Jane k. dickinson, rn, phd, cde choices, balance and positive attitude rx de columna lumbar normal

CRS Q/A Question: Hopefully you have a unique perspective. Given the rapidly changing demographic profile of Texas specifically, and the US in general (namely significantly increasing Hispanic population), how do you approach the importance of the lifestyle modification (specifically dietary) of the high fat, high simple dolor lumbar lado izquierdo carbohydrate, traditional cultural diet?

Because I am not a dietitian, I asked Evelyn Arteche, RD, to answer this one! Evelyn is based in New Jersey, where she works with people who have columna lumbar rx diabetes. She is also a student in the online Master of Science in Diabetes Education and Management at Teachers College Columbia University!

In order to engage the Hispanic population and help them find motivation to take better care of themselves through lifestyle changes, we must absolutely tap into their emotional center and we must be genuinely caring and authentic.


Hispanic people value warm and personal relationships with their health care providers. Like Theodore Roosevelt said, they want to know that you care more than they want dolor lumbar tratamiento to know what you know.

Culture is key for Hispanic people; basing your recommendations around their culture is essential. For example, in Puerto Rico, dancing is a very significant way contractura lumbar tiempo de recuperacion that a variety of occasions, such as birthdays and Christmas Eve, are celebrated, and therefore recommending dance or Zumba as a form of exercise may actually increase their excitement to be more active.

Family is also highly valued in this population, so suggesting healthy lifestyle changes that not only benefit them, but also their family members, may help to motivate the Hispanic individual, especially if they include their family in the cirugia lumbar changes they make.

Heritage is important to Hispanics and traditions are usually passed down from one generation to the next. Let them know that they do not have to lose their heritage, such as traditional foods they love and grew up with. Instead they can make simple changes in how they prepare foods, or watch their portion sizes. Using the plate method, where half their plate contains non-starchy vegetables, can encourage healthy eating habits. A 3-4 ounce serving of lean protein, preferably not fried, or plant-based dolor lumbar izquierdo tratamiento protein, and the remaining ¼ of their plate dedicated to starch, preferably whole grain, make a well-balanced meal.

The point is to present it in a way that lets them know that, yes, they can hernia discal lumbar sintomas y signos still enjoy the foods they love by preparing them in a healthful way, watching their portion sizes, and including lots of vegetables. This way the starchy foods do not dominate the meal. With a little care, they can adopt a healthy que es escoliosis dorsal lifestyle and ultimately improve their health.

*CRS Q/A Question: What is the best strategy (or a suggestion) to provide person-centered care to somebody who is more “old-school” – e.g. “Doctor, just write me a prescription,” without wanting to take any responsibility for their own care?

First off, we can never assume that someone doesn’t want to take any responsibility for their own care. By nature humans want to be healthy. Second, in the words of the great Susan J. Guzman, PhD, “there are always good reasons.” Third, the person-centered approach (including language) is appropriate for everyone, regardless of what or how they are doing.

When we’ve taken those steps, we find escoliosis causas that, other than those who simply don’t have the mental or physical capacity to care for themselves, most people are interested in taking some responsibility for desviacion lumbar their own care. They may have never been given the opportunity or the skills or the time to do so. Please, please, please. Let’s change that.

I often compare diabetes care and education to parenting: just as parents’ job is to nurture, support, and grow their children into well-adjusted, productive adults and launch them into the world, it’s our job to “launch” people with diabetes into life.

* CRS Q/A Question: What are contractura lumbar izquierda your thoughts and experience with screening for adverse childhood experiences (ACES) and use of trauma-informed care as one way to improve diabetes outcomes (our experience suggests that ACES are different sintomas de hernia discal lumbar l4 l5 from PHQ depression and diabetes distress)?

Wow. Great question. Although I am not an expert in this area, I know that ACES are becoming more and more of a focus in the care of children – and rightly so. Kids who have experienced trauma respond in a variety of ways and it makes sense for health care professionals to know how to effectively approach and work with them.

I have heard horror stories about people who’ve been turned away from diabetes providers because they haven’t been seen in over a year. This makes absolutely escoliosis lumbar de convexidad derecha no sense. If someone is making the effort to be seen, after a long time away is precisely when they need an appointment the most! Not being seen for symptoms of herniated lumbar disk an extended period of time could be an indicator of a traumatic event in their life. As diabetes professionals, we can be aware of small clues like this and make people feel welcome.

The strengths-based approach encourages us to identify what people are doing well – or at all – and focusing on that. We can even apply those strengths to other areas that need work or improvement. This could be an effective way to work with those with ACES.