1. NATIVE ELDER CAREGIVER CURRICULUM NECC: 3.1 HEALTH PROMOTION Caring for Our Elders: Health Promotion for Native Elders & Family Caregivers 3.1 1

2. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 2 Lets revisit Health Disparities Two ways to think about Health Disparities 1.More American Indian Elders get sick from certain illnesses (this is true) OR 2.Risks for certain illnesses can be decreased (this is also true)

3. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 3 Both statements are true… but…is the glass half-empty? or half- full? Which one does a community choose to live by: To improve health outcomes? To prevent illnesses? To change health behaviors?

4. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 4 Serenity Prayer … change the things I can Being Older does not mean Being Sick ! Being Older does mean: Enjoying friends & family Guiding grandchildren Enriching the community Growing in wisdom

5. Health Promotion: Really pays off! Caring for Our Elders: 3.1 Health Promotion for Native Elders 5 Maintaining Health pays off! … Better than Bingo! Some very basic healthy day to day behaviors can: PREVENT disability Maximize IADL & ADL functioning Minimize need for nursing home care Maximize chances of staying in own home

6. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 6 RECIPE FOR HEALTH for Elders & Family Caregivers: Healthy Nutrition Regular Exercise Adequate Rest Family & Friends

7. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 7 … and time for the spirit…

8. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 8 Making time for the spirit…

9. HEALTHY PEOPLE 2010* * CDC goals Caring for Our Elders: 3.1 Health Promotion for Native Elders 9 … individuals, communities, and professionals – indeed all of us –need to take specific steps to ensure that good health, as well as long life are enjoyed by all.

10. Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 10 Five good self-care medicines: Healthy Nutrition Regular exercise Adequate Rest Family & Friends Spirituality

11. Health Promotion: Four types of Exercise* Caring for Our Elders: 3.1 Health Promotion for Native Elders 11 Aerobics Strengthening Flexibility Balance * NAMES Toolkit, (McDonald, 2005) * Well Elders Living Longer, (NRCNAA 2006)

12. Health Promotion: Exercise Caring for Our Elders: 3.1 Health Promotion for Native Elders 12 AEROBIC Walking Swimming Biking Pow-wow dancing Running after grandchildren!

13. Caring for Our Elders: 3.1 Health Promotion for Native Elders 13

14. Health Promotion: Exercise Caring for Our Elders: 3.1 Health Promotion for Native Elders 14 Strengthening Lifting small weights on a regular basis Can use different sized cans of soup or vegetables as the weights… from the cupboard! Flexibility Stretching to neck, shoulders, back, stomach, hip Balance Thinking about & maintaining posture

15. A Model of Health Promotion Caring for Our Elders: 3.1 Health Promotion for Native Elders 15 Mr. Vernon Lambert, a Dakota elder, is over 70 years of age and runs several miles a day. Vern also teaches and mentors students in Dakota studies at Cankdeska Cikana College

16. Exercise Recommendations Caring for Our Elders: 3.1 Health Promotion for Native Elders 16 Wear well-fitting shoes & Comfortable clothing Check-in with health care provider first Bring along a source of sugar if you have diabetes Build up slowly… and Bring along a friend!