preventing and managing health challenges in the workplace ... · performance workplace morale...
TRANSCRIPT
Preventing and Managing Health Challenges in the Workplace
A South African Perspectivewww.DrArien.co.za
Presented by Dr Arien van der MerweMBChB NHA ASCHP MISMA
Medical Doctor, Specialist Health & Wellbeing Consultant, Holistic Counselor & SAQA Registered
Trainer/Facilitator
www.DrArien.co.za
Outline• Burden of CDL’s – health challenges in wellness terminology
• CDL’s and productivity in the workplace - benefits
• Prevalence in communities – paying it forward
• Effects of effective workplace health promotion and interventions on productivity
• Introductory exploration of an exceedingly common CDL (health challenge), and guidelines to management:
➢Metabolic syndrome – truly an endocrine/
metabolic imbalance that includes:
• Heart health
• Glucose and carbohydrate balance
• Thyroid health
• Mental health
Lifting the Burden of Disease
Employee wellbeing: good ROI
Education
Accidents, absenteeism, presenteeism & CDL’s
Wellness definition
Integrative approach to employee wellbeing
Practical examples
Implementing wellness interventions
www.DrArien.co.za
www.DrArien.co.za
Benefits of Workplace Wellness Interventions
IncreaseProductivityJob performanceWorkplace morale
DecreaseHealth care
costsPresenteeismAbsenteeism,
sick leaveEmployee
turnover
•Wellness paradigm:
balance, integration, harmony
•Conscious awareness, continuous integration:
learning, understanding health options available to
make healthy choices
Into communities – paying it forwardEmployee Wellbeing: sustainability,
empowerment, social responsibility, skills development - EDUCATION
Inner
being
www.DrArien.co.za
Wellness Definition: Quick Review
Wellness: conscious, continuousintegrative process leading toenhancement of individual,organisational, community healthand wellbeing
Integrate (v.) means to combineand assimilate into completefunctional wholeness, in thisinstance, of all dimensions of thehuman being.
www.DrArien.co.za
Companies & wellness: ROI6/10 employees: worksite wellness programs good
idea. 3-4/10 actively participate - WELCOA
Employee entitlement, skills development, education
Realisation that employees are a company’s most
important assets
Employees need assistance & support
Still looking after the bottom line:
productivity, creativity
sick leave, presenteeism, absenteeism,
resignations
www.DrArien.co.za
Burden of Disease: Company Health
Costs
• > 50% of organisation / institution / company
costs incurred by human resources
• Therefore, executive & employee health &
wellbeing critical:
➢Optimal production
➢Business success
➢ 80% health challenges (CDL’s) behavioural lifestyle
choices: mental-emotional brain patterns, beliefs,
stress, eating patterns, exercise
www.DrArien.co.za
Statistics
SA Health Review
• Chronic diseases of lifestyle
(CDL’s) responsible for 37% of
deaths in South Africa, add:
HIV / AIDS (39%)
TOTAL: 76% of all deaths in SA
preventable - wellness solutions
www.DrArien.co.za
Purpose, goals, benefits(supporting business objectives)
Motivating pro-active health & well care:
➢Screening procedures, VCT & HRA’s to assess & manage risk
➢Include stress, depression assessment
➢Health enhancing lifestyle changes & choices - wise & discriminate use incentives
➢Education & empowerment -self responsibility
Challenge: Risk HAS TO BE MANAGED!
www.DrArien.co.za
Workplace Wellness Starts with Executive
Team: Support & ACTIVE Participation
• Healthy employees
• Healthy company
• Healthy families
•Healthy communities
•Healthy country
Sound business sense: bottom line
ROI + social responsibility
www.DrArien.co.za
Common reasons for accidents, injuries
• Presenteeism (employees at work, but not optimally well)
• High blood pressure
• Sleep deprivation, chronic fatigue
• Low blood sugar
• High blood sugar
• Impaired vision
• Social concerns: e.g. family problems, financial, relationships
• Sub clinical infection
Emphasising the ‘H’ in SHE(Q)
www.DrArien.co.za
Olympic athlete: high fitness level, but osteopenia,
strain injuries, depression, sleep apnoea.
Fitness = Wellness!
Fit, eat well, disease free, but poor sleep, fatigue,
accidents, slow recovery from colds
The illness-wellness continuum
Reduce Downtime
Efficiency:PresenteeismAbsenteeism
Sick-leaveProductivity
Cafeteria / Canteen
WWSEnvironment Safety
EAP
Org.Development
Marketing Communication
Risk Management
HR
Corporate Culture
EducationTraining Negotiation
CommunicationFacilitation
Financial Wellbeing
Conflict ResolutionCultural Diversity
Work-life Balance
Behaviour Change
Workplace Wellness Strategy as part of existing Systems & Policies
Occ. Health
Citibank Health Management Program ROI
47 800 employees; 53.4% participation
• Program costs = $1.9 million (+/- R14 m)
• Program benefits = $8.9 million (+/- R63 m)
• Program savings = $7.0 million (+/- R49 m)
• ROI = $4.7 in benefits for every $1 in costs (R35 for every R7, or 5:1 ROI)
Ref:
Ozminkowski, R.J., Goetzel, R.Z., et al.,
Journal of Occupational and Environmental Medicine
Case studies: ROI / Business Case
www.DrArien.co.za
Meta Evaluation of Worksite Health Promotion
Economic Return Studies
- Larry Chapman (Art of Health Promotion, 2005)
• Analysis review 56 peer reviewed studies
• Number of combined subjects in all studies: 483 232
• Average study duration - 3.66 years
• Primary outcomes examined: health care
utilisation/cost
(28 studies); absenteeism (25 studies)
• Results:
– Average reduction in health care costs: 26%
– Average reduction in sick leave / absenteeism: 27%
– Average ROI: 5.81 : 1.00
(22 studies)
www.DrArien.co.za
Successful, popular, often requested Wellness Interventions / Programs
1. Physical: Sleep restoration/fatigue management & blood sugar balance
2. Practical stress management
3. Mobile Weight Control Clinic
4. Wellness or peer educator training (WET / PET) as part of SHE & EAP
training & support
5. Integrative health and wellness coaching. Topic examples:
i. Executive health
ii. Nutrition talks & cooking demo’s
iii. Heart health
iv. Immune system health
v. Fun fitness: esp. dancing, yoga
www.DrArien.co.za
• Awareness
• Participation
• Education
• Improved attitudes / mind set changes / self
responsibility
• Behaviour change
• Risk reduction
• Decreased utilisation of health care, sick leave
• Financial impact / ROI
Critical Steps to Ensure Success
www.DrArien.co.za
Metabolic Syndrome.Endocrine, metabolic
imbalance
• >3.5 million diagnosed diabetes
• 2010 - 150 million people diagnosed with metabolic syndrome
• 20% actually diagnosed -utmost importance of regular health, wellness screenings
• Increase to 300 million by 2030
• Compare: 35 million HIV+ people globally, 22 million of those in Africa
• Metabolic syndrome much bigger health challenge -integrative medical and wellness solutions essential
- Heart & Stroke Foundationwww.DrArien.co.za
Metabolic Syndrome: Chronic Inflammation
• Waist circumference: abdominal circumference > 102 cm men, > 88 cm women.
• Triglycerides: 1.7mmol/L or >
• HDL: < 1.0 mmol/L men; < 1.3 mmol/L women.
• Blood pressure : 130 mmHg systolic; 85mmHg diastolic or >
• Fasting glucose >5.5 mmol/L
• Fasting insulin > 50 years
• Often depression, hypothyroidism www.DrArien.co.za
• Often part of MetS
• Heart related health challenges (diseases) > 40 years of age, i.e.
Middle & top management employees, companies’ leadership
team, key decision makers
• Reasons:
➢ Type A personality
➢ Stress associated with above and work responsibilities
➢ Poor work-life balance
➢ Poor lifestyle
Heart Health Challenges
www.DrArien.co.za
Metabolic Syndrome
BIGGEST KILLER CEO’S: HEART ATTACK
Jim CantalupoCEO
McDonaldsDied: Age 60
Heart Attack
Phil BaxterCEO CVP
Died: Age
48
Heart Attack
Vin ProthroCEO Dallas
SemiconductorDied: Age 58
Heart Attack
Brenda BarnesCEO Sara Lee
Age 56
Stroke
Michael Browne
CEO Datacom
GroupDied: Age
46
Heart Attack
Family History
Hypertension, high cholesterol, cardiovascular disease risk factors
Age/Gender
Hypertension
High cholesterol
Diabetes Mellitus Sedentary Lifestyle
Smoking
Obesity
Uncontrolled / long term stress
&
Stress associated with the type A personality, worry, anxiety
www.DrArien.co.za
• Low antioxidant status
• Low levels of essential fatty acids
• High levels of CRP
• Low levels of magnesium and potassium
• Increased platelet aggregation (stickiness)
• Increased fibrinogen formation
• Elevated levels of homocysteine
• Emotional: hostility, anger, inability to forgive
Lesser known, but important risk factors
www.DrArien.co.za
www.DrArien.co.za
Depression and Mental Health
www.DrArien.co.za
• Depression > 100 million people worldwide
• 2nd leading cause disability ages 15–50
• WHO: 2020 depression 2nd only to ischemic heart disease as leading cause of disability all ages, both genders.
• Findings Organisation for Economic Co-operation and Development (OECD): 1/5 workers mental illness - depression, anxiety
• Triad
• Huge impact productivity workplace as many struggle to cope
• Mental illness: often sick from work or presenteeism
• 30-50 % new disability benefit claims OECD nations poor mental health
• Policy makers: find innovative ways to manage social, economic problem mental illness - trigger factors e.g. stress at work, financial stress, relationships - will increase
• Increasing job insecurity, pressure in today's workplace - in mental health problems in coming years
www.DrArien.co.za
Depression and Mental Health
www.DrArien.co.za
Thyroid health• Hypothyroidism/ low thyroid function 10 – 40% adult population. Testing thyroid
function (min TSH) – essential part annual medical check-up
• Symptoms – extensive, serious impact on workplace productivity:
➢Metabolic: weight gain, sensitivity to cold weather (demonstrated by cold hands and feet), oedema - front of lower legs, ankles, feet, hands
➢Endocrine: loss libido men, menstrual abnormalities women – prolonged, heavy menstrual bleeding, shorter menstrual cycle; infertility
➢Skin, hair and nails: dry, rough skin covered with fine, superficial scales; coarse, dry, brittle hair with hair loss that could be severe; nails become thin, brittle, transverse grooves
➢Psychological: depression, weakness, fatigue – often 1st symptoms of hypothyroidism, followed later by difficulty in concentration and forgetfulness
➢Muscular and skeletal: muscle weakness, joint stiffness
➢Cardiovascular: hypothyroidism predispose hardening arteries - increase in cholesterol and triglycerides levels; hypertension, heart failure
• Other manifestations. shortness of breath, constipation, kidney function
Fuel: Healthy eating / Food supplements
INSULIN
Blood Sugar
HIGH
NORMAL
LOW
Low blood sugar and dumping
GLUCAGON
www.DrArien.co.za
Superfoods• Berries
• Nuts, seeds
• Cereal grains, grasses –wheatgrass, brown rice, oats
• Oils
• Raw honey
• Pulses/legumes
• Garlic
• Mushrooms
• Bee pollen
• Sprouts
• Aloe ferox – smoothie
• Seaweed
• Raw cacao Health Stress Management (Pty) Ltdwww.healthstresswellness.com
Additional nutrition essential for MetS, heart health, thyroid, nervous system
www.DrArien.co.za
• Food supplements essential - greatly
increased need for many nutrients
• Abnormal glucose metabolism in diabetics -
free radicals due to oxidative stress &
depletion of essential micronutrients
• Ginkgo biloba
• Crateagus oxyacantha
• CoQ10
• Quercetin (onions, garlic)
• Cinnamon, ginger, turmeric
• Milk thistle
www.DrArien.co.za
Infoceuticals, Nutriceuticals, BotanicalsLet your Food be your Medicine
Basic 31.Antioxidant 2.Calcium and
Magnesium 3.Omega- 3,6,9
Add system –Herbal remedies
Support Physiology:
Optimal Nutritional Support
www.DrArien.co.za
Wellness definition of fitness:
• Ability to meet the needs of your lifestyle with ease
• Exercise improves insulin sensitivity in muscles, better glucose uptake, more energy/fuel in muscles, drop in blood glucose levels. Heart health. Improved mood. Thyroid support.
• Interval training
Do something you enjoy –many health benefits:
• Dance, yoga, swimming, tai chi, walk
• Music & mood
• Healthy spine, core:
pelvis, chest, head
Regular physical activity
www.DrArien.co.za
Workplace wellness and stress
• 80-90% all visits to primary health care facility stress related
• BMJ: work stress i. 2x risk death heart disease; ii. 2.5x
• Karoshi death study Japanese researchers: severe work stress (long working hours, shift work, irregular work
schedules) sudden, unexplained death young men and women
• All CDL’s: stress at source
• Stress related illness most important cause for sick leave, absenteeism & presenteeism - direct impact on
productivity
www.DrArien.co.za
Step 1: Improve Oxygen Supply - optimal cellular function & energy generation
Glucose, oxygen fuel sources - one of most important components ofcell: mitochondria - power generators. Lack of oxygen, glucose -impossible for cells to work at full capacity or to be optimally healthy- hormonal, blood sugar imbalance, thyroid, cardiovascular,neurological, overweight/obesity.
Step 2: Sleep Restoration
www.DrArien.co.za
Step 3: relax at least twice a day
Daily Relaxation for Optimal Resilience
and Wellbeing
• Start, end day in alpha-theta mode:
stretch, tune in, connect to core –
10-20 minutes
• Set intentions
• Tune in to emotions - reset
• Journaling
www.DrArien.co.za
Workplace Wellness: A Philosophy for a Life of Optimal Wellbeing
www.DrArien.co.za
Wellness is more than the absence of disease, it’s the optimal health of body, mind and soul. - World Health Organisation
Wellness comes with joy, vitality and balance; it gives us a sense of fully embodying our potential, the ability to face our life with grace, dignity and enthusiasm. - AvdM
Workplace Wellness – Paying it Forward: Healthy workforce = healthy families,
communities, country!The day will come when
nations will be judged not by
their military or economic
strength, nor by the splendour
of the capital cities and public
buildings, but by the wellbeing
of their peoples; by their levels
of health, nutrition and
education
- UNICEF: Progress of Nations
www.DrArien.co.za
Ariani HEALTH SOLUTIONS: www.DrArien.co.zaSpecialist Service Provider ConsultantsTraining can be claimed from Skills Levy
• Education, Peer Educator and Wellness Team Training
• Training Manuals, Training Tools: Poster Sets, Books, CD’s
• Stress management and Optimal Resilience Training
• Freelance writing, talking on all health topics
• Article contributions to any wellness journal
• Nutrition, fitness specialist
• Key Wellness Solutions – Project Management
• Executive Wellness
• Talks, Courses (in house and online), Seminars, Health
Coaching
• Products: Nutritional Food Supplements, Books, eBooks, relaxation CD
Integrated & customised to your organisation’s needs!
www.DrArien.co.za