Showing posts with label Management. Show all posts
Showing posts with label Management. Show all posts

Thursday, 23 February 2012

10 Ways to Eat Well When Life Is Stressful


If you eat in response to stress, you are not responding to real hunger but instead to a coping mechanism—comfort food.
A study reported in Physiology Behavior found that 73 percent of participants reported eating more sweets and fewer meal-type foods, such as meat, seafood, fruits, and vegetables, during periods of stress.
Whether you overeat or eat poorly during times of stress, it helps to do a little "self-monitoring," and pay attention to your eating habits and the types of foods you eat.
Stress management tactics such as exercise or meditation usually require a long-term plan. But you can start with these tips to help you take control of emotional eating:
  • Maintain a normal eating schedule. Start with a healthy breakfast and eat a meal or a healthy snack every three to four hours. Eat enough to feel satisfied but not stuffed.
  • Don't skip meals. When you skip or delay meals, you become overly hungry and are more likely to overeat and less likely to make healthy food choices.
  • Keep healthy snacks on hand and ready to eat. If you start to randomly eat during stressful times, stock up on nutritious snacks such as cut-up raw vegetables, vegetable juice, fresh and dried fruit, whole-grain cereals, reduced-fat cheese sticks, and yogurt.
  • Plan your snacks. Schedule "mini meals" once or twice during the day so that you won't get too hungry. Rather than grabbing a handful of chips or cookies from the store, sit down to a healthier combination of foods such as a dozen grapes and a small container of yogurt sprinkled with cereal.
  • Pay attention to hunger. If it's not your normal meal or snack time but you are reaching for food, ask yourself if it's real hunger or emotional hunger. There are ways to tell: Real hunger comes on gradually, while emotional hunger is usually sudden and intense. Emotional eating involves cravings for specific types of foods as opposed to the combination of foods normally eaten at a meal.
  • Eat slowly and mindfully. Use mealtimes and snack times as rest periods. That way, you'll slow down and focus on your food rather than on the events that are causing you stress.
  • Pay attention to feelings of fullness. If you're eating while stressed, you are more likely to eat when you're not really hungry, and to keep eating even when you're full.
  • Enjoy your favorite foods in moderation. There's no point in denying yourself simple pleasures when you're under stress. Enjoy your favorite comfort foods in reasonable portions and in the context of an otherwise healthy diet.
  • Drink plenty of water. When you go to grab food, grab a cup or bottle of water instead. Use the time while you're drinking water to figure out if you're really hungry or just desire food for comfort.
  • Avoid consuming excess caffeine or energy drinks when you are already feeling over-stimulated.



Sources:
Oliver, G and Wardle, J; "Perceived Effects of Stress on Food Choice" Physiology & Behavior 1999 66(3)511-515 Web 25 Nov 2011
http://www.sciencedirect.com/science/article/pii/S0031938498003229
Purdue University Student Wellness Office: Cut it! Keep it Small; don't eat it all.
http://www.purdue.edu/swo/nutrition/KnowItAll/HealthyEatingWeightManagement/CutIt.pdf
Temple University: Emotional Eating: Hunger vs. Stress Web 25 Nov 2011
http://www.temple.edu/hr/EmotionalEatingHungervs.Stress.htm

Sunday, 29 May 2011

Disease Management Programs: Pros and Cons

On the con side, expensive, time consuming disease management programs (DMPs) don't necessarily benefit patients in the long term, according to a German study. Roland Linder, a professor at Deutsches Aerzteblatt International, and his group set out to determine if diabetes-related conditions and emergency inpatient hospital admissions occurred less frequently in patients in a DMP.

The researchers, who presented their findings in a recent issue of Deutsches Arzteblatt International, found that participating in the DMP didn't confer any clear medical benefits. In fact, researchers found, patients in DMPs tended to get even more prescriptions filled and make more use of more healthcare services than those not in the DMP. All in all, the authors said they felt the T2DM (Type 2 diabetes mellitus) DMP in Germany should be discontinued.

Medical experts in the U.S. don't necessarily feel the same way.

A comprehensive disease management program in which an individual sees many members of a team can pay off in the long run, says Jonathan Waitman, MD, of NewYork-Presbyterian/Weill Cornell Medical Center in New York City.

"Complications can happen down the road and intervention may not pay dividends for years and years," Waitman says. "While a DMP may not yield benefits in a short period of time, it may prevent morbidity down the line."

He feels that DMP programs can be beneficial. "A multi-disciplinary team to manage the disease can significantly improve compliance with the program and can confer long term benefits," Waitman says.

Helping diabetics keep on top of potential health problems by having them see specialists as varied as ophthalmologists and nephrologists is only one benefit of a disease management program, according to Waitman. It also helps keep them on track and organized about the many facets of their medical care, which can be daunting with a disease like diabetes.

Patient education, a crucial tool in managing diabetes, can be ongoing and time consuming, and not all physicians are able to take enough time with each patient to impart all the necessary information. That's where a certified diabetes educator or registered dietitian comes in as part of a DMP.

"Our educators can spend more time with a patient," explains Gerald Bernstein, MD, of the Friedman Diabetes Institute in New York City.

Other crucial members in a team that cares for a person with diabetes are an exercise physiologist and possibly a psychologist who can help a person work through his emotions as he confronts a lifelong illness.

"Overall, a disease management program can give a person the best possible opportunity for preventing the complications that can occur with diabetes," Bernstein says.

Source:
"Question hangs over disease management programs." 24 March 2011. Medical News Today.
http://www.medicalnewstoday.com/articles/220090.php


View the original article here

Saturday, 28 May 2011

Apps, GPS and other Electronic Devices for Asthma Management

Thanks to the latest technology, you have the ability to stay in touch with friends, browse the Internet, and listen to your favorite songs all on one device. But did you know that you can also use your smartphone to manage your health?

There are a number of innovative apps currently underway that can make monitoring your asthma, identifying what's triggering your symptoms, and communicating with your doctor easier than ever.

New Asthma App

A new personal record system application is currently being developed by Virginia Commonwealth University and RTI International. This tool, which is part of a larger health project sponsored by The Robert Wood Johnson Foundation, will make it possible for you to incorporate the best practices in asthma management into your daily activities right through your smartphone or other electronic portable device.

Some of the features include the ability to:

Keep track of your symptomsReport your medication usageCheck air pollution levelsRecord your allergy symptoms

Your doctor will be able to view your entries on his office computer, providing a valuable overview of how your asthma is responding between office visits.

New Portable Sensor Identifies Triggers

Another noteworthy portable electronic device, which comes from the Georgia Tech Research Institute, is a stand-alone portable sensor that's small in size, but big on action. The pocket-sized system continually measures and records the air content, including temperature, humidity, gases, and other allergens. When you experience asthma symptoms while wearing it, you simply make a note of the exact time. Then medical technicians will be able to comb through the recorded data to determine which triggers you were exposed to when your asthma kicked in. By using this portable electronic device, you can pinpoint the exact causes of your asthma in such a precise way, it will take the guesswork out of asthma management.

New Inhaler and GPS System Maps Your Symptoms

Another innovative effort relies on an inhaler and a GPS system in order to gain a better understanding of asthma triggers. This project, which is led by a scientist from the Department of Population Health Sciences at the University of Wisconsin, looks at location, rather than air makeup, in order to narrow in on what's causing symptoms. When you experience a flare-up and need to use your inhaler, the GPS will note the exact location so your doctor can see what patterns exist.

What You Can Do

Next time you visit your doctor, be sure to ask about these types of asthma management tools and find out what is appropriate for your situation. Remember that with the help of such portable electronic devices and asthma apps, it will soon be easier than ever to improve your efforts to manage asthma.

Sources:

"Medical Devices: Pocket Protector." The Journal of Life Sciences. 13 Feb. 2008. Web. 17 March 2011. 

"Using GPS to Track Asthma Attacks." University of Wisconsin School of Medicine and Public Health. University of Wisconsin, 2 April 2009. Web, 16 March 2011.

"Pervasive Asthma Monitoring System PAMS: A Health Systems Approach to Remote Monitoring of Asthma." Georgia Institute of Technology. Gatech.edu, n.d. 15 March 2011. 

"RTI International to Build Personal Health Record Application for Patients With Asthma." Research Triangle Park International. RTI International, 3 March 2010. Web. 13 March 2011.
"BreathEasy: A PHR for Adults with Asthma & Depression or Anxiety."

Project HealthDesign. Robert Wood Johnson Foundation, 2010. Web. 13 March 2011.


View the original article here

Sunday, 15 May 2011

Apps, GPS and other Electronic Devices for Asthma Management

Thanks to the latest technology, you have the ability to stay in touch with friends, browse the Internet, and listen to your favorite songs all on one device. But did you know that you can also use your smartphone to manage your health?

There are a number of innovative apps currently underway that can make monitoring your asthma, identifying what's triggering your symptoms, and communicating with your doctor easier than ever.

New Asthma App

A new personal record system application is currently being developed by Virginia Commonwealth University and RTI International. This tool, which is part of a larger health project sponsored by The Robert Wood Johnson Foundation, will make it possible for you to incorporate the best practices in asthma management into your daily activities right through your smartphone or other electronic portable device.

Some of the features include the ability to:

Keep track of your symptomsReport your medication usageCheck air pollution levelsRecord your allergy symptoms

Your doctor will be able to view your entries on his office computer, providing a valuable overview of how your asthma is responding between office visits.

New Portable Sensor Identifies Triggers

Another noteworthy portable electronic device, which comes from the Georgia Tech Research Institute, is a stand-alone portable sensor that's small in size, but big on action. The pocket-sized system continually measures and records the air content, including temperature, humidity, gases, and other allergens. When you experience asthma symptoms while wearing it, you simply make a note of the exact time. Then medical technicians will be able to comb through the recorded data to determine which triggers you were exposed to when your asthma kicked in. By using this portable electronic device, you can pinpoint the exact causes of your asthma in such a precise way, it will take the guesswork out of asthma management.

New Inhaler and GPS System Maps Your Symptoms

Another innovative effort relies on an inhaler and a GPS system in order to gain a better understanding of asthma triggers. This project, which is led by a scientist from the Department of Population Health Sciences at the University of Wisconsin, looks at location, rather than air makeup, in order to narrow in on what's causing symptoms. When you experience a flare-up and need to use your inhaler, the GPS will note the exact location so your doctor can see what patterns exist.

What You Can Do

Next time you visit your doctor, be sure to ask about these types of asthma management tools and find out what is appropriate for your situation. Remember that with the help of such portable electronic devices and asthma apps, it will soon be easier than ever to improve your efforts to manage asthma.

Sources:

"Medical Devices: Pocket Protector." The Journal of Life Sciences. 13 Feb. 2008. Web. 17 March 2011. 

"Using GPS to Track Asthma Attacks." University of Wisconsin School of Medicine and Public Health. University of Wisconsin, 2 April 2009. Web, 16 March 2011.

"Pervasive Asthma Monitoring System PAMS: A Health Systems Approach to Remote Monitoring of Asthma." Georgia Institute of Technology. Gatech.edu, n.d. 15 March 2011. 

"RTI International to Build Personal Health Record Application for Patients With Asthma." Research Triangle Park International. RTI International, 3 March 2010. Web. 13 March 2011.
"BreathEasy: A PHR for Adults with Asthma & Depression or Anxiety."

Project HealthDesign. Robert Wood Johnson Foundation, 2010. Web. 13 March 2011.


View the original article here