Colon Cancer Presentation - My Impact Story
•Download as PPTX, PDF•
4 likes•1,308 views
The document discusses colon cancer prevention and is authored by Nikol Hamilton, MSN, RN. It describes Hamilton's personal experience with colon cancer and how it impacted her family. The objectives are to describe the impact of colorectal cancer on lifestyle behaviors, identify nutritional tools for education on prevention, and commit to increased risk assessments. The document provides information on colon cancer risks, signs, symptoms, and treatment as well as strategies for prevention advocacy, screening, and education.
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Colon Cancer Presentation - My Impact Story
Similar to Colon Cancer Presentation - My Impact Story (20)
Recently uploaded
Recently uploaded (20)
Colon Cancer Presentation - My Impact Story
- 1. Colon Cancer Prevention: “Head Knowledge, Heart Check” a clinical nurse story of tragedy to triumph! by Nikol Hamilton, MSN, RN
- 2. Objectives At the conclusion of this activity, the participant will be able to: 1. Describe the impact of colorectal cancer on family lifestyle behaviors 2. Identify (2) nutritional intervention tools for clinical education of colorectal cancer prevention 3. Commit to increased advocacy for lifestyle risk assessments in his/her primary healthcare practice
- 3. My Family Impact Story
- 4. LIFE BEFORE…
- 5. The Big D…
- 6. CRC Basics Definition Risk factors Signs & symptoms Incidence /Mortality Treatment www.ccalliance.org http://www.cancer.net/cancer-types/colorectal-cancer
- 8. Risk Factors
- 10. Signs & Symptoms A change in bowel habits Diarrhea, constipation, or feeling that the bowel does not empty completely Bright red or very dark blood in the stool Stools that look narrower or thinner than normal/pencil like Discomfort in the abdomen, including frequent gas pains, bloating, fullness, burping, and cramps Weight loss with no known explanation Constant tiredness or fatigue Unexplained iron-deficiency anemia (low number of red blood cells)
- 11. Assumed Diagnosis Hemorrhoids Stress Pregnancy pains IBS Parasite Colitis or Crohn’s Disease Depression and psychiatric help Appendicitis Spastic colon Spiritual problems Ulcer Gall bladder problems Hernia Low fiber or poor diet Working out too hard or too much “Female” problems Anal fissure “Just a tear” Food allergies Gas Lactose intolerance
- 12. Clinical Duty
- 13. Do you offer screenings?
- 16. 2 weeks after Diagnosis…
- 17. Staging & Survival with CRC http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2796096/ http://www.healthy.arkansas.gov/programsServices/healthStatistics/CancerRegistry/Documents/publications/Reports/ARCancerFacts1997-2008.pdf
- 18. Treatment Surgical resection of the tumor most common Ablation less invasive with shorter hospital stay Best approach is patient centered New research in immunotherapy and nutritional healing needed
- 19. Trauma to Drama to Death – WAKE UP CALL! Last ride In Memory – Shannon Hamilton 1.29.75-7.5.10
- 20. Head Knowledge, Heart Check! Is Cancer lurking in the family tree? 5 questions to ask family Lynch syndrome article My ACTION PLAN
- 23. Nutritional teaching tools FOODUCATE APP Michi’s Ladder http://www.fooducate.com/ Subscribe to my coach network
- 24. Technology teaching tools My Colon Cancer Coach MedLine Plus Tutorial
- 26. Be an Advocate!
- 29. March is Colorectal Cancer Awareness Month
- 30. Connect on Social Media
- 31. Call on Congress – D.C.
- 33. Your ROLE Save lives through prevention education Empower people Energize survivors to share their stories Provide convenient screening locations Support quality care
- 34. Legacy Living
- 36. Just Do It!
- 37. Contact ME! Nikol Hamilton, MSN, RN, www.facebook.com/nikolfitness coachnikol@gmail.com 501.609.5855 Join me on Facebook, Instagram, & Twitter!
- 38. References
Editor's Notes
- I would love to be standing here sharing this pic with you about how as a family we survived cancer. That this picture of my kiddo and now husband was just the start of the memories “and how you have plenty of time to make things well in your health. But I can’t, it started way too soon for us. Albeit, a good 20 or more years than what society tells me is “average”. In our early 30’s we were happily married 5years, a daughter, great jobs, working hard, traveling, living out our passions on the family farm in the great Natural state of Arkansas….
- Shannon was a highly successful farrier with his own booming practice. He traveled the world and fine tuned his skill as a World Championship Blacksmith Farrier. He competed as a professional cowboy in the Southeast Circuit on his famed horse “ACE”. Carson and I were there to support him when he was home and also go off on our own with our mom/daughter love of barrel racing on our two mares “Faith & Jetta”. I had the best job in the world at ACH helping families become overcomers as a trauma nurse working in post op surgery and crisis. I was pursuing my dream of being a Nurse Practitioner at UCA. It just really was BLISS!
- The Big D….The Day when things were never more so “BLUE”. New Years Day 2008. Isn’t this holiday supposed to be about celebration, a new start, a new leaf, HOPE, love, and opportunity? WELL- unfortunately 1.1.08 will forever in our family memory as the day it all changed. It was what they call the “D-Day” feeling. Decisions, Disappointment, Despair, Disbelief, Defiance, Denial, and last of course Disease. It was the DAY the BLUE become my NEW favorite color. Let me share with you our Devastation (Story)…. Day Off - @ family arena working horses. - SH no s/s previously except weight loss –overlooked as the nurse due to lifestyle Complete N/V and obstruction – explain stool nose story Drove all the way back to Benton to get admitted, discharged home with MOM, Enemas, etc. Back in 2 weeks to HS specialty hospital quick admit with the Diagnosis 1.15.08. You folks don’t have colon issues. Just eat better – get some fiber in your diet. Take some stool softeners. How did the docs miss this? Myths of cancer in the young/misperceptions of disease As a CLNC I was furious – failure to DX in a timely fashion --- we felt like we weren’t taken seriously.
- SO for two weeks I educated myself about his symptoms with an ever increasing concern that it was an obstructive tumor. This was an old man’s disease anyway right so I must just be totally wrong b/c I was just a pediatric forensic trauma nurse….Stitch and sew and out the door….chronic disease and maintenance weren’t in my nature or vocabulary. So I had to D = DIG IN. NEVER TOO YOUNG CAMPAIGN! AR Cancer Facts and Figures 2011 Cancer.Net
- D = Definition: Colorectal cancer (CRC) starts in the colon or rectum CRC is the 3nd most common form of cancer diagnosed in men and women in the US (148,000 new cases in 2010) CRC is the 2nd leading cause of cancer deaths in the US. 1 in 20 will develop it over their lifetimes. (48,000 deaths in 2010) The number of people dying from CRC has declined over the past 20 years with better screening, diagnosis and treatments Screening for/removing polyps early is the best way to prevent and cure CRC and can decrease your risk up to 90%. CRC begins in the colon or rectum and in most people cancer progresses over several years. Growth of abnormal cells or tumors that usually begin as non-cancerous polyps on the inner lining of the intestines. For my husband on his 2nd ER presentation of vomiting, abd pain, & constipation he was dx Stage IV due to an apple core lesion of an adenocarcinoma 5 cm wide with 2 metastatic tumor nodules in the adjacent mesentery arteries and 4/12 lymph nodes with positive metastatic disease. Later on PET/CT to find invasiveness to the liver on multiple lobes. This was devastating as a DX at Stage IV upon presentation predicts a 5 yr. survival rate of less than 6 % and an average prognosis of quality of life 17-24mos with full treatments. Wow what a lot of information to absorb. As a nurse I was used to this—but it’s true when it hits home its completely different. I was use to wam/bam fix and stitch and be done…this was a huge slap in the gut goanna be fight to survive maintenance issue. Something I knew I didn’t do well with---that’s why I liked triage nursing. This was going to test my full heart and understanding of compassion and trust in the medical profession and coping skills. I didn’t have a clue for what I was about to endure with him. D= Devastating at this age. D = Diagnosis.
- Video Courtesy of Chris4life.org and Michael Sapienza
- How did this happen? Why were we so clueless of the risk of possibility? Like most people our age, we just weren’t aware of Risk Factors. We thought this was an old people problem still! Little did we know we were about to D = DISCOVER. A risk factor is anything that increases a person’s chance of developing cancer. Although risk factors often influence the development of cancer, most do not directly cause cancer. Some people with several risk factors never develop cancer, while others with no known risk factors do. Knowing our RF helps in prevention. The cause of colorectal cancer is not known, but certain factors appear to increase the risk of developing the disease. The following factors may raise a person’s risk of developing colorectal cancer: Personal History: A personal hx of CRC, benign colorectal polyps which are adenomas or chronic inflammatory bowel disease (ulcerative colitis & crohn’s disease) puts you at increased risk for CRC. In fact, people who have had CRC are more likely to develop new cancers in other areas of colon/rectum despite removal attempts. Age. The risk of colorectal cancer increases as people get older. Colorectal cancer can occur in young adults and teenagers, but more than 90% of colorectal cancers occur in people older than 50. The average age of diagnosis in the United States is 69-72 Race: African Americans are more likely than any other ethnic group – often dx in later stages and die. 44%greater risk than whites. Heredity. Colorectal cancer is more likely to develop in a person who has had a parent, sibling, or child with colorectal cancer, particularly if the family member was diagnosed with colorectal cancer before age 60. If 2 or more close relatives have had the disease, you have an increased risk; approx. 20% of all people with CRC have this. Your risk is even greater if your relatives were affected before age 60 or if more than one close relative is affected. There are 2 genetic conditions familial adenomatous polyposis (FAP) & hereditary nonpolyposis colorectal cancer (HNPCC) also known as Lynch Syndrome that lead to CRC in about 5% of patients. FAP is rare and has 1000 polyps starting in the very young age and colon exams need to be done in elementary school. Lynch more common 3-5% of cases – polyps are present just not as vast – but they tend to grow more quickly into cancer. Lynch patients cancer develops at a young age, fast growing, and respond less to chemo. The lifetime risk of CC in people with HNPCC may be as high as 80%. This also puts you at increased risk for ovary, uterine, stomach, kidney, and bladder CA. The American College of Gastroenterology suggests that black people begin screening with colonoscopies at age 45 (see below). Earlier screening may find changes in the colon at a more treatable stage. If you have a familial predisposition begin CRC screening at age 40 OR 10 years before the youngest case of colon cancer in the immediate family. That means MY CHILD needs routine screening in early 20s. IF she has a genetic link even sooner. Genetic counseling and referral is highly suggested. Lifestyle: People who lead an inactive lifestyle (no regular exercise and a lot of sitting) and people who are overweight may have an increased risk of colorectal cancer. Regular exercise is a key weapon in the fight against CRC. American Cancer Society recommends 30 min of physical activity at LEAST 5 days a week and says that 45min or more of moderate to vigorous activity 5 or MORE days a week to further reduce risk. Smoking. Recent studies have shown that smokers are more likely to die from colorectal cancer than nonsmokers. Nonsteroidal anti-inflammatory drugs (NSAIDs). Some studies suggest that aspirin and other NSAIDs may reduce the development of polyps in people with a history of colorectal cancer or polyps. However, regular use of NSAIDs may cause major side effects, including bleeding of the stomach lining and blood clots leading to stroke or heart attack. Taking aspirin or other NSAIDs cannot be substituted for regular colorectal cancer screening. People should talk with their doctor about the risks and benefits of taking aspirin on a regular basis. Diet and supplements. A diet rich in fruits and vegetables and low in red meat may help reduce the risk of colon cancer. Some studies have also found that people who take calcium and vitamin D supplements have a lower risk of colorectal cancer. Minimizing high processed meats (hot dogs/lunch meats) and red meats (lamb, beef, liver) are recommended – 1x a week only. Eating low fat diet rich in veggies/fruits/fiber (broccoli, whole grains, beans) is needed.
- S/S: early stages of CRC do not cause any obvious symptoms, but as cancer progresses, common symptoms include: (see list) Many people have no symptoms! D = Dumbfounded. Many GI symptoms can mimic other GI disorders not yet cancerous; however, the stigma around colon issues needs to just get the awareness and communication open for people to be vigilant about their health. It is 100% preventable if caught early and is a shame if it’s a silent serial killer! Encourage those next to you to get screened.
- http://www.colonclub.com/signs-symptoms-of-colon-cancer/ Over the years, here are some of the assumed diagnoses our models received before doctors discovered their colorectal cancer CRC in Young Adults Colon and rectal cancer CAN happen to you if you’re under 50 years old. We’ve got at least 10 years of proof. In fact, it can occur when you’re age 20. Or 32. Or 46. Or 13. Although around only 10% of colorectal cancers occur in those under 50, the “under 50” crowd is the fast-growing demographic for new colon and rectal cancer cases; especially rectal cases.
- The most important line of defense against CRC is screening! Screening and Prevention Colorectal cancer can often be prevented through regular screening, which can find precancerous polyps. Talk with your doctor about when screening should begin based on your age and family history of the disease. Although some people should be screened earlier, people of average risk should begin screening at age 50, and black people should start at age 45 (because they are more commonly diagnosed at a younger age). Because most colorectal cancer occurs without symptoms until the disease is advanced, it is important for people to talk with their doctor about the pros and cons of each screening test and how often each test should be given. Under these guidelines, people should begin colorectal cancer screening earlier and/or undergo screening more often if they have any of the following colorectal cancer risk factors: A personal history of colorectal cancer or adenomatous polyps A strong family history of colorectal cancer or polyps (cancer or polyps in a first-degree relative younger than 60 or in two first-degree relatives of any age). A first-degree relative is defined as a parent, sibling, or child. A personal history of chronic inflammatory bowel disease A family history of hereditary colorectal cancer syndromes (FAP, HNPCC, or other syndromes). Learn more about the genetics of colorectal cancer. The tests used to screen for colorectal cancer are described below: Colonoscopy. This test allows the doctor to look inside the entire rectum and colon while a patient is sedated. A colonoscopy (a flexible, lighted tube) is inserted into the rectum and the entire colon to look for polyps or cancer. During this procedure, a doctor can remove polyps or other tissue for examination (see biopsy in the Diagnosis section). This is the only screening test that allows the removal of polyps, which can also prevent colorectal cancer. Computed tomography (CT or CAT) colonography. CT colonography (sometimes called virtual colonoscopy) is a screening method being studied in some centers. It requires interpretation by a skilled radiologist (a doctor who specializes in obtaining and interpreting medical images) to be used to the best advantage. However, it may be an alternative for people who cannot have a standard colonoscopy due to the risk of anesthesia or if a person has an obstruction in the colon that prevents a full examination. Sigmoidoscopy. A sigmoidoscope (a flexible, lighted tube) is inserted into the rectum and lower colon to check for polyps, cancer, and other abnormalities. During this procedure, a doctor can remove polyps or other tissue for later examination. The doctor cannot check the upper part of the colon (ascending and transverse colon) with this test. If polyps or cancer is found using this test, a colonoscopy to view the entire colon is recommended. Fecal occult blood test (FOBT). This is a test used to find blood in the feces (stool), which can be a sign of polyps or cancer. A positive FOBT test (meaning that blood is found in the feces) can be from causes other than a colon polyp or cancer, including bleeding in the stomach or upper GI tract and even ingestion of rare meat or other foods. There are two types of tests: guaiac and immunochemical. Polyps and cancers do not bleed continually, so the FOBT must be done on several stool samples each year and should be repeated each year. Even then, the reduction in deaths from colorectal cancer is fairly small (around 30% if done yearly and 18% if done every other year). Double contrast barium enema (DCBE). For patients who cannot have a colonoscopy, an enema containing barium is given, which helps the outline of the colon and rectum stand out on x-rays. A series of x-rays is then taken of the colon and rectum. In general practice, most doctors would recommend other screening tests because a barium enema has a lower likelihood of detecting precancerous polyps than a colonoscopy, sigmoidoscopy, or CT colonography. Stool DNA tests. This test analyzes the DNA from a person’s stool sample to look for cancer. It uses changes in the DNA that occur in polyps and cancers to determine whether a colonoscopy should be done. Recommendations Different organizations have made different recommendations for colorectal cancer screening. Talk with your doctor about the best test and time between tests based on your health history and personal cancer risk. The American Gastroenterological Association, the American College of Gastroenterology, the American Society for Gastrointestinal Endoscopy, the American Cancer Society, and the American College of Radiology have developed consensus guidelines for screening for colorectal cancer, with the goal of cancer prevention. Beginning at age 50, both men and women of average risk should follow one of these testing schedules. The following tests detect both polyps and cancer: Flexible sigmoidoscopy, every five years Colonoscopy, every 10 years DCBE, every five years CT colonography, every five years These tests primarily detect cancer: Guaiac-based FOBT, every year Fecal immunochemical test, every year Stool DNA test, as often as your doctor recommends The U.S. Preventive Health Services Task Force (USPSTF) also has guidelines for colon cancer screening, which differ somewhat from those mentioned above. The USPSTF recommends one of the following testing methods: A high-sensitivity FOBT, every year Sigmoidoscopy, every five years, with FOBT testing between tests Colonoscopy, every 10 years As a physician or HCP what value do you place on screening? Are we enslaved to our healthcare system so much that we are not willing to offer services and preventative education to truly intervene? I guarantee my family would have paid whatever it cost out of pocket to have known the deadly truth of what was happening to his body before D-day arrived. Wouldn’t you – regardless of age? As clinicians we are called to be advocates and leaders in EBP care! Now is the time to NOT wait for the trends to have to occur for more decades of earlier screening mandates….but intervene and advocate now for better compensation, easier access, and education for all ages and especially those with higher RF. With obesity and epidemic, the correlation of how inactivity and our culture or poor nutritional habits of “OVERFED and UNDERNOURISHED” will in my opinion someday prove how this deadly disease should be at the forefront of our practices just like heart disease, stroke, and DM.
- If only we knew to do this—we would have spent the $ for a screening or diagnostic colonoscopy. Wouldn’t you agree most people would? The cost benefits of screening is the first line of defense to outweigh the huge cost loss for treatment and ultimate death risk.
- Educate Support Too late for prevention He was MAD! Furious that no one in his family would talk about their history, their risks, their lifestyle of having living with colon cancer, colostomies, polyps since early 30s, 40s, 50s. This disease is often a stigma of embarrassment because it has to do with “POOP, or the TUSH”! Well his butt was on the line now and he had no choice. D = DIVE in and Fight. Oh and that word will take on a whole new ironic meaning… My nurse instinct took over—became to research, read, and get resourceful about survival, genetics, and what time we really had left. I didn’t know it then but this was the renewal of my spiritual maturity process….I was about to get stretched and grow in my faith (albeit even if alone). Nutrition recall- bologna, hot dogs, processed lunch meat, totinos pizza, soda, breads, fast food lifestyle. “Coco,” as the Colossal Colon® is affectionately known, is a 40-foot long, 4-foot tall oversized model of the human colon that is designed to educate about colorectal cancer and other diseases of the colon. Visitors who crawl through the Colossal Colon will see Crohn’s disease, diverticulosis, ulcerative colitis, hemorrhoids, cancerous and non-cancerous polyps, and various stages of colon cancer. http://www.colonclub.com/the-colossal-colon/colossal-colon-history/ The COLONDAR Calendar 10yrs!
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2796096/ Incidence/Mortality: According to the AR Cancer Facts & Figures 2011 Approx. 1,472 AR were dx with CRC and 600 died. The median age for CRC in AR 2004-2008 was 69yrs. An increasing incidence of younger diagnoses is being evaluated and a correlation with lifestyle needs further research. Nutritionist and internal medicine/gen practice healthcare personnel have a duty to be educating their patients about modifiable risk factors now. Do you agree that our society of highly processed food, convenience eating, and increased inactivity is contributing to many disease processes? YES---CRC is definitely linked to this trend and our future depends on eradicating obesity and influencing positive family lifestyle choices to prevent CRC increasing in the younger population. Survival: when cancer is caught and treated in stage 1 = 74% chance of survival at 5years. Once the cancer is larger and spread to the lymph nodes, however, the five year survival rate drops below 46%. If the cancer has already spread to distant parts of the body such as liver or lungs, the 5 yr. survival rate goes down to 6percent. D = death sentence.
- Treatment: Surgery is m/c for tumors that have not spread and removal can be curative. Other therapies include chemotherapy, radiation, and an increasing interest in immunotherapy. It depends on the staging or extent of disease. For us, we had no choice but an immediate colon resection. To D = discover that his paternal side of the family had at least 3 incidences of CRC dx and interventional therapies for people less than 50 was heartbreaking. Why did no one talk about this ever? Ex: Colostomy since early 30’s, multiple polyps removed for 2 decades, CRC resections and chemo for another one. Then to begin learning about the maternal side risk of different brain, uterine, breast, and idiopathic cancers the risk just seemed a bold FACE Neglect. D = Determined I was now.
- 10x of chemo, a radio frequency ablation to the liver, and a colon resection. Talk about needing to wear your big boy cowboy boots and wade thru the mud…It was deep now. So we took some action until about mid summer 2008…..he had enough. He walked out to the barn to feed the horses on a hot summer day and it happened. He peed his wranglers, he didn’t notice it till the cool feeling hit him and he was ENRAGED! All his strength, manhood, and HOPE was gone. He was not going to keep doing this “put poison in my body and just keep deteriorating” thing. The medical profession is crazy! I was begging for him to reconcile his fear and angst into more avenues of effort. But no---we were only 6 short months into this nightmare. He was done. And so the drama began multifold ----- Fear Denial Anger Mistrust Running from it vs. dealing with it Marriage failed Addictions Abuse – emotional, physical, & financial It was like D-day wouldn’t stop. It Lead to the big one---Divorce. Why am I sharing this personal story? Why not? Our story of tragedy is not uncommon! There were actually 9 MEN in the treatment room under the age of 45 when we were there! Holy frequency I thought. I have a clear message! As clinicians we respect that we are to develop clear boundaries with our patients in order to give them the recommended treatment plans and they make informed decisions….but when families are HIT with diagnosis of things and they don’t respond the way we expect them to …we are supposed to equip them with decision making tools AND coping skills. Granted not all will take it and often the hardest part is on those who are left to deal with this. Make no mistake – he felt like he had a gun to his head the minute he was DIAGNOSED. He resented that I was healthy”. He resented that this was a 100% preventable disease if people would have just talked about it. But now we must face it or fear it. I was dismayed at the lack of compassion and assistance for young people who are facing these issues. This is the biggest live circumstances EVER and I am sorry but maybe after you have lived a little longer you may deal well with it…but most young people if they get it –it’s aggressive. The more aggressive he got the more I could tell it got. So sad—I was in constant conflict as caregiver and clinician. Shouldn’t we have some time of concurrent coping/therapy group for patients and families? What am I going to do to prepare our child ---much less with the imminent death unless a miracle happens but MOREOVER for her own freedom in health. Genetics is a huge indicator here. He wasn’t willing to get tested for Lynch syndrome. He didn’t want another “label”. So I was left to understand, educate myself, and just get through the journey with as little as scars as possible. It is then that I began to realize my greatest contribution wasn’t going to be in helping him, but in helping myself change in order to be the role model and support my kiddo will need someday. He chose one path. I chose another. One of the last times he stormed out of the GI oncologist office, I let him go. He even refused to pay his $20 copay. His mom was there and she did while I was being detained with the DOCTOR. He grabbed me by the arm and said LOOK. “HEAD KNOWLEDGE, HEART CHECK”. Explain…… So now—this is where I have come to be speaking to you. Legacy – LIFE – LIVE – LEARN NO FREE – FREEDOM Last ride – moment of confession and confrontation and commitment request.
- Legacy Reality Check!
- Transitioned a 10yr clinical pediatric nurse career that orig started with wanting to work as an APN/RNP to now into PUBLIC HEALTH. I use my MSN degree as a community health fitness professional teaching classes, holding community free fit clubs, running an online webinars and seminars about health/wellness/nutrition/entrepreneurship in nursing. As an independent clinical nurse leader I enjoy public speaking about obesity, colon cancer awareness, and family health. Getting to own my own Christian wellness business allows me to show how my FAITH in action is a result of the experiences of this tragedy. It has led to a triumph in my own health with 60lbs lost using the most elite fitness programs and dense nutritional supplement from whole food sources on the market. My learning to understand the correlation of genetic risk, modifiable lifestyle factors like activity/obesity/nutrition – I am paving the way for health promotion in my own family and others. I am a Spirit Fit Community Health Activist! I am not where I thought I would be in life, but I am right where I intended to be! No school advisor could have ever told me that becoming a nurse in pediatric would look like this!
- Download FREE! Fooducate: http://www.fooducate.com/ Iphone or Adroid available --multiple apps for FREE general, allergies & gluten free, diabetes --daily tips, kids nutrition, food label safety, clean eating 101, nutritional analysis, GMO education, detailed product info Michi’s Ladder – Michi's Ladder consists of five tiers of food, with tier 1 considered the highest tier and tier 5 considered the lowest. The foods in tier 5 include items high in calories and fat, or low in nutrients. As you climb towards tier 1, you'll find low-calorie, low-fat foods that contain high amounts of vital nutrients. Michi's diet followers should focus on foods from tiers 1 and 2, and avoid foods from the other tiers as much as possible. Read more: http://www.livestrong.com/article/296810-what-is-the-michi-ladder-diet/#ixzz2Z9AA8jeT To receive a complimentary MICHI Ladder email: coach@nikolmajor.com
- My Colon Cancer Coach – FREE (includes breast CA too) Medline Plus Interactive Tutorial – Patient Education Institute from the National Library of Medicine – X-Plain programs.
- http://www.mycoloncancercoach.org/ http://crcmillionstrong.org/ http://www.meredithsmiraclesfoundation.org/ - Provides $ support for young adults going thru CRC http://www.chris4life.org/ No matter what you call it--- patooty, bottom, butt, tushy, badonkadonk – love it and have it checked. www.loveyourbutt.org 1 screening can make a world of difference 90% of cases are preventable if caught early 1 in 19 Americans will be DX with CRC www.fightforcolorectalcancer.org Monthly webinar/ National CCA Conf Miami OCT 2013
- Faiths Firewater No longer is it dang it, death, and drama ---its DEDICATION, it’s Decision. To leave a legacy with IMPACT we must remember D – day was the DAY we remember as the day we would grow our faith and leave a legacy determined to help others. PREVENTION. Faith has been with us every moment and lives on in our family as a symbol of trust, perserverance, and boldness. Can you do the same as a clinical provider to step out in Faith and educate? Please do!
- B – BELIEVE L – LIVE U – UNDERSTAND E - EDUCATE
- StopColonCancerNow.com South AR Surgical Center - ELDO D = DECIDE Commit Succeed in taking on advocacy efforts in your life, your practice arena, and your family. Will you do a more general risk assessment of the 2 things we can change? Obesity and nutrition in your wellness counseling with your patients? Please do!