Sunday, December 4, 2022

Who Am I Now?

 The paramedics who found me on the pavement of that parking lot, almost a week ago, roused me from a slumber of - subsequent investigation found it to be almost an hour's time - mysterious then shocking origin. I'd suffered a head injury. The fog of semi - consciousness about this entire murky mess was lifting, of course, because the people assessing me, and shamelessly cutting my clothing open to wire me up, and refill my fluid bank through plastic tubes - they were pulling me out of it.I had been a bloody lump when found, and the fuzzy vision I had was like a birth caul over my face. 



One voice in my head was chattering things like: This is embarrassing. Can I just go home? I'm so sorry for bothering you. WHAT HAPPENED? (There was amnesia). Another voice was, haltingly at first,  answering the paramedics' orientation questions. Oh no, that voice echoed in my sore noggin. They've caught me. I answered a question too slowly! Now what? Now, I had crossed to the other side. I had become a person, like the persons I had gotten to know through interviewing them over years. Over decades. 

"You're looking for nystagmus", I told the physical therapist who was evaluating me on Day 3. Day 1 took me through a night in Emergency; pinned in a gurney w/ heart monitor my tether. When my oxygen saturation dipped too low, I had to deep breathe every five minutes - even after I was fitted w/ nasal oxygen @ 2 liters! Following my 2nd head CT w/ contrast, I could get more than ice chips. An energy drought I did my best to remedy, after moving to a general room on the evening of Day 2. Standing the first time after getting a private bathroom, boy did the world go round for a bit. The walker and an escort helped on the first occasion to the toilet, but after the PT check, it became easier to walk. A few walks outside the room let me start my own therapy. I knew things to do. 

I had been that PT. My years working with persons of all ages, after their suffering traumatic brain injury, helped me gather a toolbox of tricks, tools and strategies to help them to live their life. I found out that, after seeing people use patience in moving, concentrate to maintain erect posture,  maintain a wide radius of gait support, and patiently react to the environment, - I could do it for myself. And the mental clunkiness, the clumsiness at accessing my mental files to share and to meet my needs - I've seen and done that before, how things change with patience, with routine and with practice. 

So now, I feel akin with all the children and adults I'd gotten to know over the years; since 1985 to be exact. All the car crashes, shootings, electrocutions; all the snowmobile crashes, near drownings, domestic and other criminal assaults, the hangings, the syncopal falls, accidental head strikes, sports trauma, blast injuries and all the rest. 

It's Day 7 now, and back to a regular schedule tomorrow. I feel different now, because I've become someone else - but still me. I remember a wise therapist saying at a patient's conference: you are your neurons, but you are not just your neurons. 

Who will I become?

Saturday, November 26, 2022

Have an answer

 The 2022 World Cup is continuing now. So much soccer! So many Americans don't care about soccer, yet I do like what the game does to bring together fans from all nations, to keep the mind sharp, and to show that soccer is indeed a beautiful game. For example, top tier players run from 5 - 9 miles during a 90 - minute match. Insane fitness! Some athletic prowess is displayed at breakneck speed, with players making split - second decisions that often result in glorious celebrations.  


I'm building a sports analogy here. A sport that demands of elite players, high levels of energy expenditure, continual problem solving 'on the fly', and grand operatic waves of emotional release....soccer encourages you  to take the long view in life. The game seems to last so long (for many Americans, anyway), but a Major League Baseball game can go 3 or more hours. Soccer has almost no commercials! You're continually focused in a soccer match, so that if the score goes awry for your side, you need to have an answer. 

That idea - having an answer - is a critical tool in your toolbox for today's world, especially for those of us working in education or healthcare. Reality can change and change fast, as the last six years have taught us. Whoever is over you, may play favorites against you. Before you know it, time is running out! How does life imitate sport, colleagues? What are ways for CSD professionals to find an answer, as a team of 11 soccer players is forced to find an answer?


Reality changing? It might be that a  regulation was changed - as Medicare had declared at one time, a speech generating device for severely speech impaired persons might have its communication software active, but not its Internet connectibility.   The Steve Gleason Act, passed by Congress and signed by the President, did help resolve this issue. Gleason is the former NFL defensive player who has lived with ALS for over 10 years. Gleason's advocacy for himself and his peers, helped regulators see that making available a full range of speech technology services for consumers, was the best opportunity to increase their quality of life. 


My supervisors, managers and directors, for various jobs throughout the years, have occasionally made decisions about consumer referrals that seemed - from outer space! And  that doesn't account for the physicians who have either declined to refer to you as an SLP, or have declined to consider SLP involvement with a consumer in need. In a similar vein, a manager or administrator over a case will sometimes defer using SLP, saying "OT can do cognition". Yes, there is pressure to strictly manage utilization of services, because getting paid does depend on that good judgement. Ultimately, these leaders have to answer the question that might read, "If we're not using those services that often, why do we have them?". This dilemma is best met by - constant MARKETING. This is what we do; this is why SLP is the profession you should choose, to meet this need. https://ashacertified.org/ is an example of a website, that cab inform referral sources of the high standards YOU must meet. 


Speech-language pathologists and audiologists are under constant pressure to achieve positive results for consumers, and do it more quickly than ever before. Guidelines for clinical practice have firmer timelines. When the professional keeps an eye on the clock, you're part of a wise team of professionals that can engage on a goal for maximum effect. Whether it's an eight-week episode of treatments, a 48 - hour time for turnaround of documentation, a weekly window to get in recommended visits, or a two - hour limit for a visit + documentation time; - be proactive, organized and observant. 


Have an answer. 


Monday, October 17, 2022

Field Pea, Incorporated

 

Political instability; Economic turmoil; poverty; war; climate change, and all the remaining forces in our lives - they all intersect through the food we need to survive and thrive.  There are many perspectives on what food does for people, but here are just a few.

Celebrity chef and humanitarian Jose’ Andres’ says “food is everything”[i]. Andres’ goes on to say that he believes that people who eat, should also think about what eating accomplishes.



The late Dr. Paul Farmer, co – founder of Partners in Health and a pioneer in managing health inequities throughout the world, pointed out that food security, like many other goals of a public health initiative, is the product of countering ‘failures of imagination’ and harnessing the ‘power of partnership’.[ii]

Vice President under Franklin Roosevelt, Henry Wallace was quoted as saying ‘the soil is the mother of man and if we forget her, life eventually weakens’[iii]

Food is at the center of all aspects of our existence. We have a responsibility to help those in our community, who do not have the resources to get the best food for themselves. It may be one of the clearest pieces of evidence, that public health is intertwined with finding solutions to social problems. [iv]

Residents of the South and West sides of Chicago will benefit from the work of a three – year project, designed to bring sources of nutritionally dense, reasonably priced vegetable protein to their homes, their gardens, and their community’s sources of food. A not – for – profit organization named “Field Pea, Incorporated” will be formed in accordance with Illinois law[v] to implement this project.

Over the three years envisioned for the life of the project, staff and community participants will take part in activities to produce and distribute vegetable protein – with emphasis on using the field pea as a primary protein source – as well as to educate consumers on the food products’ possible uses, and to celebrate the lives of the cultures who celebrate the vegetable protein as theirs.

Goals for the project will include the following:

·         Can residents of Chicago’s south and west side neighborhoods, accept increased use of vegetable protein in their diets?

·         Can the networks of food security programs supporting these neighborhoods, augment their annual crops grown with a greater variety of legumes, such as field peas?

·         Can community members who incorporate greater amounts of vegetable protein in their diet, see improvements in their cardiovascular health?

 Chicago’s South and West side residents have received and are receiving numerous interventions to better their food security. [vi] The emphasis on providing fresh produce to residents has led to the development of numerous community and school gardens, urban farms, and educational consortia. These programs have regardless, reported vague relationships between increased access to fresh produce, and the cardiovascular health of the neighborhood populations.

Cardiovascular disease (CVD), through the twentieth century, had been the most common cause of mortality and morbidity in the United States. [vii] A recent frame of reference towards the management of CVD is “Life’s Essential 8”, a program of the American Heart Association which serves consumers to help them manage cardiovascular risk factors. [viii] Managing diet while using this framework, consumers may expect to see effects on many of the other seven factors (e.g., weight control, blood pressure/cholesterol/sugar) affecting their health.

Making vegetable protein an emphasis of this project will give project managers incentive to explore a hypothesis; namely, that incorporating such a food source can significantly affect blood cholesterol, blood sugar and blood pressure. Bringing in foods of the various cultural groups around metro Chicago, where field pea protein is a core ingredient of a dish, may serve to give these groups incentive to come together in other ways.

What will happen during this project? Grants, donations, and fund-raising will be the sources of income for the project facility, to be housed within either the Chicago High School for Agricultural Sciences[ix] or Windy City Harvest’s ‘Farm on Ogden’[x]. Each facility brings together resources for agriculture and food science/technology. During year one, staff to administer the program – an Executive Director, an Administrative Assistant, a Volunteer Coordinator, and an Education Coordinator – will be hired. A Board of Directors will be selected, who will then initiate the first annual series of community forums. Community input will be gathered to focus the project’s goals, on an annual basis.

Staff and volunteers select and prepare a demonstration garden, to start the annual crop of vegetable protein. One commercial seed catalog advertises twenty – two varieties of field pea alone. [xi] Companion vegetable plants for field peas, which may serve to protect the peas from pests and increase yields, may include beans, carrots, corn, cucumbers, radishes, and turnips[xii]. Flowers that will complement the vegetables will include marigolds, nasturtiums, and sunflowers[xiii]

Working parallel to the demonstration garden will be the demonstration kitchen, needed to trial recipes and food products attractive to the target populations of Chicago neighborhoods.  For example, field peas with rice may be made into a patty, a sausage, a hoppin’ john, or a loaf. The kitchen will also be available to trial field pea dishes, from cultures around the world with emigres in Chicago that include:

·         India: curry, masala

·         Pakistan: peas with spinach and dill

·         Brazil: akara

·         Indonesia: sambal goreng

·         Kenya: kunde, red red

·         Syria: lubia (has meat)

·         Egypt: loubiya (vegan)

 

The demonstration garden should only bear vegetable plants that are native to the northeast Illinois region. Since rice is only grown in southern Illinois, grains that will complement the legumes (i.e., supplying essential amino acids for which legumes are deficient) include winter wheat, rye, triticale, spelt and oats. [xiv] [xv]

The project will also benefit from use of offices for administrative staff, an auditorium in which consumers and interested parties can attend educational programs, a store for dispensing food product to neighborhood consumers, and a multi – purpose room for other community activities. Project activities will seek to make the project center a community hub, where citizens may come together to share not only food, but also other commonalities with their neighbors.

During year two and three of the project, staff and volunteers will seek to expand the production and distribution of the food products developed in year one, while encouraging community partners (restaurants, schools, hospitality industry training programs, community gardens, urban farms) to use the product. Another linchpin of the project will be the development of student affiliations with metro area vocational and professional training programs, in disciplines that include hospitality, agriculture, horticulture; physical, occupational and speech therapy; nutrition, marketing, and medicine.

The Southern Foodways Alliance Fall Symposium in Oxford, Mississippi,[xvi] will be an ideal forum to review the project and its outcomes, during the final year of the project. A final community forum led by the project Board will draw the project to a close.

Proust’s REMEMBRANCE OF THINGS PAST made famous the madeleine cookie. Now, it’s time to ‘remember’ the field pea.



[i] “3 Questions: Why Food Is Everything”, NATIONAL GEOGRAPHIC, April 25, 2015. https://www.nationalgeographic.com/culture/article/150415-jose-andres-three-questions-food-spanish . Accessed October 17, 2022.

 

[ii] Farmer, Paul, “Paul Farmer Speaks to the Next Generation: An Excerpt from His Book”, Partners in Health, May 1, 2013. https://www.pih.org/article/paul-farmer-speaks-to-the-next-generation-an-excerpt-from-his-new-book . Accessed October 17, 2022.

 

[iii] Culver, Senator John C., “Seeds and Science: Henry Wallace on Agriculture and Human Progress”, quoted in the CONGRESSIONAL RECORD, Vol. 142, No. 117, 8/2/1996, pp. S9644 – S9647. https://www.govinfo.gov/content/pkg/CREC-1996-08-02/html/CREC-1996-08-02-pt1-PgS9644.htm . Accessed October 17, 2022.

 

[iv] Yong, Ed, “How Public Health Took Part in its Own Downfall”, THE ATLANTIC, October 23, 2021. https://www.theatlantic.com/health/archive/2021/10/how-public-health-took-part-its-own-downfall/620457/. Accessed October 17, 2022.

 

[v] “A Guide for Organizing Not – for – Profit Organizations”, Office of the Secretary of State, State of Illinois, March 2020. https://www.ilsos.gov/publications/pdf_publications/c165.pdf . Accessed October 17, 2022.

 

[vi] Toole, Tucker C., “Grassroots Efforts Take on ‘Food Apartheid’ in Chicago’s South Side”, NATIONAL GEOGRAPHIC, October 8, 2021. https://www.nationalgeographic.com/history/article/grassroots-activists-take-on-food-apartheid-in-chicagos-south-side. Accessed October 17, 2022.

 

[vii] Dalen, James E., Alpert, Joseph E., Goldberg, Robert J. and Weinstein, Ronald S., “The Epidemic of the 20th Century: Coronary Heart Disease”, AMERICAN JOURNAL OF MEDICINE, 127 (9), September 2014, 807-12. https://pubmed.ncbi.nlm.nih.gov/24811552/ Accessed October 17, 2022.

 

[viii] American Heart Association, “Life’s Essential 8: Your Checklist for Lifelong Good Health”, https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 . Accessed October 17, 2022.

 

[ix] Chicago High School for Agricultural Sciences, “Agriculture”. https://www.chicagoagr.org/apps/pages/?uREC_ID=38910&type=d . Accessed October 17, 2022.

 

[x] Chicago Botanic Garden, “Farm on Ogden”. https://www.chicagobotanic.org/urbanagriculture/farm_on_ogden . Accessed on October 17, 2022.

 

[xi] “Pea, Southern”. Victory Seeds 2022 catalog. https://victoryseeds.com/collections/pea-southern . Accessed October 17, 2022.

 

[xii] Orabone, Ellen, “Black – Eyed Peas: The Plant, Not the Band”. SUSTAINABLE FOOD CENTER. https://sustainablefoodcenter.org/latest/gardening/black-eyed-peas-the-plant-not-the-band . Accessed October 17, 2022.

 

[xiii] “Southern Peas (Black – Eyed Peas): How to Grow and When to  Plant in Your Backyard or Patio Garden”. FROM SEED TO SPOON: Growing a Healthy Lifestyle. https://www.seedtospoon.net/how-to-grow-when-to-plant-southern-peas-black-eyed-peas/. Accessed October 17, 2022.

 

[xiv] Nafziger, Emerson, “Small Grains and Grain Sorghum”, University of Illinois Cooperative Extension. http://extension.cropsciences.illinois.edu/handbook/pdfs/chapter04.pdf . Accessed October 17, 2022.

 

[xv] “What Is a Complete Protein?”, Piedmont. https://www.piedmont.org/living-better/what-is-a-complete-protein. Accessed October 17, 2022.

 

[xvi] Southern Foodways Alliance. University of Mississippi: Center for the Study of Southern Culture. https://www.southernfoodways.org/ Accessed October 17, 2022.

 

Sunday, May 22, 2022

A Wellness Concierge? Part 2

 There's the normal chatter, networking going on as the break is ending; gotta get this session back on track. I already see a few of them flitting about at the back of the meeting room, complaining about the DISMAL number of plug-ins for their phones. The tide pools of the Convention! OK, mike works. AV works. GI tract works, after that quick lunch....here we go. Prevent, prevent, prevent....


"Hi Everyone. So many of us came back, so there must be something good going on here - right? If you are new to us today, we're continuing on with the topic of a speech-language pathologist, also serving as a WELLNESS CONCIERGE. That is, the SLP and AUD can have as a product line, education and referral services for her market that direct consumers to community wellness services. We offered in the morning session, the idea of preventative services that might help prevent cardiovascular disease (CVD). CVD, manifested as ischemic heart disease and stroke, was the #1 cause of death worldwide in 2019, according to the World Health Organization. 


 "As healthcare and education professionals, with a national scope of practice that unambiguously states, prevention is something we will do - we have a responsibility to help consumers ward off changes in their bodily function that might lead to heart disease, stroke and other cardiovascular impairments. As a body of professionals, we regardless have only scratched the surface of what prevention can do, for the people we serve. And, we have these ideas of keeping people free of CVD, but - how do we do it? 

"Let's explore each of the major incentives to help our consumers prevent CVD, with some examples of what the SLP clinician might do to help achieve each incentive - from the morning session. We're using the 2019 American College of Cardiology/American Heart Association guidelines for primary prevention, as a guide:

 " * We naturally raise the visibility of our professions, audiology AND speech-language pathology, when we are active in the broader community, interacting in collaboration with other human service workers for health (fitness trainers, dieticians, smoking cessation specialists, gardeners, etc.)"

"The SLP has incredible opportunity to grow her business, regardless of work setting, when she builds collaborations with the greater healthcare provider community.  Where an SLP may have very general knowledge of what a personal trainer, or an herbalist does, an SLP/wellness concierge can tap into a knowledge base, taken from personal research into the community's resources. That marketing research can include a review of databases, personal visits to community wellness providers, working together with the providers on community wellness events, establishing formal agreements to serve an identified customer base, and many more joint ventures. Though many potential wellness consumers may not use dedicated SLP services, an SLP/wellness concierge will have been given them direction for staying heart - healthy. 

 An operative definition at becoming an SLP/wellness concierge with emphasis on CVD prevention, might include: 

1. Do you have a grasp of the SCOPE of CVD primary prevention? Can you wrap your head around the need to balance a consumer's monitoring her risk assessment, nutrition, weight control, fitness, blood sugar control, control of fats, blood pressure, smoking risk and blood coagulation?

2. Also, wrap your head around - what can the SLP control? Risk assessment, blood sugar, fats and blood coag are 'above the pay grade'  for most of us, and would require the help of a medical laboratory.   The rest - nutrition, weight control, fitness, blood pressure and smoking risk - all have well- organized, well - entrenched behavior management networks in place, in many of our communities. 

3. Part of the work of the wellness concierge would be, then, to get consumers access to the best promotion/prevention programs. The other part is, helping create viable networks for consumers where there are none. 


' " * We grow our knowledge base for helping our consumers, when we reach from tertiary prevention (reducing the odds for disability), and secondary prevention (identifying potential impairments for bodily function) to primary prevention (reducing or eliminating exposure to risk factors for CVD)" '.

" Training to be an SLP, who does provide evaluations and treatments - how much background in health promotion and disease prevention do we really acquire in training? Unless your master's program adviser has picked out some electives for you in those domains, or your externship supervisor has directed you to offsite programs that will expose you to actual scenarios for teaching prevention strategies - it's on the job that you learn, how to offer service after the sale. For example, a demonstration vegetable garden, that consumers may or may not have had a hand in growing some product, may give up some of that product to allow tastings of vegetables produced in a kitchen. When you can help make vegetables taste good, to a consumer who may or may not have cardiovascular disease, you may have a hand in helping that person prevent further chronic disease."


"Operationalize an SLP's preparation, for a side hustle as wellness concierge:

1. Do you have any hobbies, or any interests, passions, or nagging desirous interests for your own lifestyle - that you could bring to a consumer community? If you garden, teach it. If you run, model it. If you are a devoted advocate for wellness activities, advocate it.

2. Do you need formal preparation in health promotion/disease prevention? Perhaps a University training program in public health near you, will afford you a certificate or degree in this area. Six of the top 10 public health schools, as rated by US News and World Report, are in the eastern US. One, Michigan, is Midwest, and the remaining three are West Coast. A 5/4/22 Fortune article by Meghan Malas asks, if getting a Master of Public Health degree is worth the time and expense required for the new skill set you acquire. The answer seems to be, an enthusiastic 'Yes'!

3. Self - preparation for becoming a wellness concierge/ CSD professional will largely come from independent study: for example, popular works on integrative medicine (Andrew Weil), vegetable gardening (Rodale), fitness (APTA), and blood pressure (Harvard Medical School) - they'll direct you to primary sources of research, that enhance your work with your consumers. Likewise, video and online resources on these topics make teaching and marketing of prevention services much easier. 

" * When we help the larger community access wellness information, services, and ways to sustain their desired level of function, we develop potential consumers who may be educated on accessing services, when/if the need might arise. "



"Think of concrete steps you might take, to show your market that you are ready to serve persons at any point in their health journey. 

1. Tell the market about you: get free ads posted wherever you can, whether print or digital, that describe who you are, what you offer, how easy it is to contact you, and why you are unique among providers.

2. Show the market how easy it can be, to find efficient, schedule - friendly and cost - effective wellness services, accessible to them and that can meet specific needs. 

3. Teach the market - that they have near total agency in sustaining/improving their health (in this case, cardiovascular); that consumers can share their thoughts on health status with their MD, not just waiting for the doctor to set the consumer's plan; that the teaching about staying well can become inter - generational - that the youngest in families learn from older ones, that's the way it's done."

Make history! Grow your clinical practice, by adding a skill set as a wellness concierge.


Finally, whew, it's over. Those 20 folks quickly flew outa here; many going to the airport....puts on my "ASK ME ABOUT..." button , and steps out the meeting room, just barely avoiding TRIPPING on a phone charger cord....

Thursday, February 17, 2022

Not a desert, more a clearing

 I was lucky enough to trust my impulsive nature, on the day I wanted to know more about the closing of a local grocery store. Local news media had made a lot about an ALDI store, thirty years active in Westside Chicago and far from Loop prosperity, suddenly going belly up. There was consternation expressed by residents. There was outrage heard from activist groups. And most recently, the city of Chicago has proposed buying the vacated store. 



Since the neighborhood's median household income is roughly at the poverty level for a US family of three, and that just one grocery store remains to serve 17,000 residents, this seemed a serious concern. I am a speech- language pathologist who advocates for my consumers ' healthy eating; if there were a problem with consumers getting diets beneficial to their health, I would want to know what healthy solutions are out there.

Following is a podcast from the series "Curious City", produced at WBEZ radio in Chicago - wbez.org . It illustrates the issues. Thanks to reporters Linda Lutton and Asia Singleton.

https://podcasts.google.com/feed/aHR0cHM6Ly93YmV6LXJzcy5zdHJlYW1ndXlzMS5jb20vY3VyaW91cy1jaXR5L2N1cmlvdXMtY2l0eS54bWw/episode/MTA5MjU1YzAtOGZiOS0xMWVjLWJmMjItOTNlZjMwNDczZWEw?ep=14

Readers of this blog, who want to know more and be stimulated about food desert issues, should look at the 2022 book RETAIL INEQUALITY (University of California Press). The author, Kenneth Kolb, is Chair of Sociology at Furman University.  

Sunday, January 16, 2022

A wellness concierge? Part One -

 He hesitated before - stepping to the microphone, his sole anchor to the convention meeting room crowd. About 20, he estimated, scattered about the chairs numbering 100....the thoughts fly, as seconds ticked by to bring the start of my presentation: is the premise just TOO CRAZY? Will they see the holes that I SEE, in the logic of the presentation? Where can I HIDE, until they just GO AWAY in confusion? Darn it, here comes the session coordinator - hearing my provenance for the presentation as a background noise, I am ready. Gotta sell this! To the mic now, and -

"HIIIII - glad you could be here, and draw on that good night's rest you got last night, for the LAST DAY 8 o'clock session! You lucky people! Here we go. You're here, I hope, to learn about what the heck a WELLNESS CONCIERGE is, and why - audiologists and speech-language pathologists should be ready to assume this role, as a next step in their careers."


 "Disclosures: my practice does include - possibly the only wellness concierge web - based subscription platform, amidst the CSD community.  I also belong to my local Chamber of Commerce, which allows me to network with numerous peers in my business market area". 

"Here we go. A CONCIERGE can be broadly described as a person you meet, at the entrance to a building.  That person has the skill and resources to guide you through what the building, or in this case, the wellness industry has to offer. But the questions should abound: Why wellness? Why should CSD professionals take this on? Why is this added focus to our work lives so important now?"

"Ten of the top 10 causes of death in the US (NCHS, 2019), also bring significant disability into functional domains where CSD professions work. Though there has been significant reduction of mortality rates for heart disease, for example, the rate of reduction for deaths has slowed in recent years. Heart disease and its co-occurring morbidities are also striking in greater numbers,  persons of younger age; - perhaps prompted by an increased rate of obesity in young people. There is then, a moral imperative as well as a scientific clarity, for bringing wellness to the larger sphere of healthcare. Namely, us. We are part of the larger sphere, we CSD professionals".  


 

"So I am saying that audiologists and speech - language pathologists grow their clinical practices for all  ages, in a fashion that reflects the true intent of the 1988 statement of ASHA's Prevention Committee - namely, to push ahead and help our communities lessen or eliminate risk factors leasing to disability. This presentation focuses on how the wellness concierge framework, might benefit primary prevention of cardiovascular disease (CVD)."


 

"Aphasia. Vascular dementia. Cochlear hearing loss. Labyrinthitis. Auditory processing disorder. The list goes on: insults to bodily function that arise from cardiovascular system breakdowns. When Aud's and SLP's are part of the solution to reducing CVD insilts, we help accomplish many objectives:

" * We naturally raise the visibility of our professions, audiology AND speech-language pathology, when we are active in the broader community, interacting in collaboration with other human service workers for health (fitness trainers, dieticians, smoking cessation specialists, gardeners, etc.)"

" * We grow our knowledge base for helping our consumers, when we reach from tertiary prevention (reducing the odds for disability), and secondary prevention (identifying potential impairments for bodily function) to primary prevention (reducing or eliminating exposure to risk factors for CVD)". 

" * When we help the larger community access wellness information, services, and ways to sustain their desired level of function, we develop potential consumers who may be educated on accessing services, when/if the need might arise. "

"That's the rationale for becoming a wellness concierge, in capsule form. Now, how many forms will wellness concierge work take? They could include -  

" * Communication Fitness  - see the post for the 'Pretty Wonderful, Communication' blog, dated April 23, 2017"

" * Hosting events such as lectures, demonstrations, or gatherings to commemorate days, months or holidays relevant to a prevention topic (for example, October 1 is 'World Vegetarian Day')"

" * Directing curious consumers to community events that highlight a prevention topic, such as charity or fitness run/walks; chef - directed food and wine events vs. culinary school restaurant offerings; and presentations by medical vs. complementary and alternative medicine professionals; - "

" There's what we will do - now, after a short break, we'll reassemble and discuss HOW we will do each one - "