{"id":23342,"date":"2019-04-09T10:19:26","date_gmt":"2019-04-09T16:19:26","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=23342"},"modified":"2024-08-05T13:16:31","modified_gmt":"2024-08-05T19:16:31","slug":"living-well-with-chronic-disease","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/living-well-with-chronic-disease\/","title":{"rendered":"Living well with chronic disease"},"content":{"rendered":"
<\/div>
\"Hispanic
Rosa Gutierrez battled high blood pressure for eight years. But now she\u2019s learned how to achieve small goals resulting in bigger successes. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n

Six months ago, Rosa Gutierrez set three daily goals: eat more fruits and vegetables, exercise and work on her English for one hour.<\/p>\n

\u201cNow, when I don\u2019t do them, I feel like I\u2019m missing something,\u201d Rosa explained.<\/p>\n

That wasn\u2019t always the case. Rosa never exercised and the family meals she\u2019d prepare for her husband and three kids rarely included fruits or vegetables. She had also been battling high blood pressure for more than eight years.<\/p>\n

Then a coworker told her about Tomando Control de su Salud, one of UCHealth\u2019s five Living Well programs<\/a>.<\/p>\n

\u201cI thought I\u2019d see what was there and what it was like, because I care about my family,\u201d Rosa said.<\/p>\n

Living Well is an evidence-based program to help people gain confidence to make the changes to better manage their health conditions, explained UCHealth Community Health<\/a> Educator Ellen Pihlstrom, who coordinates the programs. Along with Tomando Control, the Spanish-speaking version of the chronic disease program, other Living Well programs address pain, cancer and diabetes.<\/p>\n

\u201cThe Living Well programs are about incorporating a behavior change in someone,\u201d Pihlstrom said. \u201cIt\u2019s about action-planning, brainstorming and decision-making. It\u2019s not for everyone, but great for those open minded to changing their lifestyle to be their healthiest self.\u201d<\/p>\n

Rosa was enthusiastic.<\/p>\n

She committed to a free six-week program. For two and a half hours each week, she met with a group of peers who helped her set and be accountable for small goals, and provided support and guidance.<\/p>\n

\"Hispanic
Rosa Gatierrez walks the track at the Fort Collins\u2019 Northside Aztlan Community Center. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n

Each week, participants learn new tools they can use for the rest of their lives. Learning and incorporating the seven steps to problem-solving is one example, Pihlstrom said.<\/p>\n

\u201cLots of times when we are not feeling well, we think, \u2018This is a problem,\u201d and we jump right to step seven: I can\u2019t do anything about it,\u201d she explained. \u201cBut we must remind the brain to go through the steps. What is the problem? Make a list of how to solve the problem and try something on the list. If it doesn\u2019t work, they have something else on the list to try. They are not giving up automatically and are able to get through their daily issues.\u201d<\/p>\n

After learning a tool, participants create an action plan.<\/p>\n

\u201cAction plans break down those big projects into something that\u2019s doable so you can be successful,\u201d Pihlstrom said.<\/p>\n

By establishing the what, how much, when and how often, participants are more likely to be more confident in their action plan. This results in higher success in achieving that plan, thus leading to subsequent successes.<\/p>\n

With the complexity surrounding disease management, this is extremely helpful, she added. Take diabetes, for example.<\/p>\n

\u201cWhen people find out they have diabetes, they are instructed to change almost every aspect of their life and it is often overwhelming and scary,\u201d Pilhstrom said. \u201cThey often head home, back to the comfort of their not-so-healthy routine or make drastic changes that cannot be sustained. We support them to understand that they can change, not overnight, but little changes in little increments.\u201d<\/p>\n

\"outline
Creating action plans to tackle little challenges is how big changes are maintained.<\/figcaption><\/figure>\n

Rosa began adding fruits and vegetables to her shopping list, which she was surprised to find out, were easier on her pocketbook than meat. She used the internet to find good recipes and then added more vegetables than required in the recipe. And she found fun ways to incorporate fruit, such as a fruit cocktail.<\/p>\n

Her husband was still a bit reluctant, she admitted. So, she found ways to \u201ccamouflage\u201d the vegetables, like in chili. She limited meat to only a few times per week.<\/p>\n

Her husband would often ask where the meat was. With a grin, Rosa confessed, \u201cI\u2019d just tell him, \u2018Maybe tomorrow.\u2019\u201d<\/p>\n

Each week, participants report back to the class, which fosters accountability. There is a lot of sharing and brainstorming among the group, Pihlstrom explained. And that leads to support, as Rosa found out.<\/p>\n

\u201cOne lady in class called and asked me, \u2018Did you exercise?\u2019 I told her, \u2018No,\u2019 and she told me that we should do it together,\u201d Rosa said. \u201cEven though I didn\u2019t want to do it at that moment, I did. It helps a lot.\u201d<\/p>\n

Rosa has applied similar tools to her sleep habits and is now on a more consistent schedule and getting better sleep.<\/p>\n

And that high blood pressure? It\u2019s under control now, too.<\/p>\n

\u201cIt is behavior changes \u2014 helping them realize there are resources and where to look for them,\u201d Pihlstrom said. \u201cWhen they leave their class, they know how to do these things on their own. We are not here to say, \u2018you need to \u2026.\u2019 We are really here just for guidance, and it\u2019s what they do that makes them successful.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Six months ago, Rosa Gutierrez set three daily goals: eat more fruits and vegetables, exercise and work on her English for one hour. \u201cNow, when I don\u2019t do them, I feel like I\u2019m missing something,\u201d Rosa explained. That wasn\u2019t always the case. Rosa never exercised and the family meals she\u2019d prepare for her husband and […]<\/p>\n","protected":false},"author":2164,"featured_media":23343,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[4750,708,1479,28,4408,3921,710,351,9187,9171],"class_list":["post-23342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-access-to-care","tag-adults-65-plus","tag-aspen-club","tag-cancer-care-oncology","tag-chronic-disease-management","tag-community-benefits-report","tag-community-health","tag-primary-care","tag-readysetco","tag-senior-care"],"acf":[],"yoast_head":"\nLiving well with chronic disease - UCHealth Today<\/title>\n<meta name=\"description\" content=\"This evidence-based program provides the resources and helps people gain confidence to be able to make the changes to better manage their health conditions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/living-well-with-chronic-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Living well with chronic disease\" \/>\n<meta property=\"og:description\" content=\"This evidence-based program provides the resources and helps people gain confidence to be able to make the changes to better manage their health conditions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/living-well-with-chronic-disease\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-09T16:19:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-05T19:16:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/04\/01142735\/CHI_living-well-program-rosa1-tiny.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kati Blocker, UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kati Blocker, UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/living-well-with-chronic-disease\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/living-well-with-chronic-disease\\\/\"},\"author\":{\"name\":\"Kati Blocker, UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/2974962d9c19ae1bbcec3250ab830fbc\"},\"headline\":\"Living well with chronic disease\",\"datePublished\":\"2019-04-09T16:19:26+00:00\",\"dateModified\":\"2024-08-05T19:16:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/living-well-with-chronic-disease\\\/\"},\"wordCount\":875,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/living-well-with-chronic-disease\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2019\\\/04\\\/01142735\\\/CHI_living-well-program-rosa1-tiny.webp\",\"keywords\":[\"Access to care\",\"Adults 65+\",\"Aspen Club\",\"Cancer care\",\"Chronic disease management\",\"Community Benefits Report\",\"Community health\",\"Primary care\",\"Ready. 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