat Recommended Daily Allowances of fruits and vegetables

“Healthy People 2010” Goals

•Increase the number of healthy weight adults (BMI >18.5 < 25)

•Decrease obesity from 23% to 15%

•Increase fruits and vegetables people eat on a daily basis

•Eliminate differences in a healthy lifestyle based on socio-economic status

Decreased risk of chronic diseasesType 2 diabetesHypertensionCertain cancers

ColonBreastUterine KidneyEsophagus

Decreases risk of overweight and obesityDecreased risk of being micronutrient d

Benefits of a Healthful Eating Plan

Activity is important to maintain a healthy weight

Studies show that lack of physical activity during childhood may lead to health problems in adulthood like obesity, heart disease, and Diabetes type 2.

Maintaining weight- Your weight will stay the same when the calories you eat and drink equal the calories you burn.

Losing Weight- You will lose weight when the calories you eat and drink are less than the calories you burn

Gaining Weight- You will gain weight when the calories you eat and drink are greater than the calories you burn.

Risk of obesity for:

Caucasian adults – 25%

Blacks and Latinos 30-50%

Native Americans – 60%

Health Risks

Focus on education because morbidity and mortality are directly related to lifestyle and eating habits

Health Promotion

Diets high in fruits and vegetables significantly reduce the risks of:

•Stroke

•Heart disease

•Several types of cancer

Importance of Fruits and Vegetables

Abstract

Obesity is a health problem that the United States has struggled with for

decades, and there are many health problems associated with obesity. The

obesity epidemic is decreasing quality of life for millions and driving up the cost

of healthcare .

Obesity is a modifiable risk factor, and when people adopt healthy lifestyles

and lose weight, they can reverse many detrimental health problems.

By improving access to health maintenance activities and providing nutrition

counseling on portion sizes and food label reading, clients will have improved

knowledge to increase healthy behaviors and promote weight loss with an

eventual decrease in risk factors related to obesity

Munson Community Health Department, 2008 Community Health Assessment Project Final Report, retrieved from http://www.munsonhealthcare.org/munson/health_info/community_health_assessment.pdf

Video from Munson Healthcare video, retrieved from http://www.munsonhealthcare.org/images/15492-SOS-VideoLinkGraphic.jpg

Reference