NMT250 -hydro/lifestyle
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A patient undergoing a warming compress initially experiences a cooling effect. What physiological process primarily contributes to this initial sensation?

  • Increased metabolic activity within the underlying tissues.
  • Constriction of deep blood vessels.
  • Evaporation of moisture from the skin's surface, drawing heat away from the body. (correct)
  • Vasodilation of superficial blood vessels leading to increased heat radiation.

In which scenario would administering a warming compress be potentially contraindicated due to the risk of exacerbating the patient's condition?

  • A patient experiencing weakness and general malaise related to convalescence.
  • A patient who has a fever.
  • A patient with lymphedema following lymph node removal. (correct)
  • A patient with mild anxiety and insomnia.

A practitioner is considering using a warming compress as part of a treatment plan. What is the most crucial factor to consider to ensure patient safety and efficacy of the compress?

  • The brand of linens used for both the cold wrap and the covering blankets.
  • The patient's hydration status before and after the compress.
  • The ambient temperature of the treatment room.
  • The patient's individual tolerance and contraindications to whole-body heating. (correct)

A patient with a history of cardiovascular problems is considered for a warming hydrotherapy treatment. Which modification to the standard warming compress protocol would be the MOST appropriate to ensure patient safety?

<p>Shortening the duration of the warming stage and closely monitoring vital signs. (B)</p> Signup and view all the answers

What is the primary rationale for using cold linens when administering a warming compress?

<p>To create a temperature gradient that stimulates the body's natural healing mechanisms. (D)</p> Signup and view all the answers

Which statement accurately describes the use of vents in a sauna?

<p>Vents help to circulate the hot air and maintain a humidity level typically between 6-10%. (D)</p> Signup and view all the answers

Why is finishing with a cold shower advised after sauna use?

<p>To stimulate circulation and help the body return to its normal temperature, enhancing the cardiovascular benefits. (D)</p> Signup and view all the answers

How does the mechanism of heat transfer differ between a traditional sauna and an infrared sauna?

<p>Traditional saunas heat the air, which then heats the body, while infrared saunas directly heat human tissue. (A)</p> Signup and view all the answers

A patient reports intense itching after their first sauna session. What is the MOST appropriate course of action?

<p>Advise the patient to discontinue sauna use and consult with a healthcare provider to determine the cause of the itching. (D)</p> Signup and view all the answers

What is the primary rationale for applying plastic over the flannel cloth saturated with castor oil during a castor oil pack treatment?

<p>To create a barrier that helps retain heat and prevent the castor oil from evaporating or being absorbed by external materials. (C)</p> Signup and view all the answers

What is the primary objective of adopting lifestyle interventions, as discussed?

<p>To find ways to manage stress. (D)</p> Signup and view all the answers

When undertaking homework activities, what metric is rated on a scale of 1-10?

<p>Mood, stress, and energy level (D)</p> Signup and view all the answers

According to the reference article, what is a potential benefit of 'Shinrin-Yoku'?

<p>Potential for Physiological and Psychological Interventions. (B)</p> Signup and view all the answers

Which activity involves observing and noting your surroundings with heightened awareness, using all your senses to fully appreciate the environment?

<p>Awe walk (A)</p> Signup and view all the answers

What primary element should be included in your reflection notes after completing an activity?

<p>Noting what you noticed during or after the activity. (B)</p> Signup and view all the answers

In what way does Acceptance-Based Behavioral Therapy (ABBT) uniquely aid individuals dealing with anxiety?

<p>By fostering an understanding that thoughts and feelings are transient, normal, and expected. (B)</p> Signup and view all the answers

How does Mindfulness-Based Stress Reduction (MBSR) integrate physical and mental practices to alleviate daily stress?

<p>Through a structured 8-week program incorporating meditation and Hatha yoga. (D)</p> Signup and view all the answers

Mindfulness-influenced interventions (MIIs) incorporate mindfulness, but differ from Mindfulness-Based Interventions (MBIs) primarily in what way?

<p>Mindfulness is just one component of MIIs, unlike MBIs where it is the key component. (C)</p> Signup and view all the answers

What distinguishes the emotional response benefits of nature exposure compared to the benefits of mindfulness meditation?

<p>Nature exposure distinctly promotes a state of awe and transcendence, whereas mindfulness meditation predominantly fosters inner peace and reduces anxiety. (A)</p> Signup and view all the answers

How might incorporating elements of nature into an urban environment affect neurobiological responses to stress, according to research?

<p>Exposure to natural elements in urban settings may promote psychological relaxation by inducing a top-down effect that enhances cognitive reappraisal of stressful situations. (B)</p> Signup and view all the answers

When creating an exercise prescription specifically designed to support mental health, which consideration is MOST important?

<p>Considering the individual's preferences, current mental state, and any physical limitations. (C)</p> Signup and view all the answers

A patient reports feeling overwhelmed and unmotivated to start an exercise program. Which strategy is MOST likely to help them overcome this initial barrier?

<p>Setting small, achievable goals and emphasizing that 'something is better than nothing'. (B)</p> Signup and view all the answers

Which of the following exercise types would be MOST appropriate to recommend to a patient dealing with anxiety, especially in the morning?

<p>High-intensity interval training (HIIT) to reduce sympathetic tone. (B)</p> Signup and view all the answers

What is a key consideration when designing an exercise program for a patient with mild depression, focusing on resistance training?

<p>Incorporating high-intensity resistance training (80% 1RM), which has shown greater effectiveness. (C)</p> Signup and view all the answers

Why is it important to regularly monitor exercise routines and adjust parameters as appropriate for individual's progression and treatment goals?

<p>To ensure the exercise prescription remains safe, effective, and aligned with changes in the individual's condition. (A)</p> Signup and view all the answers

When using a sleep diary, which aspect provides insights into the efficiency of an individual's sleep?

<p>Time in bed versus time asleep. (A)</p> Signup and view all the answers

How might reduced sleep impact an individual's overall health, according to the information provided?

<p>Increased risk of type 2 diabetes. (A)</p> Signup and view all the answers

Which of the following actions represents a step towards modifying a modifiable risk factor associated with poor sleep?

<p>Establishing a regular sleep schedule, even on weekends. (D)</p> Signup and view all the answers

What is a key consideration when evaluating an individual's sleep pattern using a sleep diary?

<p>Tracking sleep patterns to reveal common themes. (D)</p> Signup and view all the answers

A lifestyle medicine approach to sleep focuses on modifiable factors. Considering this, what is the MOST relevant initial question to explore?

<p>How does your current sleep environment and daily routine influence your sleep? (D)</p> Signup and view all the answers

A young adult reports feeling increasingly isolated despite being active on social media. What approach would MOST directly address the potential discrepancy between perceived and actual social connection?

<p>Recommending a digital detox to reduce screen time and encourage face-to-face interactions. (D)</p> Signup and view all the answers

An elderly patient expresses reluctance to engage in social activities after the loss of their spouse, stating they 'don't want to burden others' with their grief. ' Which intervention would be MOST appropriate as an initial step?

<p>Encouraging participation in grief support groups or counseling to process emotions and build connections with others facing similar challenges. (B)</p> Signup and view all the answers

A patient reports feeling lonely despite having frequent interactions with coworkers. What question would be MOST useful in identifying the underlying issue?

<p>How would you rate the emotional depth and quality of your interactions with coworkers? (C)</p> Signup and view all the answers

A patient who recently moved to a new city is struggling with loneliness due to a lack of established social connections. What strategy would be MOST effective in helping this patient build a supportive network?

<p>Volunteering for local organizations aligned with their interests or values to meet like-minded individuals. (D)</p> Signup and view all the answers

A patient expresses skepticism about the idea that social connection can improve their health, stating 'I'm a private person, and I prefer to keep to myself.' What response is MOST likely to encourage them to consider the benefits of increased social interaction?

<p>Suggesting small, manageable steps to increase social engagement, such as joining a book club or attending a community event. (B)</p> Signup and view all the answers

Flashcards

What is a warming compress?

Wrapping a person in cold linens, covering them with blankets, and leaving them for a certain time.

Warming Compress

A gentle alternating hot and cold treatment that can be administered in-office or at home.

Constitutional Hydrotherapy

A hydrotherapy treatment involves alternating hot, cold, and dry blankets on the back and front of the patient.

Contraindications for Wraps

Claustrophobia, cold clients, recent ingestion of alcohol or drugs, and skin problems exacerbated by moisture.

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Contraindications to Warming Stage

Pregnancy, cardiovascular problems, diabetes, hepatitis, lymphedema, MS, and seizure disorders.

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What is a Sauna?

A hot application with air, promoting peripheral vasodilation, increased sweating, and relaxation.

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What is a Sweat Lodge?

Native American ceremony involving prayer, contemplation, and purification in a heated structure.

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What is Castor Oil?

Clear, thick oil extracted from castor beans, rich in ricinoleic acid.

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How do you create a Castor Oil Pack?

Apply a castor oil-saturated cloth to the treatment area, cover with plastic, and apply heat for 10-60 minutes for local healing.

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What are the contraindications of Castor oil?

Systemic diseases, broken skin, tumors, pregnancy, ulcers, and any condition where heat is contraindicated.

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What is Stress?

A state of mental or emotional strain or tension resulting from adverse or demanding circumstances.

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Stress management

The ability to manage stress effectively which is important for overall health.

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Lifestyle Modifications

Modifications in daily habits that can help manage stress.

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Mindfulness Based Applications

A mental health practice that involves focusing on the present moment.

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Nature Exposure

Spending time in natural environments to reduce stress and improve well-being.

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What is Mindfulness?

A state of awareness of one's internal states and external surroundings.

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What are Mindfulness-Based Interventions (MBIs)?

Interventions that incorporate a form of mindfulness training directly into the program.

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What is Mindfulness-Based Stress Reduction (MBSR)?

MBSR is a formal 8-week program that combines meditation and Hatha yoga. It reduces stress.

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What is Mindfulness-Based Cognitive Therapy (MBCT)?

MBCT uses MBSR as a treatment for chronic depression and helps with coping with thoughts and feelings.

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What is Forest Bathing?

Walking slowly and mindfully through the forest using all five senses.

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Exercise Prescription

A plan that includes the components of exercise to support mental health.

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Physical activity

A natural means of preventing or improving stress that elicits endocrine responses.

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Exercise and Anxiety

May benefit from more rigorous activity in the morning to lower sympathetic tone and regularize metabolism.

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Exercise and Depression

Effective as pharmaceuticals with added health benefits beyond pharmacotherapy in treating depression.

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Practice tips in exercise

Involves assessing fitness, providing motivation, regular updates, referrals, and ensuring details about history and drug use.

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Overall Health Relevance

Overall physical and mental state of a person, influenced by factors like sleep, diet, and exercise.

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Reduced sleep risks

Those with poor sleep have a higher risk of cardiovascular disease and diabetes, and higher mortality

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Sleep Diary Use

Collecting and assessing sleep-related information, such as time in bed vs time asleep.

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Sleep and Psychiatric Disorders

Disruptions in sleep patterns frequently observed in mental health conditions.

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Sleep hygiene

Habits and practices that promote consistent, restful sleep that promote better health.

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What is social isolation?

A state of being distant from others, lacking a sense of belonging, or having few social connections.

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What is loneliness?

A subjective feeling of distress resulting from a perceived gap between one's desired and actual social connections.

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Why is social connection important?

Loneliness and social isolation can negatively impact people's health and wellbeing.

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Study Notes

Okay, here are the study notes updated with the new information you provided on Lifestyle Medicine and Social Connection:

Intro

  • Last weeks discussion involved stress and how to manage stress from a lifestyle perspective.
  • Today is part 1 of the topic of sleep.
  • Many people have issues with sleep, but its important for health.
  • Strategies for modifying sleep through lifestyle interventions will be addressed over two sessions
  • Consider the last time you felt lonely.
  • Recall the situation and circumstances surrounding that experience.

Learning Outcomes

  • Students will be able to describe the relevance of sleep for overall health after this lesson.
  • Factors impacting sleep that can be modified will be identified.
  • Lifestyle modification that will improve sleep will be compared and contrasted.
  • Students will be able to describe 3 ways to increase social connection.

Questions

  • How is your sleep?
  • If sleep is not satisfactory, identify why and how you would like it to be different.
  • What challenges and barriers do you face in improving your sleep?

Readings

  • Lifestyle Medicine : Lifestyle, the Environment and Preventive Medicine in Health and Disease, Vol Third Edition includes sections on: Reasons for Sleep, How much sleep do we need?, Concept of Sleep Debt, Risk factors associated with Poor sleep, and Sleep and lifestyle interactions

Podcast Time

  • “The Science of a Good Night’s Sleep (The Science of Happiness Podcast')” is available.

Reflection

  • Identify one benefit of sleep.
  • Identify modifiable risk factors that are associated with poor sleep.
  • List 1-2 ways on how these factors can be modified based on what you know.
  • Use a lifestyle approach and any modality

Activity/Homework

  • Complete a National Sleep Foundation Sleep Diary for 3-7 days, or another one you find comparable.

Using A Sleep Diary

  • Useful aspects of a sleep diary that are helpful as a clinician include:
  • Time in bed vs time asleep – sleep efficiency.
  • Naps - duration and time of day, and sleep drive.
  • Caffeine and/or alcohol intake – substances that disrupt sleep.
  • Common sleep disturbances noticed in others during the sleep diary.

Reflection

  • Briefly summarize two sleep hygiene therapies and describe these to a patience.
  • Identify what was one benefit of sleep that was surprising to you.

Summary

  • Sleep is important for health maintenance.
  • Reduced sleep is linked to increased risk for cardio vascular disease and type 2 diabetes, and also all-cause mortality.
  • Sleep is often disrupted in psychiatric disorders.
  • Additional lifestyle modifications to improve sleep will be discussed in two weeks.
  • Loneliness is rising and social connection seems to be waning, which negatively impacts wellbeing.
  • Practitioners can facilitate ways for patients to increase their social connections.

Resources

  • Review the following references:
  • Michael Sagner, Garry Egger, Andrew Binns, Stephan Rossner's Lifestyle Medicine : Lifestyle, the Environment and Preventive Medicine in Health and Disease.
  • Holt-Lunstad J's "Loneliness and Social Isolation as Risk Factors: The Power of Social Connection in Prevention."

Quiz Time - T/F

  • Loneliness and isolation are not the same thing.
  • The elderly are not the loneliest group.
  • Casual encounters with others can enhance our feeling of belonging.
  • Loneliness affects one's physical health.

Watch The Video

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Cultivating Social Connection

Brainstorm

  • Consider ways to discuss increasing social connection with patients.
  • Choose a PCS case to use as a sample case/make it more concrete.

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Description

This lesson explores warming compresses in hydrotherapy, detailing its mechanism and contrasting it with constitutional hydrotherapy. It covers the effects of different temperature treatments and variables like material permeability. It also looks at how to administer it.

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