1. Healthy Hearts for a Healthier Nation Katherine Olsen, Jinjoo Park, Katherine Parr, Atari Paul, Sarah Pearman, and Whitney Phillips NURS 492 Community Health Nursing Old Dominion University Summer 2014

2. Heart Disease in the United States 1 out of 4 deaths related to heart disease Men and women effected equally Coronary Heart Disease kills half effected annually US spends $108.9 billion/year for care of CHD Leading cause of death among: o African Americans, Caucasians, and Hispanics Second leading cause of death among: o American Indians, Alaska Natives, and Asian/Pacific Islanders (Center, 2014)

3. Image retrieved from www.cdc.gov Heart Disease Death Rate

4. Heart Disease in Pulaski County 31.9% are obese 40.2% have no physical activity 32.5% smoke 34.9% have high blood pressure 80.4% report eating few fruits/vegetable (Community, 2009)

5. Healthy People 2020 Objective HDS-2 Reduce Coronary Heart Disease Deaths (Healthy, 2014) Image retrieved from www.healthypeople.gov

6. 10 Year National and Local Trends Coronary heart disease deaths, 1999–2009 Image retrieved from www.healthypeople.gov

7. 10 Year National and Local Trends

8. Hypertension, adults, 1988–94, 2001–04, and 2005–08 Image retrieved from www.healtypeople.gov

9. 10 Year National and Local Trends

10. Area Programs Targeting Heart Disease and Stroke

11. Annual Pulaski Community Health Fair Hosted annually by LewisGale Hospital in May Free and open to the public Activities: Free BP screening, educational booths YMCA program demonstrations, Zumbathon to benefit Relay for Life Health Education Topics: early heart attack care, mammography, caregiver fatigue, stroke, and diabetes (LewisGale Regional Health System, 2014) Retrieved from http://www.icandfw.com/health-fair-registration.html

12. Step Out for Better Health and Nutrition Program Education Topics: goal setting, benefits of exercise, portion size, label reading, menu planning, recipe modification, healthy choices when eating out, low- impact exercise, and reducing stress 2012 Program results: o 75% increased their activity and were paid more attention to what they ate (Williams, 2012) Sponsored and hosted by Hensel Eckman YMCA and Virginia Cooperative Extension 4 weekly nutrition and fitness program held January 2014 Free, Space limited to 25 participants Activities: Health education and daily walking program with pedometers

13. Goal was to educate the public about heart disease through dinner/lunch with a doc and TV campaign Pulaski event held at LewisGale Hospital Pulaski Education Building on February 19, 2014. Speaker Ajaykumar Archaya, MD discussed heart FAQ Heart health topics aired every Tuesday in February on WSLS’ Daytime Blue Ridge (Pynn, 2014) LewisGale Regional Health System Heart Month Events and TV Campaign

14. Successful Healthy Eating Programs in Other Communities

15. Healthy Eating for Successful Living in Older Adults Program-Escanaba, MI This program provides 6 weekly sessions that teach healthy eating Participants are taught things ranging from what types of food are best to eat, how to grocery shop for the best items, and meal preparation Physical activity is promoted They try to bring together education, group support, goal setting, and problem solving It is led by a lay person with support from a registered dietician (UPCAP, 2014)

16. Senior Life Department-Hebrew Rehabilitation Center This program is affiliated with Harvard Medical School in Boston, MA. They also have a Healthy Eating for Successful Living in Older Adults program that is based on the USDA MyPyramid. This program has 6 weekly, 2 ½ hour sessions. They end the program with a restaurant outing one month after the sessions end. (Hebrew, 2014)

17. Move 2 Health-Virginia Campaign in the Thomas Jefferson Health District to encourage residents to be more active and eat better in hopes of combating obesity Their focus on activity is to do at least 30 minutes of activity a day Their site also breaks down healthy eating based on stages in life from birth to older adults (Move2Health, 2014) http://www.nbc29.com/story/23345554/move-2-health-campaign-kicks-off-friday

18. Virginia Department of Health Healthy Eating and Active Living Program. o Their hope is to use this program to help prevent/reduce obesity and chronic disease Their goals are: 1.Promote healthy eating and active living 2.Fostering evidence-based strategies, systems, and environment changes which support health 3.Compile and disseminate evidence-based and/or evidence-informed interventions which support health 4.Developing partnerships and community led initiatives throughout Virginia ( Virginia, 2014)

19. Recommendations What needs to be doneHow to do it Reduce obesity Reduce high blood pressure Increase exercise Increase healthy eating habits Decrease smoking Start small Involve local businesses Provide incentives Employee benefits

20. Conclusion Heart Disease is the leading cause of death in the U.S. Ultimate Goal: Reduce heart disease related deaths by 2020

21. It’s your life! Make the “heart felt” change for a healthier and happier lifestyle!

22. References Centers for Disease Control and Prevention. (2014, July 7). Heart Disease Facts. Retrieved from http://www.cdc.gov Community Health Status Report. (2009). Pulaski County, Virginia. Retrieved from http://wwwn.cdc.gov/CommunityHealth/ReportPdf.aspx Healthy People 2020. (2014). Retrieved from www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid= 29 Hebrew SeniorLife. (2014). Retrieved from http://hebrewseniorlife.org/healthcare-hrc-evidence-based-programs- massachusetts LewisGale Regional Health System (2014). LewisGale Hospital Pulaski Presents the 4th Annual Community Health Fair May 9. Retrieved from http://lewisgale.com/about/newsroom/lewisgale-hospital-pulaski-presents- the-4th-annual

23. References Matney, M. (2014, February 28). Heart Disease Number One Killer in Pulaski County. Retrieved from http://www.waynesvilledailyguide.com Move 2 Health. (2014). Community Action on Obesity. Retrieved from http://move2healthcentralva.org Pynn, C. (2014, February 3). LewisGale health system hosts educational events and TV campaign. The Southwest Times. Retrieved from http://www.southwesttimes.com/2014/02/lewisgale-health-system-hosts- educational-events-and-tv-campaign UPCAP. (2014). Healthy Eating. Retrieved from http://www.upcap.org/programs_services/wellness/healthy_eating.html Williams, M. (2012, February 8). Participants find health and nutrition program beneficial. The Southwest Times. Retrieved from http://www.southwesttimes.com/2012/02/participants-find-health-and- nutrition-program-beneficial/ Virginia Department of Health. (2014). Healthy Eating and Active Living Program. Retrieved from http://www.vdh.virginia.gov/ofhs/prevention/heal/about.htm