As we start another year, there are many changes confronting all of us  as we deal with the availability of health care providers and affordable insurance.  

There is probably little each of can do to make changes in our health care system, locally or nationally.  What we can do, however, is to become more knowledgeable in improving and maintaining our health.

What do we need to know.? We need know about any family health traits and be aware of any past and current problems you have.  You should also associate with a health care provider who you can discuss your concerns.

Another way to work with your physician is to follow recommendations for doing screening tests to rule out early disease.   There are cardiac and cancer screening available as an outpatient.  A family history of heart disease or cancers often motivates a person to undergo preventive testing. 

Another common preventative test include glucose monitoring to rule out diabetes.  Blood pressure monitoring at home often provides you and your doctor with a more  accurate readings.

Ways of improving your health that does not cost money or use insurance

• Remain active each day
• Eat a balanced diet—avoid fast food restaurants
• Stay hydrated
• Get adequate sleep
• Limit alcohol and avoid smoking
• Manage stress
• Maintain a healthy weight
• Address chronic stress in your life
• Get regular sunlight exposure

Home safety

• For individuals living alone it is important to  establish a routine to communicate with a family member or friend on a daily basis. 
• If you are experiencing new symptoms, do not always assume they are part of “getting old”—check the symptoms out with your physician.
• Rapid loss of weight, experiencing instability with walking, bloating, increased hair loss, increased shortness of breath, rapid change in vision, intermittent weakness on one side of the body – all should be considered an emergency and need prompt medical evaluation.
• Family and friends are often the first to notice changes in your personality and daily behaviors.  It is not uncommon for the individual or immediate family members to minimize this.  Listen to their input and have your doctor check you out.
• Use a nightlight in the bedroom and bathroom.  Most falls resulting in a broken hip occur in the early morning hours when the person is getting up to go to the bathroom.  Also make sure of adequate lighting in living/work areas and stairwells, especially to the basement.
• Immediately wipe spills off the floor, and use a rubber-backed bathmat to prevent the bathroom floor from getting wet. Even a small amount of water can lead to a slip.
• Consider a medical alert system
• Avoid using  small rugs, extension cords and clutter that can trip you.
• Involve yourself in a structured exercise programs.  Consult with your physician about limitations, if any.  Exercise will increase strength, improve balance and assist in weight control.
• Before you go to the doctor for a visit, document your symptoms, when they began or changed and put down questions you want answered before you leave the office.  Share this with the office nurse and the doctor during your appointment.  If you do not understand what the doctor said, be persistent.
• Bring any and all medication you are taking (OTC or prescription) to each visit and show them to your health care provider. Prevents medication errors.
• Adult immunizations, especially flu shots, pneumococcal vaccinations, diphtheria/tetanus boosters, and covid are recommended.  Consult with your physician.

• Do you have a “living will,” power of attorney, health care proxy identified?
• Have you set up a call circle to check on each other?
• If you are having difficulty with scheduling of your medication (forgets dosages or takes it too often), having trouble with keeping house, meal preparation, or notice changes in your recall, discuss this with your doctor and nurse.  There are many types of assistance available to you in Sullivan County.
• Remain involved with your church, community activities and with friends and family.

Prevention of disease  is what we should strive for, and not wait to be diagnosed when symptoms or signs of a disease take a patient to the emergency unit—or during an inpatient admission.