This entry was kindly provided by Ruth dentice, respiratory Senior Physiotherapist, Prince Alfred Hospital. Try to discuss the physiological and selection of a remedy-obatanan available available.
KNOWN ISSUES : S.O.B.A.R and S.O.B.O.E.Difficulty to remove excessive secretions.
Physician-OBATANAN
attachmentpulmonary rehabilitation
TOUGH eliminate excessive secretion
Types of patients:• After a period of surgical / pain (rib fracture / ICC)• Increased chronic sputum production• sharp increase in sputum production
• L.O.C reduction
• muscle weakness
• septic / fatigue
You can have a very different scale of production / commitment.inpatient acute than the need for ongoing home program Rx.Assuming the patient of the problem.Optimize the possibility of pain, L.O.C., fatigue, mucolytics, humidification.
physician-obatanan:Cough, upset, F.E.T., A.C.B.T.postural drainagePercussion, shock, vibrationP.E.P., Flutterautogenic drainagesuction
Hard to breathe
pt type:
acute asthma* Edema CAL / Lung CaEEB lungsurgical Pt* Respiratory failure / acute fatigue.
physician-obatanan:
Optimize medical symptom relief bronchodilators, pain, Lasix, oxygen therapy is adequate.
Tranquility / education.
positioningbreath controlAdding HOW AMPUHremoval if sputum expectoration contribute to anxiety.This may require bilevel device (BiPAP, VPAP)
NB: Surgical Training / alveolar hypoventilation / mobilization /
posture upright to attack the basal atelectasis and optimize current to
huff / cough.
HOW TO IMPACT FISIOTHERAPYcough
Coughing is the inspiration followed by a forced expiratory maneuver performed against a closed glottis. This led to a rapid increase in intrathoracic pressure. As glote open, the pressure difference between the small airways and trachea results in fast air flow. High air flow with increased dynamic compression of the airways
results in shear layers of mucus and mist flow through the gas-liquid
interactions.
indication
• Secretion of the upper airway or large. It is believed that an effective cough to clear secretions from the airways are more likely to seventh generation bronchus. Dynamic compression of the respiratory tract by a high intrathoracic
pressure to limit the effectiveness of cough in the respiratory tract
small or too often.
• It has been proven that a strong cough (11 times in 10 minutes) is
comparable with postural drainage + percussion speed and the amount of
sputum clearance.
Coughing can be influenced by an adequate volume of the lungs, glottal
incomplete blockage, respiratory muscle weakness / general fatigue,
pain.
preventive measure
• subcutaneous emphysema / pneumothorax not diobat-obatani
• ICP increases• operation tool recently vision
• paroxysmal cough can cause fatigue, bronchospasm, airway obstruction, hypoxia.
anger
A huff is a forced expiratory maneuver performed by glote open, so cough lower than intrathoracic pressure. EPP position can be manipulated gasping produced by varying the volume of the lungs where huff starts. Lung volume average yield EPP huffs into lobar bronchi and segmental; Low volume in the peripheral airways.
indicationThe secretion of peripheral or small airways. Children ages three years old can be taught to huff
preventive measure
Similar to cough if prolonged strong or to the point of uncontrollable coughing.
Forced expiration HOW TO IMPACT (FET)
Developed by Bernice Thompson and Jennifer Pryor1979 (NZ).
HOW
forced AMPUHekspirasi defined as 1 2 huffs lung volume low-medium,
followed by a period of relaxed breathing are controlled. HOW
AMPUHini use of forced expiratory huff physiology combined with a
recovery phase to reduce the likelihood of blockage of the airway,
desaturation or fatigue. breath control (Webber 1988), was breathing softly with normal tidal volume and rate, using the lower chest. Relaxation of the upper chest and shoulders are encouraging, the expiration is not enforced.
HOW AMPUHpernapasan active cycle (ACBT)
FET
is an integral part of the active cycle HOW AMPUHpernapasan described
by Pryor and Webber in 1992. The authors consider that the expansion is
necessary because the FET breath control clinical underutilized and the
relationship between breathing exercises and FET misunderstood.
Concerning Health care for the Baby mistress
In
this era, OB or midwife is the controller about the health of the unborn baby's
mistress. But
soon after the baby's mistress Madame enter into this world, baby mistress
Madame would need or doctor yourself. Start
finding the baby to the doctor's mistress a few months before the due date Mrs.
Determining
the doctor and find out about health insurance before the birth of the child
Mrs saves time and provides peace of mind when Mrs. close aides. Also,
When Mrs. provide early, Mrs. someone who know and trust will be ready to care
for a new child Mrs.
Choosing a Doctor
One of the most important things you need to do before giving birth Madame is deciding doctor for the baby mistress Madame. The baby hostess need frequent checkups, vaccines, and they sometimes sick. So do not wait until the lady doctor need to make a choice. Her doctor who cared for the baby mistress and children including:
• The doctor child
• Family doctor
Some nurses with special training can also take care of the baby new mistress Madame. They referred to a pediatric nurse practitioner. Many medical offices have both a nurse practitioner and doctor on staff.
To help Mrs choose doctor for the baby mistress Madame:
• Contact your insurance company for a list regarding health Lady doctor Mrs covered under the plan.
• Find out where they are trained and how long they've been in practice. Some insurance companies and the house where the sick have this information. Details on some of the doctor can be found by using the Doctor Finder on the website of the American Medical Association.
• Request an interview with the doctor Mrs liking.
• Find out about their office hours and which way they handle problems and emergencies after office hours.
• Find out who else in the office can watch a lady When the doctor Mrs exit.
• Get recommendations from other patients.
When Mrs give birth in a home where the hospital where the baby doctor mistress Madame typically watches the patient, he would see the baby after delivery mistress. If not, a child doctor on staff at the house where the sick had to watch the baby mistress Madame after childbirth. Then Mrs. doctor can call the baby mistress Madame to schedule a visit a few days after birth. Remember to get the baby's medical records hostess hostess before leaving the hospital. Her doctor mistress Madame baby will need them.
Choosing a Doctor
One of the most important things you need to do before giving birth Madame is deciding doctor for the baby mistress Madame. The baby hostess need frequent checkups, vaccines, and they sometimes sick. So do not wait until the lady doctor need to make a choice. Her doctor who cared for the baby mistress and children including:
• The doctor child
• Family doctor
Some nurses with special training can also take care of the baby new mistress Madame. They referred to a pediatric nurse practitioner. Many medical offices have both a nurse practitioner and doctor on staff.
To help Mrs choose doctor for the baby mistress Madame:
• Contact your insurance company for a list regarding health Lady doctor Mrs covered under the plan.
• Find out where they are trained and how long they've been in practice. Some insurance companies and the house where the sick have this information. Details on some of the doctor can be found by using the Doctor Finder on the website of the American Medical Association.
• Request an interview with the doctor Mrs liking.
• Find out about their office hours and which way they handle problems and emergencies after office hours.
• Find out who else in the office can watch a lady When the doctor Mrs exit.
• Get recommendations from other patients.
When Mrs give birth in a home where the hospital where the baby doctor mistress Madame typically watches the patient, he would see the baby after delivery mistress. If not, a child doctor on staff at the house where the sick had to watch the baby mistress Madame after childbirth. Then Mrs. doctor can call the baby mistress Madame to schedule a visit a few days after birth. Remember to get the baby's medical records hostess hostess before leaving the hospital. Her doctor mistress Madame baby will need them.
Paying for care about the health of the baby hostess Mrs.
To get regular checkups and vaccines importantly, the baby will need a hostess Mrs matter of health insurance. Some women have regarding health insurance through maBilan or can afford it themselves. When Madame have regarding health insurance, find out which way the baby to add a new mistress Mrs Mrs policy. Mrs also need to know the doctor will work with Mrs plan and what kind of treatment is borne by the policy Mrs. Find out how much the hostess had to pay for a visit.
When Mrs worry about paying for a matter of health care, programs for women and children who need help. The following companies can help Mrs and Mrs mistress baby get medical care:
• Insure Kids at this age! - Programs provide children under the age of 18 with health insurance about free or cheap. This includes doctor visits, prescription drugs, vaccines, dental care, hospitalization, and more. Each country has its own Insure Kids In this era programs. Learn about Mrs. state programs or make a free call to 877-KIDS-IN TIMES THIS for more information.
• State and local departments of health about - They can tell Madame what the existing programs in the area where she was. Ask about the matter of health insurance, medical care, and which way to qualify for this assistance.
• the house where the local hospital or social service agencies - Ask to speak with a social worker on staff. He will be able to tell the hostess where to find help.
• Community clinics - Some areas have free clinics or clinics that provide free care for women and children in need.
• Women, the baby hostess and Children (WIC) Programs - these government programs that exist in each country. It provides assistance with food, nutritional counseling, and access to services for women about health, the baby's mistress, and children.
Health Department to Implement Limited Medicaid Expansion
(Salt Lake City, UT) – At the direction of Gov. Gary R. Herbert and legislative leadership, the Utah Department of Health (UDOH) will amend its Medicaid State Plan to extend coverage to an estimated 3,000 to 5,000 low-income Utah parents. Low-income parents who earn up to approximately 45 percent of the federal poverty level (FPL) are currently eligible for Medicaid; the amended plan will raise the effective income eligibility limit to 60 percent of the FPL.
The amended plan will require federal approval from the Centers for Medicare and Medicaid Services (CMS).
Newly eligible parents will likely be able to apply for Medicaid benefits beginning July 1, 2017. The funding to provide coverage for these adults was appropriated during the 2016 legislative session through House Bill 437.
The UDOH initially submitted this request to CMS in 2016 as part of a larger request to expand coverage to targeted groups of adults, including the chronically homeless and those involved in the criminal justice system. The larger request would have provided coverage to an additional 6,000 to 8,000 adults. CMS officials are still considering elements of the larger request submitted last year.
# # #
Media Contact:
Tom Hudachko
Utah Department of Health
(o) 801.538.6232
(m) 801.560.4649
‘Stop the Opidemic’ Utahns Share Stories of Loss, Recovery from Opioid Addiction
(Salt Lake City, Utah) – Opioid abuse is a Utah epidemic. Six Utahns die every week from opioid overdoses. Today, the Utah Department of Health (UDOH) announced the launch of a bold, new campaign, ‘Stop the Opidemic,’ to bring an end to the devastation opioid misuse and addiction has on individuals, families, and communities throughout the state.
“For nearly nine years, I have investigated these deaths and seen first-hand the devastating reality behind Utah’s addiction to opioids,” said Erik Christensen, chief medical examiner with the UDOH. “The hard-hitting messages and imagery used in the ‘Stop the Opidemic’ campaign are designed to educate Utahns on the dangers of opioids, the signs and symptoms of opioid overdoses, and the importance of having naloxone on-hand whenever someone is using an opioid, whether that’s a prescription for pain or an illicit drug.”
In 2015, 268 Utahns died from a prescription opioid overdose (such as oxycodone, hydrocodone, methadone, or fentanyl), 127 died from illicit opioids such as heroin, and 10 deaths involved both prescription and illicit opioids; an average of 33 deaths each month (13.5 per 100,000 population). An estimated 80% of heroin users started with prescription drugs. Utah ranks 7th highest in the nation for drug overdose deaths (for the years 2013-2015).
The campaign features testimonials of Utahns who have lost family members to heroin overdoses and who are recovering from prescription opioid and heroin addictions. Alema Harrington, a well-known journalist in Utah, shared his story of recovery. Harrington was first exposed to opiates while playing football at Brigham Young University but his dependency on the drugs soon spiraled out of control, leading to heroin use. “There was so much stigma and shame but I was finally willing to be humble enough to ask for help,” said Harrington. “I have a disease. My disease is addiction. Without treatment it will kill me. This is a treatable disease. Regardless of where you are at in your addiction, there is hope.”
With support from the Utah State Legislature, naloxone is more readily available than ever before. Naloxone is a rescue medication that can reverse heroin and prescription opioid overdoses by blocking the effects of opiates on the brain and restoring breathing in minutes. There is no potential for abuse and side effects are rare. As of December 8, 2016, pharmacists in Utah can dispense naloxone, without a prior prescription, to anyone at increased risk of experiencing an opioid overdose or anyone who is concerned about a family member or friend.
Mark Lewis lost his son, Tony, on October 27, 2014 at the age of 27 to a heroin overdose. He became addicted when he was 15-years-old to OxyContin when someone at school gave it to him. “Kids don’t think it can kill you because a doctor prescribes it. They don’t realize how addictive it is,” said Lewis. “I was not aware of naloxone until after Tony died. I found out from his friends that Tony had been saved by naloxone once several years prior. I carry a naloxone kit now, even though Tony is gone, because you never know when you might come up on somebody, anywhere, who has overdosed.”
Signs of an opioid overdose include:
To learn more about the campaign, visit http://opidemic.org.
# # #
Media Contact:
Katie McMinn
(o) 801-538-6156
(m) 801-856-6697
kmcminn@utah.gov
“For nearly nine years, I have investigated these deaths and seen first-hand the devastating reality behind Utah’s addiction to opioids,” said Erik Christensen, chief medical examiner with the UDOH. “The hard-hitting messages and imagery used in the ‘Stop the Opidemic’ campaign are designed to educate Utahns on the dangers of opioids, the signs and symptoms of opioid overdoses, and the importance of having naloxone on-hand whenever someone is using an opioid, whether that’s a prescription for pain or an illicit drug.”
In 2015, 268 Utahns died from a prescription opioid overdose (such as oxycodone, hydrocodone, methadone, or fentanyl), 127 died from illicit opioids such as heroin, and 10 deaths involved both prescription and illicit opioids; an average of 33 deaths each month (13.5 per 100,000 population). An estimated 80% of heroin users started with prescription drugs. Utah ranks 7th highest in the nation for drug overdose deaths (for the years 2013-2015).
The campaign features testimonials of Utahns who have lost family members to heroin overdoses and who are recovering from prescription opioid and heroin addictions. Alema Harrington, a well-known journalist in Utah, shared his story of recovery. Harrington was first exposed to opiates while playing football at Brigham Young University but his dependency on the drugs soon spiraled out of control, leading to heroin use. “There was so much stigma and shame but I was finally willing to be humble enough to ask for help,” said Harrington. “I have a disease. My disease is addiction. Without treatment it will kill me. This is a treatable disease. Regardless of where you are at in your addiction, there is hope.”
With support from the Utah State Legislature, naloxone is more readily available than ever before. Naloxone is a rescue medication that can reverse heroin and prescription opioid overdoses by blocking the effects of opiates on the brain and restoring breathing in minutes. There is no potential for abuse and side effects are rare. As of December 8, 2016, pharmacists in Utah can dispense naloxone, without a prior prescription, to anyone at increased risk of experiencing an opioid overdose or anyone who is concerned about a family member or friend.
Mark Lewis lost his son, Tony, on October 27, 2014 at the age of 27 to a heroin overdose. He became addicted when he was 15-years-old to OxyContin when someone at school gave it to him. “Kids don’t think it can kill you because a doctor prescribes it. They don’t realize how addictive it is,” said Lewis. “I was not aware of naloxone until after Tony died. I found out from his friends that Tony had been saved by naloxone once several years prior. I carry a naloxone kit now, even though Tony is gone, because you never know when you might come up on somebody, anywhere, who has overdosed.”
Signs of an opioid overdose include:
- Shallow or stopped breathing
- Small, pinpoint pupils
- Blue or purple lips and fingernails
- Limp body and unresponsive
- Faint heartbeat
- Gurgling or choking noises
To learn more about the campaign, visit http://opidemic.org.
# # #
Media Contact:
Katie McMinn
(o) 801-538-6156
(m) 801-856-6697
kmcminn@utah.gov
NEWS ADVISORY - Utahns Share Stories of Loss, Recovery from Opioid Addiction
NEWS ADVISORY
WHAT: The Utah Department of Health will hold a press conference to launch a new campaign, Stop the Opidemic, and share stories of Utahns who have lost a family member to an opioid overdose as well as those who have overcome heroin and prescription opioid addictions.
WHY: Opioid abuse is a Utah epidemic. Six Utahns die every week from an opioid overdose. Studies show that 80 percent of heroin users started with prescription opioids. These individuals hope that as they share their stories of loss as well as recovery, that it will motivate others to ‘Stop the Opidemic.’
WHO: Interviews available include:
WHERE: Utah Department of Health
Room 129
288 North 1460 West
Salt Lake City, Utah 84116
###
Media Contact:
Katie McMinn
(o) 801-538-6156
(m) 801-856-6697
kmcminn@utah.gov
WHAT: The Utah Department of Health will hold a press conference to launch a new campaign, Stop the Opidemic, and share stories of Utahns who have lost a family member to an opioid overdose as well as those who have overcome heroin and prescription opioid addictions.
WHY: Opioid abuse is a Utah epidemic. Six Utahns die every week from an opioid overdose. Studies show that 80 percent of heroin users started with prescription opioids. These individuals hope that as they share their stories of loss as well as recovery, that it will motivate others to ‘Stop the Opidemic.’
WHO: Interviews available include:
- Alema Harrington, recovering from a prescription opioid and heroin addiction
- Mark Lewis, father of a 27-year-old son who died from a heroin overdose
- Peter Lake, recovering from a prescription opioid addiction
- Dennis and Celeste Cecchini, parents of a 33-year-old son who died from a heroin overdose
- Amber Baum, mother of a daughter who died from a heroin overdose
- Dr. Erik Christensen, Chief Medical Examiner, Utah Department of Health
WHERE: Utah Department of Health
Room 129
288 North 1460 West
Salt Lake City, Utah 84116
###
Media Contact:
Katie McMinn
(o) 801-538-6156
(m) 801-856-6697
kmcminn@utah.gov
Air Quality Recess Guidance for Schools Now Available: Guidance helps principals know when to keep kids inside on bad air days
(Salt Lake City, UT) – With the first major inversion forecast to hit the Wasatch Front this week, parents may be wondering if it’s safe for their children to play outside during school recess. The Utah Departments of Health (UDOH) and Environmental Quality (DEQ) have released updated Recess Guidance for Schools to help principals and school administrators know when to move recess indoors on poor air quality days.
Inversions can be especially hard on children and anyone with certain chronic health conditions like asthma. During the winter, particulate matter (or PM2.5) is the main pollutant of concern as inversions trap cold air and pollution in the valleys. PM2.5 is made up of soot, dust, and vehicle emissions. It’s small enough to get past the body’s natural defense systems and when inhaled, can get deep into the lungs where it becomes trapped, aggravating current health problems.
The Recess Guidance for Schools recommends that on days when the PM2.5 is:
School administrators are encouraged to check the PM2.5 levels throughout the winter months at least 30 minutes prior to recess. “The Recess Guidance has been critical in helping me know how to help our students stay healthy and safe,” said BJ Weller, principal at Canyon View Elementary.
“The school principal makes the final decision regarding when and where to hold recess. We encourage schools to consider active options for indoor recess should the need arise,” said Brittany Guerra with the UDOH Asthma Program. “Fortunately, data shows there were only a handful of days over the last five years that our guidance recommended all students be kept indoors for recess due to poor air quality.”
Parents, with the advice of their health care provider, should also inform the school if they believe their child is part of a sensitive group and should have limited outdoor physical activity when air quality is poor.
The UDOH also offers daily email alerts during the inversion season to help school administrators know when PM2.5 reaches unhealthful levels and the specific guidance on which students should be kept indoors. To receive the air quality email alerts, send a blank email to hl-recess-air-quality-subscribe@list.utah.gov.
“Using the Recess Guidance has been very helpful in determining whether the air quality is safe for our students to go out and play in. It is so easy to just open the email and have the air quality for our area available without searching and taking a lot of time,” said Trudy Messick, with Renaissance Academy.
To see current PM2.5 levels, download the UtahAir app or visit www.air.utah.gov. Copies of the Air Quality Recess Guidance for Schools and video tutorials about how to use the guidance are available at www.health.utah.gov/asthma.
# # #
Media Contact:
Brittany Guerra
UDOH Asthma Program
(o) 801-538-6894 (m) 678-773-3983
Inversions can be especially hard on children and anyone with certain chronic health conditions like asthma. During the winter, particulate matter (or PM2.5) is the main pollutant of concern as inversions trap cold air and pollution in the valleys. PM2.5 is made up of soot, dust, and vehicle emissions. It’s small enough to get past the body’s natural defense systems and when inhaled, can get deep into the lungs where it becomes trapped, aggravating current health problems.
The Recess Guidance for Schools recommends that on days when the PM2.5 is:
- Below 35.4 μg/m3 – All students stay outdoors for recess.
- Between 35.5 μg/m3 and 55.4 μg/m3 – Students with respiratory symptoms and “sensitive” students stay indoors for recess. Sensitive students may include those with asthma, cystic fibrosis, chronic lung disease, congenital heart disease, compromised immune systems, or other respiratory problems.
- Above 55.5 μg/m3 – All students stay indoors for recess.
School administrators are encouraged to check the PM2.5 levels throughout the winter months at least 30 minutes prior to recess. “The Recess Guidance has been critical in helping me know how to help our students stay healthy and safe,” said BJ Weller, principal at Canyon View Elementary.
“The school principal makes the final decision regarding when and where to hold recess. We encourage schools to consider active options for indoor recess should the need arise,” said Brittany Guerra with the UDOH Asthma Program. “Fortunately, data shows there were only a handful of days over the last five years that our guidance recommended all students be kept indoors for recess due to poor air quality.”
Parents, with the advice of their health care provider, should also inform the school if they believe their child is part of a sensitive group and should have limited outdoor physical activity when air quality is poor.
The UDOH also offers daily email alerts during the inversion season to help school administrators know when PM2.5 reaches unhealthful levels and the specific guidance on which students should be kept indoors. To receive the air quality email alerts, send a blank email to hl-recess-air-quality-subscribe@list.utah.gov.
“Using the Recess Guidance has been very helpful in determining whether the air quality is safe for our students to go out and play in. It is so easy to just open the email and have the air quality for our area available without searching and taking a lot of time,” said Trudy Messick, with Renaissance Academy.
To see current PM2.5 levels, download the UtahAir app or visit www.air.utah.gov. Copies of the Air Quality Recess Guidance for Schools and video tutorials about how to use the guidance are available at www.health.utah.gov/asthma.
# # #
Media Contact:
Brittany Guerra
UDOH Asthma Program
(o) 801-538-6894 (m) 678-773-3983
Utah Adolescents with Potential Eating Disorders more likely to be Suicidal, Suffer from Bullying and Violence
(Salt Lake City, UT) – In 2011 and 2013, 4% of female students and 1.4% of male students in grades 9-12 in Utah public schools met a threshold for underweight combined with eating disordered behaviors, totaling more than 1,000 boys and nearly 3,000 girls in the state. These same students had higher rates of depression, suicide ideation and attempt, bullying, and physical and sexual violence, according to a new report released by the Utah Department of Health (UDOH).
"While we’ve monitored overweight and obesity among adolescents and the associated health risks for years, we haven't looked into the prevalence and health effects of anorexia and eating disorders before now. What we found is that nearly 4,000 adolescents in Utah may be at risk for an eating disorder and that these adolescents have significant physical and mental health risks,” said Michael Friedrichs, UDOH epidemiologist.
The increased risk for adverse physical and mental health problems for adolescents with and without potential eating disorders is startling. The data analysis showed that adolescents with potential eating disorders reported feeling so sad or hopeless for two weeks that they stopped doing their usual activities at a rate of 42.3%, compared to 25.9% of adolescents without a potential eating disorder. Similarly, students with potential eating disorders reported that they considered suicide, made a suicide plan, attempted suicide, and were injured as a result of a suicide attempt at much higher rates than students without an eating disorder.
In addition, adolescents with potential eating disorders reported feeling less safe and reported more experiences of violence, compared to adolescents without a potential disorder. Of those students who reported being bullied on school property, 33.2% had a potential eating disorder, compared to 21.5% of students without. Drastically higher rates of physical and sexual violence by a dating partner (32.2% and 38% respectively) were also found for students with potential eating disorders compared to those without (5.6% physical violence and 9.5% sexual violence).
The UDOH analyzed data from the 2011 and 2013 Youth Risk Behavior Survey (YRBS) to determine the rates of potential eating disorders among Utah adolescents and the associated adverse health experiences. Adolescents with potential eating disorders were defined as students with a Body Mass Index (BMI) below the 15th percentile and who reported they had one or more disordered eating behaviors. The most commonly reported disordered eating behaviors for underweight adolescents were trying to lose weight (12.1%), followed by fasting for 24 hours or more to lose weight (8.8%), vomiting or using laxatives to lose weight (4.2%), and taking diet pills (1.7%). All of these behaviors had higher rates for girls.
“Prevention and early intervention of these behaviors is critical to the long-term health and well-being of our young people,” said Megan Waters, violence prevention specialist with the UDOH. “We recommend that healthcare providers screen adolescents for eating disorders and associated risk behaviors and that trainings for school personnel and parents be made available to help them better understand the connections between eating disorders and other behaviors such as suicide ideation and dating violence.”
A copy of the report can be found at http://ow.ly/nTlI307U9LA. Information on risk behaviors such as suicide and dating violence can be found at http://health.utah.gov/vipp.
# # #
Media Contact:
Megan Waters
Violence & Injury Prevention Program
(o) 801-538-6626
mewaters@utah.gov
"While we’ve monitored overweight and obesity among adolescents and the associated health risks for years, we haven't looked into the prevalence and health effects of anorexia and eating disorders before now. What we found is that nearly 4,000 adolescents in Utah may be at risk for an eating disorder and that these adolescents have significant physical and mental health risks,” said Michael Friedrichs, UDOH epidemiologist.
The increased risk for adverse physical and mental health problems for adolescents with and without potential eating disorders is startling. The data analysis showed that adolescents with potential eating disorders reported feeling so sad or hopeless for two weeks that they stopped doing their usual activities at a rate of 42.3%, compared to 25.9% of adolescents without a potential eating disorder. Similarly, students with potential eating disorders reported that they considered suicide, made a suicide plan, attempted suicide, and were injured as a result of a suicide attempt at much higher rates than students without an eating disorder.
In addition, adolescents with potential eating disorders reported feeling less safe and reported more experiences of violence, compared to adolescents without a potential disorder. Of those students who reported being bullied on school property, 33.2% had a potential eating disorder, compared to 21.5% of students without. Drastically higher rates of physical and sexual violence by a dating partner (32.2% and 38% respectively) were also found for students with potential eating disorders compared to those without (5.6% physical violence and 9.5% sexual violence).
The UDOH analyzed data from the 2011 and 2013 Youth Risk Behavior Survey (YRBS) to determine the rates of potential eating disorders among Utah adolescents and the associated adverse health experiences. Adolescents with potential eating disorders were defined as students with a Body Mass Index (BMI) below the 15th percentile and who reported they had one or more disordered eating behaviors. The most commonly reported disordered eating behaviors for underweight adolescents were trying to lose weight (12.1%), followed by fasting for 24 hours or more to lose weight (8.8%), vomiting or using laxatives to lose weight (4.2%), and taking diet pills (1.7%). All of these behaviors had higher rates for girls.
“Prevention and early intervention of these behaviors is critical to the long-term health and well-being of our young people,” said Megan Waters, violence prevention specialist with the UDOH. “We recommend that healthcare providers screen adolescents for eating disorders and associated risk behaviors and that trainings for school personnel and parents be made available to help them better understand the connections between eating disorders and other behaviors such as suicide ideation and dating violence.”
A copy of the report can be found at http://ow.ly/nTlI307U9LA. Information on risk behaviors such as suicide and dating violence can be found at http://health.utah.gov/vipp.
# # #
Media Contact:
Megan Waters
Violence & Injury Prevention Program
(o) 801-538-6626
mewaters@utah.gov
New Plan Unveiled to Help Stop Suicides in Utah
(Salt Lake City, UT) – Suicide prevention experts from the Utah Department of Health (UDOH), Utah Division of Substance Abuse and Mental Health (DSAMH), and Utah Suicide Prevention Coalition unveiled a new plan to help stop suicides in Utah. The plan couldn’t be timelier; as suicide claimed 609 Utahns in 2015, for a rate of 24.5 per 100,000 population ages 10+. Every suicide death causes a ripple effect of immeasurable pain to individuals, families, and communities throughout the state.
“Everyone plays a role in suicide prevention and it is up to each one of us to help create communities which are strong in factors that protect people from suicide,” said Andrea Hood, suicide prevention expert with the UDOH. “The new plan outlines strategies to help communities accomplish this by describing ways to improve resiliency, crisis response, mental health treatment, and early identification of mental health conditions.”
Suicide is a complex issue influenced by individual, family, relational, community, and societal factors. Prevention strategies must address the factors that increase risk for suicide and the factors that protect from suicide risk. The new Utah Suicide Prevention Plan is structured around the following protective factors:
The new plan highlights evidence-based strategies that are tried and true steps communities can take to build resiliency, create safety nets for those in crisis, and ultimately save lives in Utah. The plan also has a greater emphasis on social connectedness than previous statewide efforts.
The Utah Suicide Prevention Coalition will oversee implementation of the plan. The coalition is a partnership of community members, suicide survivors, service providers, researchers, and others dedicated to saving lives and advancing suicide prevention efforts in Utah. To learn how to get involved or for a copy of the plan, visit http://utahsuicideprevention.org.
“We have a more comprehensive, collaborative approach to suicide prevention in Utah than ever before,” said Hood. “Our hope is that the strategies we are all working so hard on will save lives and bring hope to those who are feeling alone or hopeless, because each life matters.”
All suicidal thoughts, behaviors, and attempts should be taken seriously. Get help 24/7 by calling the Statewide CrisisLine at 801-587-3000 or the National Suicide Prevention LifeLine at 1-800-273-TALK. Help is also available online at www.suicidepreventionlifeline.org. Trained consultants will provide free and confidential crisis counseling to anyone in need.
# # #
Media Contacts:
Andrea Hood, UDOH
(o) 801-538-6599 (m) 801-913-6304
Kimberly Myers, DSAMH
(m) 801-633-2408
“Everyone plays a role in suicide prevention and it is up to each one of us to help create communities which are strong in factors that protect people from suicide,” said Andrea Hood, suicide prevention expert with the UDOH. “The new plan outlines strategies to help communities accomplish this by describing ways to improve resiliency, crisis response, mental health treatment, and early identification of mental health conditions.”
Suicide is a complex issue influenced by individual, family, relational, community, and societal factors. Prevention strategies must address the factors that increase risk for suicide and the factors that protect from suicide risk. The new Utah Suicide Prevention Plan is structured around the following protective factors:
- Increasing availability and access to quality physical and behavioral health care
- Increasing social norms supportive of help-seeking and recovery
- Reducing access to lethal means, such as firearms
- Increasing connectedness to individuals, family, community, and social institutions by creating safe and supportive school and community environments
- Increasing safe media portrayals of suicide and adoption of safe messaging principles
- Increasing coping and problem solving skills
- Increasing support to survivors of suicide loss
- Increasing prevention and early intervention for mental health problems, suicide ideation and behaviors, and substance misuse
- Increasing comprehensive data collection and analysis regarding risk and protective factors for suicide to guide prevention efforts
The new plan highlights evidence-based strategies that are tried and true steps communities can take to build resiliency, create safety nets for those in crisis, and ultimately save lives in Utah. The plan also has a greater emphasis on social connectedness than previous statewide efforts.
The Utah Suicide Prevention Coalition will oversee implementation of the plan. The coalition is a partnership of community members, suicide survivors, service providers, researchers, and others dedicated to saving lives and advancing suicide prevention efforts in Utah. To learn how to get involved or for a copy of the plan, visit http://utahsuicideprevention.org.
“We have a more comprehensive, collaborative approach to suicide prevention in Utah than ever before,” said Hood. “Our hope is that the strategies we are all working so hard on will save lives and bring hope to those who are feeling alone or hopeless, because each life matters.”
All suicidal thoughts, behaviors, and attempts should be taken seriously. Get help 24/7 by calling the Statewide CrisisLine at 801-587-3000 or the National Suicide Prevention LifeLine at 1-800-273-TALK. Help is also available online at www.suicidepreventionlifeline.org. Trained consultants will provide free and confidential crisis counseling to anyone in need.
# # #
Media Contacts:
Andrea Hood, UDOH
(o) 801-538-6599 (m) 801-913-6304
Kimberly Myers, DSAMH
(m) 801-633-2408