1. Plan For Change By Group 5

2. 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.

3. Intervention  Improve access to health maintenance activities  Make sure patients are aware of offered activities and availability

4. 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

5. 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

6. Food Pyramid The client will list the six food groups of the food pyramid and describe the correlation between food and exercise.

7. The client will have fun while learning about nutrition by participating in learning activities.

8. Given a food label, the viewer will list the carbohydrate/protein/fat/calories of a serving size of a specific food. Nutrition information helpful for Your own nutritional requirements Serving sizes Special diets low sodium low fat low potassium high fiber

9. The viewer will describe how portion sizes have changed over the last 20 years and the increased caloric intake resulting from that change.

10. How portion size has changed

11. Recommended Daily Allowances (RDA’s) for a 2000 calorie diet Grains – 6 ounces Fruits - 2 cups vegetables – 2 ½ cups Dairy products- 3 cups Meats/beans – 5 ½ ounces

12. Serving Sizes

13. 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

14. Diet habits influenced by : Family Food preparation Eating behaviors

15. 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

16. “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

17. Decreased risk of chronic diseases Type 2 diabetes Hypertension Certain cancers Colon Breast Uterine Kidney Esophagus Decreases risk of overweight and obesity Decreased risk of being micronutrient d Benefits of a Healthful Eating Plan

18. 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.

19. 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.

20. Risk of obesity for: Caucasian adults – 25% Blacks and Latinos 30-50% Native Americans – 60% Health Risks

21. Focus on education because morbidity and mortality are directly related to lifestyle and eating habits Health Promotion

22. Diets high in fruits and vegetables significantly reduce the risks of: Stroke Heart disease Several types of cancer Importance of Fruits and Vegetables

23. 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

24. Munson Community Health Department, 2008 Community Health Assessment Project Final Report, retrieved from http://www.munsonhealthcare.org/munson/health_info/ community_health_assessment.pdf 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 http://www.munsonhealthcare.org/images/15492-SOS- Reference