Health, Diet, Exercise, Mind, Body - They all work together Synergistically

1. SYNERGISTIC APPROACH TO
HEALTH AND WELLNESS
Dolores Van Bourgondien, ARNP-BC,
RN,MSN, BA, MA

2. Bio
• Dolores Van Bourgondien is a board certified advanced registered nurse
practitioner who’s goal in life is to make a difference in the health and wellness
of all those she meets. She has worked as an emergency department and
trauma nurse at Broward
• While working in the emergence department she became more and more
concerned and frustrated with the constant visits of those patients with
complaints that could have been either avoided or treated more early in the
process with education in diet, exercise and overall health and wellness. It was
then that she decided to return to school to obtain an advanced practice degree
concentrating on adult health, women’s health and holistic preventative health
and wellness.
• Dolores’ focus is on Health, Wellness, Prevention and Maintenance. Her
Master’s Thesis concentrated on the development of a nursing model using
Advanced Registered Nurse Practitioners in the workplace and outpatient setting
to ensure compliance with routine preventive screening which would eventually
decrease future medical problems for employees. This model utilized other
specialties such as dieticians, personal trainers and fitness professionals,
chiropractors, and mind-body specialists who provide yoga and meditation for
stress relief and general improvements in health and wellbeing. Her thesis
demonstrates that a synergistic approach to health and wellbeing will be the
future model for healthcare and prevention.

3. What is Synergy
• Synergy is defined as working together,
combining efforts with others to enhance an
effect. So by working synergistically, we can
all benefit.
• The same is true with health and wellness. It
is obvious that up to this point we are not
doing a good job living in balance – Stress has
increased as have health problems obesity
rates and death.

4. What is a Synergistic
Approach to Health
and Wellness

5. What is a Synergistic Approach to
Health and Wellness
• Combining all disciplines to work together
– Health
– Fitness
– Nutritional Services
– Mind Body Disciplines

6. Synergy
Up to this point the approach to an
individuals Health and Wellness
has been fractured or splintered
• Little collaboration between
medical and other disciplines
• Little collaboration between
Fitness entities and other
disciplines
• Little collaboration between
mind/body practices and other
disciplines
• Little integration of all
disciplines

7. Where have prior approaches gotten
us ?
• More than one-third of U.S. adults (35.7%) and
approximately 17% (or 12.5 million) of children and
adolescents aged 2—19 years are obese. CDC 2013
• Percent of non-institutionalized adults ages 20 and over
with hypertension: 31.9% (2009-2010) CDC 2012
• Number of visits to physician offices with essential
hypertension as primary diagnosis: 38.9 million CDC 2012
• It has been estimated by the World Cancer Research Fund
that one-quarter to one-third of the cancers that occur in
high- income countries like the US are due to poor
nutrition, physical inactivity, and excess weight, and thus
could be prevented.

8. Where have prior approaches gotten
us ?
Obesity Epidemic What Epidemic

9. Where have prior approaches gotten
us ?
• Overweight and Obesity controbuted to
between 14% - 20 % of all cancer related
mortality.

10. 75% Health Care Costs spent on
Treatable Diseases

11. 75% Health Care Costs spent on
Treatable Diseases
• Over 9 in 10 ED visits were related to acute
conditions. Half of these visits also involved chronic
conditions. Injuries and abdominal pain were among
the most frequent acute conditions seen
• in the ED, while cardiac conditions and diabetes were
among the most frequent chronic conditions seen in
the ED.
• Four out of five ED visits for adults were "treat-and-
release" in which the patient was released from the
ED rather than being admitted to that hospital for
further care

12. So what can we do -
• All evidence points towards a synergitic integrated
approach to health and wellness
• Annals of Internal Med (2013) Combining behaviours
such as exercise, diet, smoking cessation, and
reducing stress helped particpants reduce blood sugar
levels
• Cancer Epidemiology Biomarkers and Prevention
reported that brisk walking, diet and stress reduction
reduced Breast Cancer 14% Post Menopausal
• Lancet Oncology (2013) Plant based diet, Stress
Management and lifestyle changes reduced prostate
Cance

13. Synergy &
Integration
Dr. David Katz. Katz is the
director of the Yale-Griffin
Prevention Research
Center and author of the
new book Disease Proof:
The Remarkable Truth About
What Makes Us Well. “If you
think about the issues that
prevail today, they are
related to eating too much
of all the wrong foods,
getting far too little
physical activity, toxins
we’ve invented like tobacco,
inadequate sleep and
strained social bonds,” he
says.

14. Health
NutritionFitness
Mind-
Body

16. Synergy Health & Wellness
Preventative Medicine
• The most important part of
preventive health care is
maintaining good health habits.
This includes:
• Daily exercise
• Weight Control
• Proper nutrition
• Avoidance of smoking and drug
abuse
• Abstinence from, or moderation
of alcohol
• Proper control of any diseases or
disorders, such as high blood
pressure, diabetes, cholesterol

17. Synergy Health & Wellness
Preventative Medicine
• 1. Periodic screening of adults for
specific problems is important and
recommended:
• Pap smear
Breast self-examination
Mammography
• Testicular self-examination
• PSA test
• Cholesterol screening
• Colon cancer screening
• CT scan to screen smokers for lung
cancer
• Abdominal aortic ultrasound
• Blood pressure

18. Synergy Health & Wellness
Preventative Medicine
• Height
• Weight
• BMI
• Fat %
• Waist Circumference
• Blood Glucose Level
• HGBA1C
• Cholesterol
• Total
• LDL
• HDL
• Triglycerides

19. Synergy Fitness

20. Synergy Fitness

21. Synergy Fitness

22. Synergy Fitness

23. Synergy Nutrition

24. Synergy Nutrition

25. Synergy Nutrition

26. Synergy Nutrition

27. Diet
• You are what you eat
!
• Choose Fresh Foods
• Eat 5 Small Meals
throughout the day
• Hydrate
• Brown Bag Lunch

28. Foods that fight Stress
• Asparagus – Folic Acid
• Beef – B Vitamins, Iron, Zine
• Milk – Vitamin D, Calcium
• Cottage Cheese – Protein stabilizes blood
sugar
• Almonds – Vitamin B2, E, Magnesium Zinc
• Blueberries - Antioxidant
• Tuna – B6, B12

29. Mind-Body

30. Mind-Body

31. Mind-Body

32. Synergy & Integration for Health and
Wellness
• Diet Alone does not work
• Exercise Alone does not work
• Mind-Body Alone does not work
• Medicine Alone does not work
• We must combine all elements into a
Synergistic Plan to create optimal health and
wellness

33. QUESTIONS?