Pritchett & Hull Associates | Patient Education Solutions | 2015 Catalog One by Pritchett & Hull Associates, Inc.

Cardiology Tearpads (tearpads are 81/2 x 11”, double-sided, unless indicated otherwise–in pads of 50 sheets) Atrial Fibrillation (AF) Heart rhythm and AF upper chambers

As a rule, the heart has a regular rhythm (pattern of heartbeats). This rhythm helps pump blood through the heart and out to the body and lungs at a steady rate.

left atrium right atrium

When you have Atrial Fibrillation (AF), your heart’s upper chambers beat too fast and not in a regular rhythm.

left ventricle right ventricle

Symptoms lower chambers

What it means When you have AF, the upper chambers of your heart don’t pump blood into the lower chambers the way they should. The blood left in the upper chambers tends to pool and may form clots. These clots can move to any part of your body. If a clot goes to your brain, it can block the flow of oxygen to part of your brain. When this happens, some of your brain cells may die. This is called a stroke. Having AF makes you 5 times more likely to have a stroke.

Risk Factors You are at higher risk for AF if you: • are over 65 • have heart disease

Some people with AF have no symptoms at all. Others may have these symptoms, which may begin and/or stop quickly:

item 288–DASH Food Plan

$10.95 5th grade reading level

$10.95

item 428–CAD and Weight

item 319–Echocardiogram

4th grade reading level

• palpitations—fast, “fluttery” heartbeats • shortness of breath • a fast, uneven pulse • chest pain or tightness • fatigue or weakness

$10.95 5th grade reading level

• confusion • dizziness If you have any of these symptoms, call your doctor.

Tell your doctor if your symptoms come back or if you have new problems such as ankle swelling, loss of appetite or sudden weight gain (3–5 lbs in 5 days).

item 429–CAD Risk Factors

item 427–CAD and Diet

Pritche &Hull

Product # 302

p-h.co 1- 00-2 1- 925 phsales p-h.co

$9.95 4th grade reading level single-sided

item 405– Endocarditis

$10.95 6th grade reading level

$10.95 6th grade reading level item 567–EP Study

item 499– About Abdominal Aortic Aneurysms

item 370–Cardiac Cath

$10.95 5th grade reading level

item 291–Cardiac Rehab

item 404– Angina

$10.95 5th grade reading level

item 487–Cardiovascular Disease– It’s a “Girl Thing”

item 406– Arrhythmia

$10.95 5th grade reading level

item 387–Arterial Disease

$10.95 5th grade reading level

item 430–Changing Your Diet for CAD

$10.95 5th grade reading level item 302–Atrial Fibrillation

$10.95 4th grade reading level item 590–BNP Test

$9.95 4th grade reading level item 486–Biventricular Pacemaker

$10.95 5th grade reading level item 422– HBP Facts

$10.95 5th grade reading level

$10.95 4th grade reading level item 356–Cholesterol

$10.95 6th grade reading level item 596–Cholesterol and Blood Pressure Test Results

$10.95 5th grade reading level

item 433–Exercise and CAD

$10.95 5th grade reading level item 366–Exercise and Heart Failure

$10.95 5th grade reading level

Heart & Lungs

$10.95 4th grade reading level item 392–Exercise Pain and Arterial Disease

$10.95 5th grade reading level item 324–Exercise Stress Test

$9.95 4th grade reading level single-sided

item 289–Folic Acid

$9.95 8th grade reading level item 391–Compression Therapy

single-sided

$10.95 6th grade reading level

item 282–Heart Attack Signs

item 375–Coronary Balloon Angioplasty

four-sided • 11 x 17” folded

item 568–Catheter Ablation item 449–Exercise for $15.25 4th grade reading level four-sided • 11 x 17” folded

item 388–Arterial Ulcers

$15.25 5th grade reading level

$10.95 4th grade reading level

$10.95 5th grade reading level 2

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Cardiology Tearpads

Samples p-h.com

(tearpads are 81/2 x 11”, double-sided, unless indicated otherwise–in pads of 50 sheets)

Heart Failure and Your Weight Why weight matters

Holding fluids

The heavier you are, the harder your heart has to work to pump blood to all parts of your body. With heart failure, your heart is already weakened. This extra work weakens your heart even more. Controlling your weight can help your heart pump better.

When your heart does not pump blood as it should, your kidneys hold fluid (water and salt) and do not send it out in your urine. Your heart has to work harder to pump this extra fluid, as well as your blood.

Eating a healthy diet and doing some moderate exercise, like brisk walking, can help you lose weight. Follow these rules: ✔ eat a low-fat, low-calorie diet ✔ limit salt and fluid as your doctor advises ✔ no more than 1-2 alcohol servings per week (1 serving = 11/2 oz 80 proof liquor or 5 oz of wine or 12 oz of beer) ✔ no more than 1 caffeinated beverage per day ✔ eat smaller portions more often during the day ✔ ask your doctor for an exercise plan for you

Weigh yourself at the same time each day wearing the same clothing. If you gain 3-4 pounds in 1-2 days (or 2 lbs overnight), call your doctor. This usually means your body is holding fluid. Keep a record of your weight. This will help you know if your body may be holding fluid. If so, your doctor may need to give you more diuretics (drugs that help remove added fluid from your body). Think about what you are eating as you track your weight. If you are eating less but your weight is staying the same, your body may be holding fluid even though you are losing fat. If you aren’t losing weight but think you should be because you are eating less, talk with your doctor.

Pritchett & Hull Associates, Inc.

Atlanta, GA

800-241-4925

item 287–Weight

$10.95 5th grade reading level

$10.95 4th grade reading level

item 595–Learning About Sodium in Your Diet

item 365–Symptoms of Heart Failure

Management

$10.95 4th grade reading level

$9.95 5th grade reading level • single-sided

item 569–Learning About Your ICD

Use the Daily Weight Record on the back to keep track of your weight. Take it with you to your doctor appointments.

item 367–Learning About Heart Failure

Product # 368

Bringing Patients & Health Together

item 368–Heart Failure and Your Weight

$10.95 4th grade reading level

item 381–Taking Medicines for High Blood Pressure

$15.25 5th grade reading level four-sided • 11 x 17” folded

$10.95 6th grade reading level

item 450–Let’s Exercise/ Let’s Stretch

item 570–Tilt Table Testing

$15.25 3rd grade reading level

$10.95 4th grade reading level

four-sided • 11 x 17” folded

item 586–Trans Fat

$10.95 5th grade reading level

item 382–Managing High Blood Pressure

item 380–High Blood Pressure and Exercise

item 355–Transesophageal item 629–Metabolic Syndrome Echocardiogram

item 286–Heart Failure Facts

$10.95 6th grade reading level

$10.95 5th grade reading level

$10.95 4th grade reading level

$10.95 6th grade reading level

item 369–High Blood Pressure and Heart Failure

item 398–Mitral Valve Prolapse

item 389–Venous Disease

$10.95 5th grade reading level

$10.95 4th grade reading level

$10.95 4th grade reading level item 383–High Blood Pressure and Weight Management

$10.95 5th grade reading level

item 390–Venous Ulcers item 607–Sex After a Heart Attack

$10.95 5th grade reading level

$10.95 4th grade reading level

item 608–Your Portion Size Guide

item 364–Sodium Use

$10.95

$10.95 5th grade reading level item 384–How To Take Your Blood Pressure

$10.95 4th grade reading level

Heart Attack: Taking Action

item 363–Stents

$9.95 4th grade reading level single-sided

item 434–Learning About CAD

Women be aware:

You may feel any of these when having a heart attack:

You may not feel heart attacks the same way men do. You may have less intense chest pain, more nausea or more weakness. Elderly people may also have less intense symptoms. Just because your symptoms may be mild doesn’t mean your heart attack isn’t serious.

• discomfort or a band of pressure around your chest that lasts more than a few minutes • aching, burning, tightness or squeezing in your upper body, back, shoulder blades, chest, one or both arms, neck, jaw or stomach • indigestion, fullness, heaviness, choking Sometimes other feelings occur too, like: • • • • • •

sweating (cold or hot) nausea or vomiting dizziness fast heartbeats severe weakness shortness of breath

Did you know. . .? • In the U.S., heart disease is the leading cause of death among men and women. • Finding and treating heart attack symptoms can often lessen or prevent heart damage. • Smokers are 2-6 times more likely to have a heart attack than nonsmokers.

Act quickly

$9.95 3rd grade reading level single-sided

Know the signs

item 283–Stroke

$10.95

4th grade reading level

• People who don’t exercise regularly are almost twice as likely to have a heart attack.

• Call 911 if any of the above signs go on for more than 5 minutes. • If you are alone, unlock your door and sit or lie down while you wait for help to come. • Wait for an ambulance unless it is faster for someone else to drive you to the hospital. Copyright © 1999-2013 Pritchett & Hull Associates, Inc. DO NOT DUPLICATE.

p-h.com or 1-800-241-4925

• Even a 10 pound weight loss can reduce your risk of a heart attack. • You can have high blood pressure (which can lead to a heart attack) and not know it.

Pritchett & Hull Associates, Inc.

Atlanta, GA

800-241-4925

Product # 282

Bringing Patients & Health Together

CardiologyBooks Books

Please visit us online at p-h.com to see our full line of patient education material.

item 259A–The Active Heart

An exercise book for cardiac rehab patients About cardiac rehab, what it is, your exercise plan, what to do before you exercise, taking your pulse, about exercise, cardiac rehab goals, right diet.

$3.10

each • 5th grade reading level 16 page paperback • 81⁄ 2 x 10”

item 67D–Angioplasty & Stents

for narrowed arteries and vein bypass grafts

f or narrowed arteries & vein bypass grafts This book is for patients having coronary, renal, iliac, femoral or popliteal angioplasty. It not only prepares them for what to expect before and after angioplasty, it also shows them which lifestyle changes will help them prevent future fatty buildup in the arteries. Includes why atherosclerosis develops, how angioplasty opens an artery, risks, preparation and recovery. $3.80 each • 5th grade reading level

Honoring the Nation’s Best Consumer Health Programs and Materials

32 page paperback • 81⁄ 2 x 10”

item 378A–Heart Caths for Kids

book for parents of children needing heart catheterization A Anxious parents want answers to their questions when their child needs a heart cath procedure. Let P&H help you answer those questions with Heart Cath for Kids. This step-by-step guide tells parents about every aspect of the cath procedure from preparing for the cath to what to do afterwards. More involved definitions and explanations of specific cath procedures are covered in an easy-to-understand way in the appendix. This comforting book can help parents during a very tough time.

$4.10

each • 5th grade reading level 32 page paperback • 81⁄ 2 x 10”

item 306A–To Mend a Broken Heart* pediatric heart surgery

Pediatric heart surgery “Heart surgery.” Sometimes it can be difficult to teach parents when they hear those words. This book helps to ease their anxiety and fears. Simply written and warmly illustrated, this interactive book explains a child’s heart surgery when there is a congenital heart defect. It covers types of surgery, what is done before surgery, going to the hospital, what happens during surgery and what to expect afterwards

$4.10 each • 5th grade reading level

* A vailable in Spanish – see page 50

32 page paperback • 81⁄ 2 x 10”

item 20D–Blood Pressure Control a matter of choices The right choice for making better choices in blood pressure control.

•E asy learning & teaching interactive format • 5th grade reading level •C olor photos and step-by-step illustrations $3.99 each • 5th grade reading level 40 page paperback • 81⁄ 2 x 11”

p-h.com or 1-800-241-4925

Honoring the Nation’s Best Consumer Health Programs and Materials

cardiac catheterization

“ I was impressed by the simple language used to instruct in all aspects of this booklet. Both layman’s terms and medical terms were used. Diagrams are helpful in explaining visually the verbal instruction. This will aid comprehension for many people. Good work!.”

tion

— Cynthia Gibson, RN

cardiac catheteriz a

RTA

and other and radiolodiagnostic tests gical proce dures Product # 04D

and other diagnostic tests and radiological procedures item 04D–Cardiac Catheterization and other cardiac diagnostic tests and radiological procedures A heart cath, at the hospital, getting ready for cardiac cath, the cath lab, the catheter and dye, after the cath, getting out of bed, going home, results, treatment, other heart tests. Includes color photos. $3.70 each • 5th grade reading level 32 page paperback • 81⁄ 2 x 10”

Honoring the Nation’s Best Consumer Health Programs and Materials

p-h.com or 1-800-241-4925

A manual for heart attack survivors and those who love them item 242B*

$3.80 each • 6th grade reading level • 48 page paperback • 8 ⁄

What Happened To My Heart? A A heart heart attack attack is is most most often often caused caused by by aa blood blood clot. clot. It It forms forms aa dam dam in in the the stream stream of of blood blood taking taking oxygen oxygen to to your your heart heart muscle. muscle.

x 10”

Coronary Coronary arteries arteries carry carry blood blood and and oxygen oxygen to to your your heart heart muscle. muscle. Over Over time, time, these these arteries arteries can can become become narrowed narrowed by by fatty fatty deposits deposits (plaque). (plaque). This This is is like like rust rust building building up up and and narrowing narrowing aa pipe. pipe. Inflammation Inflammation of of the the artery artery lining lining is is likely likely aa key key part part of of this this process, process, called called coronary coronary artery artery disease disease (CAD)* (CAD)*..

artery artery all all lood lood clot clot Circumflex Circumflex artery artery

ig ig tt coronary coronary artery artery

Left Left anterior anterior descending descending artery artery

Ask Ask your your doctor doctor to to show show you you the the artery artery blockage blockage and and the the part part of of your your heart heart that that was was damaged. damaged.

crac crac ss in in fatty fatty la la ue ue

fatty fatty la la ue ue

When When the the artery artery lining lining is is inflamed, inflamed, splits splits in in the the plaque plaque are are likely likely making making it it easier easier for for blood blood clots clots to to form. form. These These clots clots block block the the flow flow of of blood blood and and oxygen oxygen to to the the heart heart muscle. muscle. Without Without oxygen, oxygen, part part of of the the heart heart is is damaged. damaged. This This is is aa heart heart attack, attack, also also called called aa myocardial myocardial infarction infarction or or “coronary.” “coronary.” It’s It’s rare, rare, but but sometimes sometimes spasm spasm of of aa heart heart artery artery can can stop stop blood blood flow flow to to part part of of the the heart heart muscle, muscle, causing causing aa heart heart attack. attack.

Learn About. . .

ss asm asm

artery artery

lood lood flo flo sto sto ss

What happened to my heart? . . . . . . . . . . . . . .4-5 also also called called coronary coronary at at erosclerosis erosclerosis

Diagnosis and treatment . . . . . . . . . . . . . . . . . . 6-8 Possible problems . . . . . . . . . . . . . . . . . . . . . . 9-10 Hearts do heal . . . . . . . . . . . . . . . . . . . . . . . . 11-15 Back in the swing . . . . . . . . . . . . . . . . . . . . . . 16-21

Help your patients focus on a healthier future. Preview the latest edition at p-h.com/242

Take control . . . . . . . . . . . . . . . . . . . . . . . . . . 22-36 Smoking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22-23 High blood pressure . . . . . . . . . . . . . . . . . . . . . . 24 Heart-healthy diet . . . . . . . . . . . . . . . . . . . . . .25-29 Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30-32 Weight management . . . . . . . . . . . . . . . . . . .33-34 The metabolic syndrome . . . . . . . . . . . . . . . . . . 35 Stress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Other issues . . . . . . . . . . . . . . . . . . . . . . . . . . 37-40 Medicines . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41-42 Follow-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Be heart-smart . . . . . . . . . . . . . . . . . . . . . . . .44-47 Your heart is in your hands . . . . . . . . . . . . . . . . 48

* A vailable in Spanish – see page 50 6

p-h.com or 1-800-241-4925

Books

Cardiology

Please visit us online at p-h.com to see our full line of patient education material.

item 13B–Exercise for Heart & Health

for people with heart problems and for those trying to prevent them Why exercise, how to exercise, diet & environment, exercise cautions. $3.90 each • 5th grade reading level

environment

how to exercise

why exercise?

how hard to exercise

exercise cautions

environment

exercise and other health conditions

This accompanying CD contains 40 printable exercise handouts with instructions. $19.99 each • CD-ROM • handouts print 81⁄ 2 x 11”

exercise cautions

to accompany the book Exercise for heart and health

item 13BC–Exercise Program CD

how to exercise exercise and other health conditions

42 page paperback • 81⁄ 2 x 11”

why exercise?

how hard to exercise

for heart and health

Pritchett & Hull Associates, Inc.

the heart and muscles

body fat & weight loss

Regular exercise helps your heart pump with less effort. When you are fit, your heart can beat fewer times per minute and still get the same amount of blood and oxygen to your body. This means your heart is more efficient. As your muscles get stronger they are more able to accept and use this oxygen. In time, you notice that it takes less effort to do things. It’s like a car getting better mileage after a tune-up.

Excess body fat is not healthy. It not only makes the heart work harder, it also has been linked to other health problems. Fat around the waist is more dangerous than fat around the hips, but all fat is bad. Exercise and diet are two ways to lose body fat and weight. For every 3,500 calories you either don’t eat or use up with activity, your weight goes down one pound. So if you ate 250 fewer calories a day and used up 250 more calories a day in exercise, it would take 7 days to lose one pound.

The 3 parts of a good exercise program include:

blood pressure

aerobic exercise (may be done all at once or broken into segments)

stretching and flexibility exercises*

strength or resistance training*

As you exercise, your body muscle mass will increase and your body fat will decrease. Since muscle weighs more than fat, the scales might not show your true improvement right away. You may want to get your body fat and muscle measured. You can also use the Body Mass Index (BMI) chart on page 9 to tell if your weight is in a healthy range.

Blood pressure is better controlled in people with high blood pressure who exercise regularly. People who exercise regularly also tend to be more careful about diet and other health habits, which helps lower blood pressure.

It is best to warm up before any exercise. The best warm up is one that uses the same muscles you use during your exercise Number 1, most of your exercise time should be spent in aerobic exercise. Aerobic exercise trains the heart muscle, helps the lungs take in more oxygen and helps your body in other ways (see page 5). Walking, jogging, cycling, dancing, swimming and cross-country skiing are examples of aerobic exercises. Sports that stop and go, like tennis, are less aerobic but are also good for training the heart.

exercise can help lower blood pressure

Number 2, stretching and flexibility exercises should be done after aerobic exercise when the muscles are warm. This can help you avoid feeling stiff and sore later. Never stretch cold muscles and do not bounce during stretching.

Another way to judge body fat is your waist size. Your waist size is too large if it is: • 35 inches or more for women • 40 inches or more for men Measure your waist straight around at the top of your hip bone.

Number 3, strength or resistance training with weights or machines, should be done 2 to 3 times each week. This is in addition to your stretches and aerobic exercise.

pe e

hip bone

LOW-LITERACY item 489A–Here’s How To Manage Your High Blood Pressure About high blood pressure, what is blood pressure, blood pressure chart, how to take your blood pressure, help control your high blood pressure. $34.00 pack of 20 • 3rd grade reading level • 18 point text 16 page paperback • 81⁄ 2 x 10”

item 198A–Lady Take Heart Guidelines for Women to Prevent Heart Disease Heart disease in women, how do I know if I have coronary heart disease, tests for heart disease, the estrogen connection. $3.20 each • 6th grade reading level 24 page paperback • 81⁄ 2 x 10”

item 22B–Going for Heart Surgery*

About heart surgery, be kind to your body, before surgery, going to surgery, equipment used, getting back to normal. $4.05 each • 5th grade reading level 48 page paperback • 81⁄ 2 x 11”

* A vailable in Spanish – see page 50

p-h.com or 1-800-241-4925

Cardiology Books Please visit us online at p-h.com to see our full line of patient education material.

item 28A–Heart Attack: What’s Ahead

by American Heart Association and Pritchett & Hull What is a heart attack, early treatment for a heart attack, how the damaged heart heals, how serious is your heart attack, what to do about angina, lowering the risk of another heart attack. $4.50 each 6th grade reading level 64 page paperback 81⁄ 2 x 11”

Travel Your doctor will tell you when it is OK to travel. Before you go, consider these suggestions: 1. Keep your medications in your carry on luggage or your purse. Then it will always be handy when you need it. 2. Pack your clothing and/or carry on bags so that you can lift them easily. Avoid carrying heavy suitcases. Use a wheeled suitcase or a pull-cart to cut down on lifting. Get help from a porter if one is available.

Home activity guide (to be completed by your doctor)

3. Allow plenty of time to get to the airport, bus or train station so that you can walk, not run, to the carrier.

Your recovery will last about Activity

At the end of hospitalization

At home Beginning level _________ to ________ (2 weeks is average)

walking

short walks on hospital floor (200 to 400 feet twice daily)

Stay on level ground or floor; can go outside if weather is mild. Relax; do not hurry. Slowly increase the distance until you are walking ¼ to ½ of a mile twice a day.

bathing

self-bathing at bedside; in tub or shower

When bathing, avoid very hot or very cold water, hurrying, excessive scrubbing or drying off (arm activity).

visitors

limited to your condition

Limit visitors to 3 or 4 a day and 15 or 20 minutes at a time or less if you get tired. Limit phone conversations as well.

riding in a car or driving

may ride in car from hospital to home, if nearby

A family member may drive you to a level place for walking if steps or hill at home prevent you from taking short walks. No driving at this time, but you may enjoy a short ride.

lifting

personal articles– books, clothes, etc.

Less than 15 lbs. You may help with meals, wash dishes, etc.

misc.

read, watch TV, do handicrafts, paint

4. Walk around at least every two hours during car or airplane trips. While sitting, do simple exercises to increase blood flow in the legs and prevent blood clots. 5. Check with your doctor before going to places at high altitude (greater than 6,000 feet) or places where the temperature will be very hot or cold. Rest when you first get there. Don’t jump right into an activity.

How the damaged heart heals The heart begins to heal during the first few weeks after a heart attack. It heals in two main ways:

• by forming scar tissue • by expanding the smaller blood vessels

In time, scar tissue replaces the damaged heart cells, making the injured part of the heart muscle stronger. Within Continue with lap activities (sewing, painting, reading, limited paperwork) 15 to 20 minutes2 to 3 hours, small arteries near the damaged area begin to several times a day. Make small meals for expand. In 2 to 3 weeks these arteries will be large enough yourself; pull covers on bed; watch TV. to bring more blood to the surrounding Ask about other hobbies. tissues. These arteries are called “collateral blood vessels.” It may take these vessels several Increase your activities gradually. months to bring enough blood to the tissues around the heart damage.

a c

i esse s atera s

scar tissue a a e area t at a rec er 12

LOW-LITERACY

HOW ur anage yo ™

here’s

to m

Heartre Failu

item 578A–Here’s How To Manage Your Heart Failure What is heart failure, exercise chart, holding fluids, call your doctor or nurse, manage your heart failure. $41.20 pack of 20

Product # 578A

Available in Spanish see page 50

2nd grade reading level • 18 point text 24 page paperback• 81⁄ 2 x 10”

“ Since implementing changes in our program, including the addition of your ‘Here’s How to manage your Heart Failure’ books, our readmission rates have dropped. We piloted 3 different books with our patients and they all chose ‘Here’s How’. Patients, families and staff love your books.” — Joan Somes, RN, PhD

p-h.com or 1-800-241-4925

Books

Cardiology

item 164B–Off the Beat

Normal heart rhythm, studies to record an abnormal rhythm, abnormal heartbeats and rhythms, treatment for abnormal heart rhythm, back on the beat. $4.10 each • 5th grade reading level 24 page paperback • 81⁄ 2 x 11

item 261A–The Love Your Heart Diet A nutrition guide for heart patients Fats and cholesterol, sodium, food labels, tips for cooking. $1.80 each • 5th grade reading level 8 page paperback • 81⁄ 2 x 10”

A nutrition guide for heart patients

item 76C–It’s Heartly Fare A food book about fat, cholesterol and salt Read all labels, things you might not know about some foods, eating out, cooking it yourself, snacks. $4.05 each • 5th grade reading level 56 page paperback and supplements • 81⁄ 2 x 11”

Cooking with herbs & spices Herbs are the leaves of certain plants. Spices are the seeds. Play around with new herbs and spices to find out what tastes good to you. Over time your tastes will change, and you won’t miss the salt. Here’s how to get started: • Each month buy a jar of herbs or spices that you’ve never tried before. Try fresh herbs, too, when you can find them (or grow some). • Dried herbs and spices are stronger than fresh ones. Don’t use too much of a dried herb or spice the first time. A rule of thumb: If you can stand the same amount of ground black pepper, you will probably like that much of a dried herb or spice. If you use too much at first, it may turn you off to the taste. • If you use fresh herbs, use about 3 times more than you would of a dried herb. • Try an herb or spice by itself when you first use it. This gives you a good idea of the flavor. If you don’t like it, toss it out and buy another. You won’t like all herbs and spices.

• A good place to start is with this recipe. It’s simple, and the flavor of any herb or spice will come through.

LAZY CHICKEN BREASTS (2 servings) 2............... 3 oz chicken breasts (on bone, skinned and trimmed of fat) 2 tsp......... olive oil or I Can’t Believe It’s Not Butter® spray ¼ tsp ....... dried rosemary (or any single herb/spice) • Place the chicken breasts in a baking pan. • Put 1 tsp of olive oil or spray on top of each breast. • Sprinkle the herb of your choice over each breast. • Let them take a nap (uncovered) in a preheated 350˚ oven for about 25 minutes. • Wake them now and then to make sure they are not getting too much sleep.

• Once you know what you like, you’re ready to combine some herbs and spices. Look for recipes that have more than one herb, and try them first.

Cook i ng i t yours e l f

Some other good herbs and spices to try with this chicken are: basil oregano thyme tarragon caraway seeds curry powder marjoram garlic or onion powder

Cooki ng i t y ou r se l f

p-h.com or 1-800-241-4925

VAD (ventricular assist device) A ventricular assist device (VAD) refers to a small pump placed in the chest to boost blood flow from a lower heart chamber to a large body artery. Newer VADS are smaller* and often allow living at home with family support. VAD patients often have more energy, fewer medications and an improved quality of life. A VAD implanted for long-term use is called Continuous-Flow VAD “destination therapy”. All of today’s VAD pumps have a drive-line tubing that comes through the skin and connects to an outside VAD controller (“brains”). Cables from the controller lead to either battery or AC power. During the day, the batteries and VAD controller are placed in the pockets of a VAD vest worn over clothing. At night, the patient (and family) disconnect the battery cables and plug them into the AC-powered VAD bedside console.

pump (inside body) batteries VAD tubing (drive-line) VAD controller

The VAD patient or family member do the regular sterile dressing changes needed to prevent infection where the driveline tubing comes through the skin. Although showers are OK, swimming and tub bathing are not allowed with a VAD. Prior to a shower, plastic wrap like Glad Press’N’Seal® is placed over the dressing. The batteries and VAD controller go in a ‘shower kit’ provided by the device company. Many activities are fine for someone with a VAD as long as there is no tension on the drive-line tubing. Contact sports are not OK.

*HeartMate II® VAD made by Thoratec® is only 3 inches long and weighs 10 ounces.

How you may feel As heart failure gets worse, you may notice some or all of these: o sudden weight gain (3–4 lbs in 1 to 2 days or 2 lbs overnight) o swelling of the legs and ankles o swelling, bloating (making you feel full much earlier at meals) or pain in the belly o trouble sleeping unless propped up on 2 or more pillows (may also be caused by problems other than heart failure) o shortness of breath (may be all of the time, with exertion or only when waking up breathless at night) o frequent, dry, hacking cough (most often when lying down)

item 27G –A Stronger

o loss of appetite (or nausea)

Pump Book*

a guide for people with all types of Heart Failure $4.00 each • 5th grade reading level 40 page paperback •

81⁄ 2

You may also get tired from very little effort. This happens when blood flow is sluggish. You may wake up feeling tired or get drowsy in the afternoon. This is even more likely if you are not breathing well when you sleep. Your family may notice snoring or louder snoring than before. Many of these symptoms can occur with problems other than heart failure. Your doctor will check your heart and lungs. A blood test* (and/or a sleep study) may help find out what is wrong. * BNP=brain (or b-type) natriuretic peptide or NT-proBNP

x 10”

* Available in Spanish – see page 50

p-h.com or 1-800-241-4925

Books

Cardiology

item 191A–Controlling High Blood Pressure a matter of choices Normal blood pressure, lifestyle choices to control blood pressure, high blood pressure, treatment. $23.45 pack of 20

NTROLLING

o a matte r of c h

ic e

6th grade reading level • 16 page paperback • 81⁄ 2 x 10”

Product # 191A

item 08D–Angina

learn about coronary heart disease and how to prevent it How the heart gets oxygen, spasms, fatty buildup, angina, heart attack, preventing angina, preventing CHD, tests for CAD, treatments, looking ahead. $3.65 each • 5th grade reading level • 32 page paperback • 81⁄ 2 x 10”

item 504A–Cardiac Cath

Honoring the Nation’s Best Consumer Health Programs and Materials

why & how it is done Cardiac catheterization, before, during and after the cath, results, treatment, going home. $2.20 each • 5th grade reading level 16 page paperback • 81⁄ 2 x 10”

he cath

In the cath lab, you lie on a bed under an X-ray camera. Small pads (electrodes) are put on your chest to hook you up to an ECG machine. This shows your heartbeat during the cath. Nearby are TV screens where you may watch pictures of your heart or your ECG. The room is usually cool to keep the computers that control the X-ray equipment from overheating. The X-ray bed is firm.

ardiac cath

No matter how the artery is sealed, you will be asked to slide from the cath table onto a stretcher or bed without bending your groin. If pressure is used to help seal the artery, you may need more bed rest than if a closure device or stitches are used. Follow your nurse and doctor’s advice about bed rest to prevent bleeding and to recover from any sedatives given during the cath.

Tips to prevent puncture site bleeding • Keep your cath leg straight! Do not bend the knee of your cath leg. You may be told not to lift your head off the pillow. Doing these may affect the artery seal.

• Do not get out of bed during your bed rest! If you have trouble using a urinal or bedpan while lying on your back, tell the nurse.

• Hold firm pressure over the bandage as an extra support while you cough, laugh or sneeze.

• If you feel like you may vomit, do not sit up! Turn to

Product # 08D

Tips for comfort Some back or leg ache is likely from having to lie still. Ask your nurse for pain medicine before you get too sore. Although you need to keep your cath leg straight, you don’t need to hold it stiff. Wiggling your ankle or toes or bending your other leg up from time to time will help. A small towel or pillow under your back and/or a back massage (by a nurse) may help too.

why & how it is done

Caution If you: • feel sudden pain at the site • notice warm, sticky or wet feelings on your leg or arm that was used,

tell the nurse at once! This may mean you are bleeding!

the side of the bed and keep your bandaged leg straight.

• Call your nurse to check your blood pressure and to make sure you are not bleeding or dizzy before you get out of bed the first time (once bed rest is complete).

p-h.com or 1-800-241-4925

Cardiology Books Please visit us online at p-h.com to see our full line of patient education material.

item 189A–Wake Up Call for your heart Know your risks for heart disease, quit smoking, eat healthy, lose fat, get moving, family tree, keep your blood glucose down, control your blood pressure and weight, warning signs of heart disease. $3.30 each • 4th grade reading level 24 page paperback • 81⁄ 2 x 10”

Your goal is to eat healthy foods in healthy portions. You control how much fat and cholesterol you eat. Making good food choices can help lower your blood cholesterol. Don’t overeat. And, control your portion sizes. Don’t “super size” your meals. This will lead to a “super sized” you!

Product # 189A

Eat these OFTEN: fresh vegetables & fruits (without high-fat sauces)

whole wheat and grain pasta dishes with low-fat sauces whole grain or enriched white breads, plain bagels, pita breads skim or nonfat dairy foods (1% fat or skim milk, nonfat cheeses, nonfat yogurts, nonfat sour creams, egg substitutes)

Eat these SOMETIMES:

Eat these RARELY:

lean meats (trimmed of all fat), fish, skinned chicken or turkey vegetable oils or sprays (Use very little. All oils have 14 g fat per tablespoon.) low-fat cheeses, yogurts, sour creams or 1% milk olives, peanut butter (limit 2 teaspoons per day), seeds and nuts (limit 1 tablespoon per day)

nonfat snacks, like air popped popcorn or carrot sticks

red meats, sausage, bacon, fat back, goose, duck, dark meat poultry, organ meats prepared foods, fast or fried foods coffee creamers, regular salad dressings, regular mayonnaise, prepared sauces chips, fatty dips

dried or fresh herbs

Know the warning signs

butter, stick or soft margarine, egg yolks, whole milk, 2% milk, cream, half ’n half, eggnog and most cheeses (unless they list 3 g fat or less per serving)

croissants, donuts, bakery cakes or cookies, Danish

nonfat dressings or nonfat mayonnaise

anything listed as “hydrogenated” – a man-made, trans fat

Heart attack and what to do You can feel any of these when having a heart attack: • discomfort or a band of pressure around the chest • aching, burning, tightness or squeezing anywhere in the upper body, back, shoulder blades, chest, one or both arms, neck or jaw • indigestion, fullness, heaviness, choking 9

• sweating (cold or hot) • nausea or vomiting • dizziness • fast heartbeats • severe weakness • shortness of breath

Tip Sheet

Get help if any of these go on for more than a few minutes. Don’t panic, but act at once. If you are alone, unlock your door and sit or lie down. Call 911. Chew a non-coated adult strength aspirin. Call someone to be with you while you wait for the ambulance. The longer you wait to get help, the more damage there can be.

Doctor’s Number:_________________

These habits will keep your arteries open (Check the ones you need to work on): do not smoke (or be around people who are)

Note: • Women may not feel heart attacks the same way men do. They may have less intense chest pain, more nausea or more weakness. People with diabetes or elderly people may also have less intense symptoms. • Heart disease is the #1 killer of both men and women. 22

control blood pressure (less than 120/80)*

My ideal weight is:

eat little fat and cholesterol (take your medicines too, if prescribed)

To lose weight I will:

lose weight (if needed) exercise each day learn to relax when stressed control blood sugar (to prevent or manage diabetes)

Cholesterol goals to reach and keep: • Bad cholesterol (LDL) = 100 mg/dL or less** • Good cholesterol (HDL) = 40 mg/dL or more for men = 50 mg/dL or more for women • Triglycerides = 150 mg/dL or less • Total cholesterol = less than 200 mg/dL *If you have diabetes, your blood pressure should be under 130/80. **If you are at high risk for heart problems, your LDL cholesterol should be 70 mg/dL or less.

Blood Pressure Stages

Top number

Bottom number

Ideal

Below 120

Below 80

Pre hypertensive

120-139

80-89

Stage 1 high blood pressure

140-159

90-99

Stage 2 high blood pressure

160 or higher

100 or higher 23

p-h.com or 1-800-241-4925

item 05E– Moving Right Along* After Heart Surgery $4.40 each 4th grade reading level 56 page paperback 81⁄ 2 x 11”

* A vailable in Spanish – see page 50

p-h.com or 1-800-241-4925

“ Moving Right Along After Heart Surgery answered many questions I was concerned about—Thanks!” — Patient La Jolla, CA

CardiologyBooks Books Please visit us online at p-h.com to see our full line of patient education material.

item 19B –The Sensuous Heart

guidelines for sex after a heart attack or heart surgery Love, getting in touch again, feeling depressed, a good body builds confidence, your body during sex, four phases of sexual activity, how often you have sex, get yourself ready, positions, atmosphere, eating and drinking, medications. $3.90 each • 4th grade reading level • 24 page paperback • 81⁄ 2 x 10”

item 03F–You Have a Pacemaker and/or ICD Pacemakers, types of pacemakers, internal cardioverter defibrillators, surgery to implant a pacemaker or an ICD, checking your pacemaker or ICD. $4.55 each • 7th grade reading level 48 page paperback • 81⁄ 2 x 11”

Product # 03F

item 292–Cardiac Rehab Poster

Shape your Future

Encourage patients to get involved in cardiac rehab by displaying this colorful, informative poster. Explains the major benefits of cardiac rehab and instructs patients on the appropriate way to get started. Can be posted in waiting areas, telemetry units, cardiac rehab facilities and doctors’ offices. $5.00 each • laminated • 18 x 24”

Call your doctor today about

CARDIAC REHAB It’s the SAFEST, FASTEST way to help you feel BETTER, get STRONGER and reduce your risk of future heart problems. Your insurance company will most likely pay for some or all of the cost of your cardiac rehab.

☎

Pritchett & Hull Associates, Inc.

Call this number to get started __________________________________

Atlanta, GA • 800-241-4925 Providing Quality Health Education Materials Since 1973 Product # 292

item 243–Cardio/Pulmonary Flip Cards

You get ‘’two-in-one’’ with this flip card set. One side has colorful illustrations for teaching cardiac patients, and the other has illustrations for pulmonary patients. You get two teaching tools at one low cost and only have to store one set of cards. They also fit easily into a briefcase for transporting. $64.35 each • 7 double-sided laminated cards • 81⁄ 2 x 11” • includes pen

Normal Lungs

nasal cavity

mucus

(released (released from from cell cell to to trap trap dirt) dirt)

trachea lobes

mucus cells

bronchi

(make (make mucus) mucus)

Heart Valves cilia cells

(with (with tiny tiny hairs hairs to to move move mucus mucus out out of of the the lungs) lungs)

diaphragm

alveoli

(air (air sacs) sacs)

bronchioles

mitral valve

Pritchett & Hull Associates, Inc.

Atlanta, GA

800 -241-4925

Providing Quality Health Education Materials Since 1973

pulmonary valve

aortic valve tricuspid valve

Pritchett & Hull Associates, Inc.

Atlanta, GA

800 - 241-4925

Providing Quality Health Education Materials Since 1973

p-h.com or 1-800-241-4925

Cardiology Material Please visit us online at p-h.com to see our full line of patient education material.

item 634–High Blood Pressure Pamphlet* The Silent Killer

How can you make sure your patients understand what high blood pressure is and what it means? High Blood Pressure: The Silent Killer is just the right tool for getting your patients all wrapped up in what those 2 numbers mean. This nifty 8-panel pamphlet explains blood pressure and its stages, the risks of high blood pressure, who is at risk, what affects blood pressure most and what to do to put the brakes on high blood pressure. All at a cost that will do wonders for your budget and (hopefully) your blood pressure too! Order yours today!!! $60.25 pack of 50 • 6th grade reading level • 31⁄ 2 x 81⁄ 2”

“ Simple, gets to the point. Easy to read. Cute pictures. Suggests doable strategies for preventing/controlling HBP.” Charlottesville, VA

W ake up

call fo r your h eart

call for your hear t

up W ake call for

item 625–Wake Up Call Pamphlet*

your heart

Understanding your risks for heart disease.

unders tan your risk ding heart dis s for ease

understan ding your risks for heart disea se

understanding your risks for heart disease

Hello? Give your patients a wake up call for lowering their risks for heart attacks. The Wake Up Call pamphlet acts as a beginner’s journal, providing checklists for risk factors as well as corrective actions. Using plain language and instructive illustrations, it will help those at risk for heart disease to have a Wake Up Call. $57.65 pack of 50 • 6th grade reading level • 31⁄2 x 81⁄2”

item 234B–Nutrition Poster Set

Subjects include: Food Choices, Reading a Nutrition Label, Portion Size and Choose My Plate $18.00 set • 4 laminated posters • 11 x 17”

Choosemyplate.gov is a guide to help you make healthier food choices like eating more fruits and vegetables and less of foods high in sodium and sugar.

What a portion is depends on your calorie needs. Use this guide to help you.

Most food products sold in the U.S. will have Nutrition Facts on the label. You can use this information to compare nutrients in different foods or to make sure that the foods you eat provide the right amount of nutrients for your daily diet.

Oils

– lean cuts o ✔

resh e eta les ithout hi h at sauces

✔ ✔

resh

ruit &

uices

ee and or tri ed o all isi le at , ish, s inned chic en or tur e t ar arine, e eta le oil or s ra s se er All oils ha e 4 er ta les oon.

eans and rice

rain or enriched hite reads, lain a els, ita reads

✔s

i or non at dair oods at or s i il , non at cheese, non at o urt, non at sour crea , e su stitutes

✔ non

at snac s li e nac ell s or Health alle , non at crac ers or coo ies, air o ed o corn, carrot stic s

✔ dried or resh her s ✔ non at dressin or non at

a onnaise

– lo

lo lo

–

little. at

at cheese, at o urt, at sour cr ea

eanut utter and seeds li it ta les oon er da

– oli to

utter, stic ar arine, ol s, hole il , il , crea , hal n hal , no and ost cheeses unless the list 3 at or less er ser in e 2 e

– so

asta dishes ith lo at sauces

✔ dried ✔ hole

�

ri e ri , s are ri s, hot do s, rat urst, sausa e, acon, at ac , oose, duc , li er , i ar ds and other or an eats re ared oods, ast or ried oods

�

co ee crea er, re ular salad dressin , re ular a onnaise, re ared sauces

� �

chi s,

att

Amount Per Serving Calories 250

Milk, yogurt & cheese

Calories from Fat 18 % Daily Value*

Total Fat 2g

1,000–1,400 1,600–3,200

2 cups 3 cups

Meats and Beans (meats, beans, eggs & nuts)

1,000 1,200 1,400 1,600–1,800 2,000 2,200 2,400–2,600 2,800–3,200

2 oz eq* 3 oz eq 4 oz eq 5 oz eq 512⁄ oz eq 6 oz eq 612⁄ oz eq 7 oz eq

Vegetables

1,000 1,200–1,400 1,600 1,800–2,000 2,200–2,400 2,600–2,800 3,000–3,200

1 cups 112⁄ cups 2 cups 212⁄ cups 3 cups 312⁄ cups 4 cups

1,000–1,200 1,400–1,800 2,000–2,600 2,800–3,200

1 cups 112⁄ cups 2 cups

Cholesterol 20 mg

Sodium 420 mg

18%

Total Carbohydrate 44g

15% 8%

Sugars 4g Protein 14g Vitamin A

50%

•

Calcium

25%

•

di s

croissants, donuts, a er ca es or coo ies, anish

Vitamin C Iron

2,000 65g 20g 300mg 2,400mg 300g 25g

Calories per gram: Fat 9 • Carbohydrates 4

✘ an

8% 15%

* Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs: Calories Total Fat Less than Sat Fat Less than Cholesterol Less than Sodium Less than Total Carbohydrate Dietary Fiber

3 tsp 1,000 4 tsp 1,200–1,400 5 tsp 1,600–1,800 2,000–2,200 6 tsp 2,400 7 tsp 2,600–2,800 8 tsp 3,000–3,200 10 tsp 3 tsp = 1 Tbsp

Saturated Fat Less than 1 g Trans Fat 0 mg

Dietary Fiber 2g

�

es and nuts li ti hand ul er da

Nutrition Facts Serving Size 1 cup (240 g) Servings Per Container 1

•

2,500 80g 25g 300mg 2,400mg 375g 30g

Fruits

Protein 4

thin h dr o enated a an ade, saturated at called trans at

212⁄ cups

✘ so

t drin s, su ar ruit drin s and cand

✘ salt and salt

Grains (bread,cereal, rice & pasta)

seasonin s

roduct

1,000 1,200 1,400–1,600 1,800–2,000 2,200 2,400 2,600 2,800–3,200

3 oz eq 4 oz eq 5 oz eq 6 oz eq 7 oz eq 8 oz eq 9 oz eq 10 oz eq

1 tsp 2 tsps

= =

the tip of your thumb a ping pong ball

1 cup 1 oz 11⁄2 oz 2 oz

= = = =

baseball a pair of dice a 9-volt battery a pair of dominoes

3 oz

a deck of 52 cards a cupped handful

If you have access to the internet, you can go to www.choosemyplate.gov and create a plan just for you.

1 oz

1 cup ⁄ cup

= =

3 4

⁄ cup

1 cup 1 ⁄4 cup 1 ⁄2 cup

= = =

3 4

⁄ cup

1 slice 1 cup 1 ⁄2 cup

= = =

1 2

1 piece of cornbread = 1 pancake = 1 ⁄2 bagel =

*Source: U.S. Department of Agriculture. USDA does not endorse any products, services, or organizations.

Product #234A

a baseball a scoop of ice cream a racquetball

a tennis ball a large egg a scoop of ice cream a racquetball a CD case a baseball a scoop of ice cream 1 ⁄2 a bar of soap a CD a hockey puck

1 cup = 8 oz *eq=equivalent

Product #234A

* Available in Spanish – see page 49

p-h.com or 1-800-241-4925

Diabetes Tearpads

Samples

@ What it means

Understanding

Type 1 Diabetes

Most of the food you eat is turned into glucose (sugar) for your body to use for energy. Your pancreas (an organ near your stomach) makes a hormone called insulin to help this glucose get into your cells.

My healthy blood glucose range is before meals: _____ to _____ 2 hours after meals: _____ to _____ at bedtime: _____ to _____

When you have Type 1 diabetes, your pancreas makes little or no insulin. Without insulin, glucose can’t get into your cells, so it builds up in your blood. If your blood glucose level on an empty stomach is high (126 mg/dL or higher on 2 separate tests), you have diabetes. With Type 1 diabetes, you need to take some form of insulin every day. Even though there is no cure, you can control your diabetes!

Complications of diabetes Over time diabetes can cause serious, long-term health problems. It can damage your eyes, kidneys, nerves, feet, gums, heart and blood vessels. But this doesn’t have to happen. Taking care of yourself and controlling your blood glucose can help prevent or at least reduce these problems.

Pritchett & Hull Associates, Inc.

Bringing Patients & Health Together Atlanta, GA • 800-241-4925 • p-h.com

(tearpads are 81/2 x 11”, double-sided, unless indicated otherwise–in pads of 50 sheets)

item 347–Diabetes and Healthy Food Choices

$10.95 4th grade reading level Large Print $10.00

(item 412) 11 x 17”

(item 413) 11 x 17”

item 402–Diabetes Rx for Tests

item 627 –Sharps Disposal

Large Print $10.00

$5.20 single-sided • 4 ⁄ 1

x 51⁄2”

item 333A–Understanding $10.95 4th grade reading level Type 1 Diabetes*

item 349–Carb Counting*

$10.95 5th grade reading level Large Print $10.00 (item 414) 11 x 17”

item 572–Diabetes and Dental Care

$10.95 4th grade reading level item 350–Diabetes & Exercise*

$10.95 5th grade reading level item 335–Diabetes Complications*

$10.95 5th grade reading level Large Print $10.00 (item 410) 11 x 17”

item 336–Diabetes Diary*

$10.95

item 348–Self Monitoring of Blood Glucose*

$10.95 4th grade reading level

item 397–Diabetes Stress and Depression

$10.95 5th grade reading level

www.p-h.com

item 605–Diabetic Neuropathy

$10.95 4th grade reading level item 395–Exercise and Blood Glucose

$10.95 5th grade reading level

item 465–Sick Day Foods*

$10.95 3rd grade reading level

item 462–Sick Day Plan*

$10.95 5th grade reading level

item 334–Understanding Type 2 Diabetes

$10.95 5th grade reading level Large Print $10.00 (item 409) 11 x 17”

$10.95 6th grade reading level item 269–Foot Care

$10.95 4th grade reading level item 575–Gestational Diabetes

$10.95 7th grade reading level

item 621 –Glycemic Index

item 463–A1c Test

$10.95 5th grade reading level

Your Hemoglobin A1c Test (A1c)* Your diabetes management plan involves balancing exercise, meals and medicines. Another important way to make sure your diabetes is in balance is to have a Hemoglobin A1c test (Alc). This test measures the amount of glucose in your blood over the last 3 months. It is a way for your doctor to have a very up-to-date measure of your blood glucose control.

$10.95 5th grade reading level

A good score for this test is 6.5%. A test result of more than 6.5% may mean changes need to be made in your diabetes management plan. To lower your A1c: • change your meal plan (with the help of a dietitian)

• take your medicines as prescribed

item 445–Hyperglycemia

• control your blood glucose levels tightly

$10.95 6th grade reading level

To give you some idea of your results, check your blood glucose 2 hours after a meal.

Other things to know about an A1c test

item 446–Hypoglycemia*

$10.95 4th grade reading level

• Everyone who has diabetes should have this test done at least twice a year. (If score is over 6.5%, done every 3 months.) • Learn your score and what it means to you.

• A good score can delay or prevent serious problems caused by diabetes. • This test does not replace checking your blood glucose on a regular basis. *

May also be called HbA1c

Pritchett & Hull Associates, Inc. ®

Atlanta, GA 800-241-4925 Bringing Patients & Health Together

item 629 –Metabolic Syndrome

$10.95 4th grade reading level

item 604–Diabetes and Heart Disease

$10.95 7th grade reading level

For this test, your doctor will draw a small amount of blood. The blood is then sent to a lab to be tested. The lab will send the results to your doctor.

• exercise more and become more active

item 396–Diabetes Exercise Plan

Facts about the test

p-h.com or 1-800-241-4925

* A vailable in Spanish – see page 49

Product # 463

t e e w h t u r about managing

“This is the absolute most comprehensive and well-written patient education tool on the market!” — Carolyn Bethea MS, RD, BC-ADM, CDE

Type 2 diabetes

able of contents

What type 2 diabetes means .....................................................................4-7 How it is managed ....................................................................................... 8-53 Healthy meal planning .......................................................................... 9-28 A word about food .......................................................................... 10-14 Counting carbohydrates ............................................................. 15-16 About servings ..........................................................................................17 What makes a serving ...........................................................................18 Serving sizes ...............................................................................................19 Create your plate .....................................................................................20 Food labels ..................................................................................................21 A food diary ........................................................................................ 22-24 Dining out ........................................................................................... 25-27 Doing your part ........................................................................................28 Stay active and exercise...................................................................... 29-32 Diabetes medicines .............................................................................. 33-47 Oral medicine (pills) ...................................................................... 34-35 Other medicine ........................................................................................36 Insulin.................................................................................................... 37-46 The different types ..................................................................38 The right amount to take.....................................................39 Insulin delivery methods ............................................... 40-41 Injecting insulin........................................................................42 Mixing and injecting 2 kinds of insulin .......................43 Injection sites .............................................................................44 Storing insulin ...........................................................................45 When to dispose of your insulin .....................................46 Other diabetes medicine .....................................................47 Reducing stress ....................................................................................... 48-49 Monitoring ................................................................................................. 50-53 Testing blood glucose ...........................................................................50 How to measure your blood glucose ...........................................51 1

A1c testing (long-term monitoring) .............................................52 Testing for ketones .................................................................................53 Diabetes complications...................................................................... 54-74 Short-term problems .................................................................... 54-62 Hypoglycemia .................................................................... 55-58 Hyperglycemia .................................................................. 59-60 When you are sick ...................................................................................61 A sick day plan ..........................................................................................62 Long-term (chronic) problems ............................................... 63-74 Eye disease...................................................................................64 Kidney disease ...........................................................................65 Nerve damage ............................................................................66 Heart disease ...................................................................... 67-68 Frequent infections ................................................................69 Foot problems ................................................................... 70-72 Skin problems .................................................................... 73-74 Other things you need to know ......................................................... 75-85 Traveling ......................................................................................................75 Medical ID ...................................................................................................76 Pregnancy ....................................................................................................77 Sexual concerns .......................................................................................78 Weight control .................................................................................. 79-80 Smoking ........................................................................................................81 Dental care ..................................................................................................82 Alcohol use..................................................................................................83 Depression .......................................................................................... 84-85 Follow-up care ....................................................................................................86 Your part in managing diabetes ...............................................................87 Diabetes diary .....................................................................................................88 Questions and resources ............................................................................IBC

item 488B–The Sweet Truth*

about managing type 2 diabetes Teach your patients how to manage their current condition and prevent further complications by helping them learn all about diabetes. The Sweet Truth takes your patients on a step-by-step tour of what they need to know- from exercise, medicines, foods, stress, monitoring blood glucose, complications and more. All content is presented with colorful illustrations and warm, plain language. Give your patients The Sweet Truth, and give them better control of their health. If it’s a comprehensive manual your patient needs, this is it. No one with type 2 diabetes should be without it. $3.75 each • 4th grade reading level 88 page paperback • 81⁄2 x 10”

* Available in Spanish – see page 50

p-h.com or 1-800-241-4925

Diabetes Books Please visit us online at p-h.com to see our full line of patient education material.

item 573–Make the Connection

between diabetes and heart disease Managing your diabetes, about heart disease, and the connection is, know your blood sugar levels, hemoglobin A1c testing, take your medicine, control blood pressure, control weight, lower cholesterol, don’t smoke, be more active, learn to relax and control stress, eat healthy, the TLC plan, make the connection, for more help.

ake the connection

between diabetes and heart disease

$3.00 each • 5th grade reading level • 32 page paperback • 8 ⁄ 1

x 10”

“ Make the Connection is a great book with wonderful pictures, appropriate target goals and terrific suggestions for control and prescreening.” — Santa Clarita, CA

item 482–CJ has Diabetes

Type 1 diabetes from an adolescent’s viewpoint. In “comic-book” format to relate to readers. Diagnosis, blood glucose monitoring, food, exercise and insulin. $3.00 each • adolescents • 5th grade reading level 24 page paperback • 65⁄ 8 x 101⁄ 4”

LOW-LITERACY

guage ™ In plain lan

HOW

here’s

ge to mana

item 579–Here’s How to Manage Your Type 2 Diabetes

your

Type 2 Diabetes

How to manage your diabetes, how to check your blood sugar, blood sugar goals, daily food amounts, meal planning tips, count carbs, read food labels, exercise, where to give your insulin shot, foot care, no smoking, reduce stress. $34.00 pack of 20 • 2nd grade reading level 18 point text 16 page paperback • 81⁄2 x 10”

How to check your blood sugar

oals ar g sug d o Blo r

o ctor r do You l tell e wil ur nurs at yo h w you gar d su e. ld b bloo u sho goals

Write

d bloo ple * Sam r goals suga g/dl m 20 80-1

ls mea fter

ur a

mea

less

als r me

than

best - it hurts less.

140

g/dl

are

nant

d ar

es an

abet

ve di

ho ha

ts w

Rub your finger until a drop of blood comes out.

mg/d

ul for ad

Prick that finger with the

lancet

lancet. On the side is

g/dl

4 100-1

me es mpl

tha

edti

at b

0m n 18

less

e rs aft

2 ho

or thigh). ls t) goa My ifferen ed ay b

ere:

you

preg not

Put the drop of blood on the test strip.*

Put the test you strip r me into ter.*

Wip e yo ur fi with nge r off gau ze o ball rac and otto h n o ld it a few for min utes.

Choose a finger. (With some meters, you can use your arm

n Whe

befo

Wash your hands with soap and water. Dry them well.

als r go

1 ho

Afte r a fe w se mete con r wil ds, th l sho e suga w yo r lev ur b el. loo

Thro w th e use in a d lan tigh cet a tly se (It’s way aled OK con to tain th or c row er. otto the n gau ball * So me z a e w m et Follo ay in w yo ers have the ur m eter you do trash ’s in stru step 6 .) ctio be

* Some meters have you do step 6 before step 5. Follow your meter’s instructions.

ns.

fore

step

e sa

es * Th

Sample pages from Here’s How to Manage Your Type 2 Diabetes (item 579)

See p.22 for Nephrology related products. 18

p-h.com or 1-800-241-4925

Books

Diabetes

item 24G–Balance Your Act

a book for adults with diabetes Send your patients home with Balance Your Act - the step-bystep guide for adults to learn to manage their type 1, type 2 and gestational diabetes. This 96-page book reminds patients how to place each part of their diabetes management plan into motion, building the foundation for a better, healthier and longer life. Balance Your Act is simply the closest thing to sending a great diabetes educator (like you) home with your patients!

$4.45 each • 5th grade reading level 88 page paperback • 8 ⁄ x 11” 1

Product # 24G

Feet,

Those with type 1 diabetes control blood glucose in these ways:

Insulin shots are taken (or delivered by an insulin pump)

ur lify yo

lan eal p

Carbohydrates at meals and snacks are counted and insulin

les xamp

adjusted depending on type of insulin and delivery method (i.e. shots or pump).

ans, n be s, gree matoe Simp ns, ach, , to p spin greens ers, onio s r Grou othe li, pepp ushroom co Food m oc , s er br fiber table uliflow ge , high as, ca ve ds y ea rtill tarch ain br sta, to pa , le gr Non-s who s, rice, s, corn al cere es, bean n to pcor pota lean ee po es ood, , fat fr arch gs seaf s & st fish, , tofu, eg ken, Grain chic and pork beef t cheese s fa w ute lo ass of bstit gl . su t 8 oz t milk ea fa t or m nonMea fruit

plate = es 9 inch ss acro

Blood Glucose Control TYPE 1

Exercise is done daily unless some physical condition prevents it. Exercise, along with diet, helps lower blood glucose, control weight, decrease blood pressure and reduce stress.

& grains es starch

If you have type 1, your goal each day is to balance insulin, meals and exercise.

on nds depe ity r you tiv ht fo your ac e rig , at ar woman or eal th ch m e a man rg ea s.o at bete u ar Cre w.dia tion rvings ther yo ia ://ww of se http s Assoc ber eds, whe ntrol. om num co n, fr Diabete The calorie ne weight iatio ssoc merican your and your A tes A l iabe om the D ve le ican n fr

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Plate

Amer rmissio pe yright *Cop inted with Repr

Nerve

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t& mea t mea titutes subs non- y starchtables vege

Meal Planning

Exercise

Legs &

Peop le There with diab et nerve are 2 good es need to damag re e (dia asons wh take very go y: betic Poor neurop poor circ od care ci of leadin rcula on ulatio athy). n (vas their feet part g to the fe (reduced an cular of ag et bl diseas d legs. oo ing, bu and le When e) an gs be d flow) oc t it of th d is cells happ ten ha come na curs wh en to can be fight infe s, the le ppens so rrow or haen blood gs an oner ction. rdened vessels d gang come se in fe If pe . et no rio rene op or am us ulcers t treated do not ge le with This is di t en putatio with ab and in n. fectio care, si ough wh etes. mpl ite ns. Th ese ca e cuts an blood d sore n lead s to

since the body does not make the insulin it needs.

Nerve

is mos damage (n well bl t often ak europath in y) is the bo ood glucos to how anothe lo it affe dy such as e has be ng a pers r complic en on at ct “pins s your fe your blad controlle has ha ion of di d abetes et an de and ne d. It mild d legs r, bowe can af diabetes edle to l and ho . It good severe. s” feeling . The sym and other fect man w y Th bl ptom or or some ood gluc e discom loss of s can gans. M areas of feel ose ore can’t. be fort is often ing. All of burning, often, Balanc control, ac wors ing yo some of e at ni these rang hing, a ur ac th 9 e gh e da t is th e best mage ca t. With tim from e defens n be re versed and e. , but

Sample pages from Balance Your Act (item 24G)

“ I’m truly impressed with Balance Your Act. It is very easy to understand the pictures and humor, which helps to get the message across.” — P. Harmon, RN

item 425–Your Child Has Diabetes

a parent’s guide for managing diabetes in children Helping parents learn about diabetes and how to manage it can be a difficult task. Use this best-selling, easy-to-follow and understand book to help them. Your Child has Diabetes was designed with parents in mind. It covers the basics of diabetes management including injecting insulin, proper nutrition, physical activity, high and low blood glucose emergencies and handling diabetes at school. This helpful guide also provides parents with some tips for helping their child deal with the emotional aspect of diabetes. $3.40 each • 3rd grade reading level • 40 page paperback • 81⁄2 x 10”

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Diabetes Pamphlets es etes D iafoDbotetiab care t care fooiabetes D foot care

item 14A–Diabetes Foot Care Pamphlet*

Topics include: • the importance of keeping feet clean and dry • how to recognize foot infections • ways to improve blood flow to feet and legs $22.65 pack of 50 • 5th grade reading level • 3-fold pamphlet • 31⁄2 x 81⁄2”

ETES DIAB CDAI RA EB E T E S CD AI AR BE E T E S CARE

ow to HH ct to inje ow nct to liow su in inje H ulin insinject

item 222A–How to Inject Insulin Pamphlet*

$14.95 pack of 50 • 5th grade reading level 3-fold pamphlet • 31⁄2 x 81⁄2”

insulin

item 626–Make the Connection Pamphlet*

ake thetion ec the connnake diabetes nection ake the Betwee con disease & heart Between diabetes connection & heart disease Between diabetes & heart disease

Between diabetes and heart disease. Topics include: • blood sugar levels • blood pressure • exercise and weight control • cholesterol • medicine • smoking • stress • diet $60.75 pack of 50 • 4th grade reading level • 31⁄2 x 81⁄2”

item 620–Managing Your Diabetes Pamphlet* GING G NANA MAMA GIN R YOU MANAGING ESUR BETYO DIADIA TES BEYOUR DIABETES

Topics include: • the meaing of Type 1 and Type 2 diabetes • symptoms • meal planning • checking blood sugar • managing stress • exercising and controlling weight • medicine • complications $60.25 pack of 50 • 4th grade reading level • 31⁄2 x 81⁄2”

item 628–Your Child Has Diabetes Pamphlet* our childetes diabchild has our de for ents gui etes A par etes diab has diab our child managing n dre guide for in chilAhas parents diabetes g diabetes managin A parents guide for in children managing diabetes in children

A parent’s guide to managing diabetes in children Topics include: • the meaing of Type 1 and Type 2 diabetes • meal planning and daily servings • checking blood sugar • exercise and activity • school • complications $60.25 pack of 50 • 5th grade reading level • 31⁄2 x 81⁄2”

* Available in Spanish – see page 49 20

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Tearpads

Gastro

(tearpads are 81/2 x 11”, double-sided, unless indicated otherwise– in pads of 50 sheets)

item 435–Changing Your 1-piece Ostomy

item 439–Irrigating Your Colostomy

$10.95 3rd grade reading level

$10.95

Changing Your 2-Piece Ostomy Pouch

3rd grade reading level

A 2-piece pouch system has a skin barrier wafer or flange and a snap-on pouch. You can switch your pouch every 1-3 days. Change your barrier wafer or flange as your WOC (Wound Ostomy Continence) nurse tells you or when you have a leak. As a rule, you should change your barrier every 3-7 days or as the brand maker suggests. If you find a leak or your skin begins to burn or itch, change your barrier right away.

Tips to remember

Peristomal skin care

• The best time to change your

Take good care of the skin around your stoma. Any opening on your skin raises your risk for infection. So, keep the skin around the stoma clean.

pouch is before you eat or drink anything for the day. • When changing your pouch,

item 436–Changing Your 2-piece Ostomy

$10.95 3rd grade reading level

leave a little air in it to help keep it from sticking to the moist stoma.

item 17B–The Irritable Bowel

$10.95 4th grade reading level

• After changing your pouch, wait

an hour before you shower.

If you notice any signs of irritation or infection, call your doctor or WOC nurse right away.

The signs of skin irritation Every time you change your pouch check your stoma and skin for any signs of irritation: • fever above 101°F (38.3°C)

by mouth • red or broken area on skin

around your stoma • stinging when sealant is put on

item 440–Colostomy and Diet

$10.95

• pain in your abdomen (belly)

item 441–Peristomal Skin Care

$10.95

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Product # 436

4th grade reading level

item 437–Emptying Your 1-piece Pouch

$9.95

3rd grade reading level single-sided

item 438–Emptying and Cleaning Your 2-piece Pouch

$10.95 3rd grade reading level

item 442–Your Colostomy

$10.95

5th grade reading level

item 443–Your Ileostomy

$10.95

5th grade reading level

item 444–Your Urostomy

$10.95

5th grade reading level

Book

Gastro

item 303A–How You Can Prevent Pressure Ulcers

A guide for patients and family caregivers Let this take-home guide teach patients and family caregivers about what pressure ulcers are, what causes them, what you need to do to avoid them and what warning signs to look for. Also contains material to help patients design a plan to prevent pressure ulcers.

$3.95

each • 5th grade reading level • 24 page paperback • 81⁄ 2 x 11”

Avoid shearing and friction

What are pressure ulcers?

1. Except for eating, don’t raise the head of the bed higher than 30 degrees. This prevents sliding. The best position is mostly flat or semi-flat (15 degrees). Raising the foot of the bed slightly will also help prevent sliding.

Pressure ulcers* are injuries to your skin and the tissue below it. Most often, they happen over bony areas that receive too much pressure or other stress. Pressure squeezes shut blood vessels that take food and oxygen to the skin. If these vessels stay shut for too long, the skin starts to die, and a pressure ulcer forms.

No higher than 30° unless eating

30° OK

Pressure ulcers are like forest fires. They start small but can quickly become worse and have serious results. But, like forest fires, most pressure ulcers can be prevented.

15° GOOD

Follow your doctor or nurse’s instructions and the advice in this booklet to lower your risk of pressure ulcers. You will be healthier, more active and find it easier to enjoy life.

0° BEST when flat 2. Lift, don’t slide, when moving in or between the bed and chair. If needed, use a drawsheet or mechanical lifting device.

Product # 303A

This book is only to help you learn. It should not be used to replace any advice or treatment from your nurse, doctor or therapist.

3. If restless movement or spasms are a problem, talk to your doctor about how to get relief. 4. Avoid tight or rough clothing and those with thick seams or folds, such as jeans. Clothing that is too loose can bunch up and form wrinkles that put pressure on the skin.

Dear Reader, Pressure ulcers are no fun! I know because I’ve had them. That’s why writing this book was important to me. I hope it helps you avoid the pain and problems pressure ulcers can bring.

5. Use padding or protective dressings on bony areas, like knees and elbows. 6. Dry skin is less elastic and easier to damage. Use cream or oil to keep your skin from getting too dry. Rub it in well, so it doesn’t leave your skin too moist.

– Judith McKrell

*Other names for pressure ulcer are decubitus ulcer, bedsore and pressure sore. 2

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Gastro Book Please visit us online at p-h.com to see our full line of patient education material.

Product # 304A

About this book

Feeding tubes G-tubes, PEG, or J-tubes all have the same purpose—to give food and medicines to you if you cannot take them by mouth. They:

Food for Life will help you learn how to feed yourself or your loved one through a feeding tube. A feeding tube in the stomach is a G-tube or PEG. A J-tube is a tube in the jejunum (a section of the small intestine)

ports

• have ports (openings)

Caring for yourself with a feeding tube may be a little scary at first. But rest easy. There is little you can do to hurt yourself. With practice, feeding can be simple and comfortable.

PEG Tube

In some cases, a person may not be able to understand what the tube is for and may try to pull it out. To prevent this, have him wear bulky mittens, or keep the stoma (the surgical opening) and tube covered with clothes.

• are most often about 12 to 15 inches long (this is sometimes replaced in a few months with a “button” that lies flat against the abdomen)

tube bumper

• are placed into the stoma (the small surgical opening in the belly where the tube enters the stomach or jejunum

stoma

• are kept in place by:

SKIN

– a soft silicone or rubber “bumper” or small balloon (filled with water) inside the stomach

G-Tube J-Tube

– a soft rubber or silicone “bumper” (sometimes called a “bolster” or “skin disk” that fits against the skin outside the stoma (This holds the tube in place to keep it from going too far inside the stomach.)

STOMACH balloon

JEJUNUM

j-tube

Some tubes are kept in place by using only a balloon or bumper, not both. J-tubes are sometimes sutured in place.

CAUTION We do not intend to be sexist, but to keep the text simple, we have used “he” and “him” throughout when talking about you or your loved one.

If the tube should come out for any reason: 1. place a clean, dry washcloth over the stoma 2. call the doctor or nurse right away

item 304A–Food for Life Book a guide to tube feeding for adults Give them confidence! Food for Life will help patients and caregivers learn how to feed through a feeding tube. Its simple, step-by-step instructions and detailed illustrations make tube feeding easier. Great for home reference and staff teaching too. New edition includes J-Tube, G-Tube and PEG.

$4.95 each • 5th grade reading level 24 page paperback • 81/2 x 11”

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Nephrology Book Sample menus Here are sample menus planned from the list of foods you can eat. Try using the blank space to plan some meals for yourself. Serving sizes vary based on your calorie and protein needs. Ask your dietition what’s right for you. Day 1 Breakfast Protein:an egg Starch:bagel Fruit:fresh strawberries Fat:cream cheese Beverage:coffee or tea Milk:milk

Day 2

Day 3

Breakfast

Canadian bacon cinnamon toast applesauce margarine coffee or tea yogurt

Lunch

Pasta salad made of: Protein:canned tuna (no salt) Vegetable:sweet peas

hamburger lettuce

Vegetable:red pepper Starch:pasta Fat:Italian dressing (no salt) Fruit:canned peaches Dessert:gingersnaps Beverage:lemonade

Dinner Protein:grilled fish

fried chicken green beans yellow squash

Fat:margarine Fruit:blueberry topping Beverage:coffee or tea

Topics include: • treatment choices • lifestyle changes • peritoneal dialysis • hemodialysis • medicines • resources

Rice Krispie treat coffee or tea

Dinner

Vegetable:corn on the cob Starch:yeast rolls

item 185–Kidney Failure Book coping & feeling your best

tangerine

Vegetable:fresh asparagus

Dessert:cheesecake

hamburger bun mayonnaise

Dinner

cornbread margarine pound cake strawberries iced tea

Continuous PD (called CAPD or continuous ambulatory peritoneal dialysis) You do this type of PD during the day and night, without a machine. For most people, it takes about a week to learn how to do it. You use a tube to hook a bag of warmed dialysate to your catheter and let the fluid drain in. Once the fluid is in, you are free to move about as you wish.

$4.35 each • 3rd grade reading level 48 page paperback • 81/2 x 10”

Preview the latest edition at p-h.com/185

CAUTION Do not use a microwave oven to warm your bag of fluid. There have been several cases of burns from overheating.

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Neurology Books Please visit us online at p-h.com to see our full line of patient education material.

item 180C–Waiting to Clear Book Brain Injury: Early Stages of Recovery Topics include: • about your brain • the Glasgow Coma Scale • the health team • what to expect in the ICU • waking up • amnesia • confusion • understanding your feelings • before leaving the hospital $4.45 each • 5th grade reading level

Brain Injury: Early Stages of Recovery

Notebook for:

48 page paperback • 81⁄ 2 x 11”

item 179–Brain Surgery Book What to Know and Ask Topics include: • why brain surgery is done • the brain and spinal cord • tests • surgery • care after surgery • the neurosurgery floor • rehab center $2.75 each • 5th grade reading level • 36 page paperback • 81⁄ 2 x 11”

Brain Surgery what to know & ask

Neurology Tearpad

Neurology item 283–Stroke Tearpads

Stroke: Taking Action Know the signs

Women be aware:

You may feel any of these when having a stroke: • sudden weakness, numbness or tingling on one side of your body • drooping of your eyelid or mouth on one side of your face • confusion, loss of memory or sudden loss of consciousness • slurred speech, loss of speech or problems understanding simple statements • sudden severe headache for no known reason • trouble staying balanced, sudden falls or feeling dizzy for no known reason • sudden changes in vision—blurring, dimming or loss of sight • nausea and vomiting along with any of the above

Strokes kill twice as many women each year as breast cancer. 61% of those who die from strokes are women, even though more men suffer from strokes. Women over 30 who smoke and take high-estrogen birth control pills have a stroke risk 22 times higher than average.

• Strokes kill about 150,000 Americans each year. • Stroke is the third leading cause of death and the largest cause of disability in the United States. • Early treatment can prevent or lessen the damage in 4 out of 5 strokes. • 50% of the people between the ages of 35 and 64 who die of stroke are smokers.

911 LL

• Controlling high blood pressure is often very helpful in preventing a stroke. L

• Nearly 1/ 3 of all stroke victims will have another stroke within 5 years.

Sources: National Stroke Association and National Institute of Neurological Disorders and Stroke

4th grade reading level double-sided • 81⁄ 2 x 11”

Did you know. . .?

Act quickly • Call 911 right away if you have any of the above signs or see them in someone else. • Early emergency treatment can save your life and prevent or lessen brain damage. • Some treatments will not work if not done within 3 hours of when your symptoms start.

$10.95 pad of 50 sheets

QUICK

• The effects of a stroke vary widely from person to person.

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

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Please visit us online at p-h.com to see our full line of patient education material.

Books

Neurology

item 212A–More Than Just a Bump On the Head Book Mild Traumatic Brain Injuries This resourceful guide can do most of the work for you by helping patients diagnose and/or cope with the ‘’unseen’’ injury of a mild TBI. It helps patients, as well as family and friends, understand what a mild TBI and GCS (Glasgow Coma Scale) are, the problems that can result from mild TBI and gives tips on how to deal with them. Topics include: • signs of mild TBI • tips for healing • getting help • tips for family and friends • outlook $3.25 each • 5th grade reading level

ore Than Just a Bump On the Head

About Concussions: Mild Traumatic Brain Injuries

24 page paperback • 81⁄ 2 x 10”

Product # 212A

oes my TBI affect my family?

igns of a mild TBI

After any head injury, watch closely for any of these signs:

Your family members may change the way they act around you. They may not understand your injury because you look fine. Or they may try to do everything for you.

■ headaches, sensitivity to light and sound

You were the one injured, but your family has suffered too. Just like you, they may feel a sense of loss. Be aware of their feelings. Talk with your loved ones about changes in you and in them. Share this book with them to help them understand. Communication makes things easier for everyone.

■ memory problems

■ changes in speech

■ personality changes and bursts of emotion

■ differences in reaction time

■ mild seizures

■ changes in judgment and trouble paying atention

■ loss of balance

Vomiting, trouble sleeping and nightmares are also common signs.

Oh, this headache! You may have headaches after your injury. These are called post-concussive headaches. They can cause constant, mild or severe pain. Sometimes post-concussive headaches go away after a few weeks, but sometimes they don’t. A headache problem may be long-term. Two types of headaches may result from a head injury. These are vascular and tension headaches.

I’m not the same person Many people have personality changes after a brain injury. You may get angry very quickly and scare your family and friends. Or you may start laughing or crying without knowing why.

Preview the latest edition at http://p-h.com/212

Try not to worry about these new feelings. Many people with personality changes from a mild TBI return to normal after a few weeks. If you get angry, remind yourself of your injury and try to relax.

Seizures Seizures can be a result of a mild TBI. During a seizure, you may stare off into space and feel confused. One side of your body, or your whole body, may start shaking. Pay attention to how you feel. Your body may send signals when a seizure is about to happen. Some signals are: ■ seeing a glow (aura) around objects ■ your body becoming stiff and tense ■ a tingling feeling on your skin ■ smelling things others don’t smell You may have a seizure during the night and wake up very sore or out of your bed. If you think you may have had a seizure, go to the emergency room right away.

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patient education the way you want it. . .

no assembly required

Warning signs that a stroke

What is a stroke?

Your brain is the control center for your whole body. It lets you see, hear, taste, smell, feel, think and move around. Each area has special tasks to do, and some areas work together to get their jobs done. When your heart beats, it sends blood through arteries and veins to every part of your body. Blood carries oxygen to brain cells through arteries in and around the brain. Oxygen keeps the brain cells alive and working well. When the brain’s blood flow stops or leaks into the wrong place, brain cells in that area die. This is called a stroke or cerebral vascular accident (CVA). Brain cells which die will not recover (permanent brain damage). Other brain cells are in shock and will start working again after a while. No one can tell just how long it will take for these cells to begin working again. Most healing happens in the first year, but people may improve their skills for much longer. Also, people may learn new skills to replace the ones they’ve lost.

The possibilities are limitless! From simply imprinting your material, to personalizing the content, all you have to do is send us your facility’s contact information, logo (in .tiff or .eps format) and/or editorial changes, and we’ll make our books your books.

• sudden numbness or weakness on one side o • sudden changes in vision, especially in one ey • trouble speaking or understanding what you • sudden severe headache of unknown cause • trouble walking or staying balanced

These signs can last from ten minutes to hours. If you have any of these, go to the hospital at o Early care can prevent permanent damage. These signs are often called a transient ischemic attack or TIA. TRANSIENT (comes and goes) ISCHEMIC (without oxygen) ATTACK (happens suddenly)

clot damaged cells

The changes you notice will depend on: • the type of stroke • the part of the brain it harms • how much of the brain is harmed

What is a stroke?

Warning signs that a stroke is about to happen:

• sudden numbness or weakness on one side of your body • sudden changes in vision, especially in one eye • trouble speaking or understanding what you hear • sudden severe headache of unknown cause • trouble walking or staying balanced

When your heart beats, it sends blood through arteries and veins to every part of your body. Blood carries oxygen to brain cells through arteries in and around the brain. Oxygen keeps the brain cells alive and working well. When the brain’s blood flow stops or leaks into the wrong place, brain cells in that area die. This is called a stroke or cerebral vascular accident (CVA). Brain cells which die will not recover (permanent brain damage). Other brain cells are in shock and will start working again after a while. No one can tell just how long it will take for these cells to begin working again. Most healing happens in the first year, but people may improve their skills for much longer. Also, people may learn new skills to replace the ones they’ve lost.

These signs can last from ten minutes to hours. If you have any of these, go to the hospital at once. Early care can prevent permanent damage. These signs are often called a transient ischemic attack or TIA. TRANSIENT (comes and goes) ISCHEMIC (without oxygen) ATTACK (happens suddenly)

clot damaged cells

The changes you notice will depend on: • the type of stroke • the part of the brain it harms • how much of the brain is harmed

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Book Imprinting Charges

Quantity Charge 500 - 749 = $345.00 750 - 999 = $455.00 1000 - 1499 = $575.00 1500 - 1999 = $765.00 2000 or more = call for quote

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NeurologyBook Books

Product # 186C

“ The Stroke booklet is well put together, thorough and contains key elements our facility was looking for. Appreciate the resource guide at the end also.” — D. Hood

“ As an educator, I found the Stroke book to be clean, sharp and reader-friendly! As the daughter of a stroke victim, I know more than I did when he was hospitalized! Thanks for teaching me about the subject I knew little of.” — J. Bloodworth

p-h.com or 1-800-241-4925

What is a stroke? What is a stroke? Your brain is the control center for your whole body. It lets Your brain the and control center for your whole body. It lets you see, hear, taste, smell, feel, is think move around. Each hear, taste, smell, feel, think and move around. Each area has special tasksyou to see, do, and some areas work together to get their jobs done.area has special tasks to do, and some areas work together to get their jobs done. When your heart beats, it sends blood through arteries and your heart sends blood through arteries and veins to every part of When your body. Bloodbeats, carriesit oxygen to brain every part of your Oxygen body. Blood cells through arteries veins in andtoaround the brain. keepscarries oxygen to brain cells through arteries in and around the brain. Oxygen keeps the brain cells alive and working well. the brain cells alive and working well. When the brain’s blood flow stops or leaks into the wrong place, the brain’s blood flow stops or leaks into the wrong place, or cerebral brain cells in that areaWhen die. This is called a stroke brainBrain cells cells in that areadie die.will This called a stroke or cerebral vascular accident (CVA). which notisrecover vascular accident Brain cells which die will not recover (permanent brain damage). Other brain (CVA). cells are in shock and will (permanent damage). Other brain start working again after a while. brain No one can tell just how longcells are in shock and will starttoworking again after a while. one can tell just how long it will take for these cells begin working again. Most No healing it willbut take for these to begin working happens in the first year, people may cells improve their skills foragain. Most healing happens the first people may much longer. Also, people mayinlearn newyear, skillsbut to replace the improve their skills for much longer. Also, people may learn new skills to replace the ones they’ve lost. ones they’ve lost.

damaged cells clot

damaged cells

Warning signsWarning of a stroke: signs of a stroke:

sudden numbness or weakness on one side of your l sudden numbness or weakness on one side of your body body sudden changes in vision, especially in one eye l sudden changes in vision, especially in one eye trouble speaking or understanding what you hear l trouble speaking or understanding what you hear sudden severe headache of unknown cause l sudden severe headache of unknown cause trouble walking or staying balanced l trouble walking or staying balanced

l l l l l

These signs can last from ten minutes to hours.These signs can last from If you have any of ten minutes to hours.

If you have any of these, call 911 at once*. these, call 911 at once*. Early care can prevent permanent damage.Early care can prevent permanent damage.

If any of these signs happen If any of these signs happen and then go away, it may

and then go away, it may be a transient ischemic be a transient ischemic attack or TIA. attack or TIA.

TRANSIENT

(comes and goes)

clot

The changes you notice The changes you notice will depend on: will depend on: l the type of stroke l the type of stroke l the part of the brain it l the part of the brain it harms harms l how much of the brain is l how much of the brain is harmed harmed

ISCHEMIC

(without oxygen)

ATTACK

(happens suddenly)

TRANSIENT

(comes and goes)

ISCHEMIC

(without oxygen)

ATTACK

(happens suddenly)

* If 911 is not available in your area, go to the nearest hospital. * If 911 is not available in your area, go to the nearest hospital.

Table of Contents What is a Stroke? ............................................................................ 4 Warning signs of a stroke ......................................................... 5 Types of stroke .......................................................................... 6 Parts of the brain ....................................................................... 7

Hospital Arrival ................................................................................ 8 Early Care Guide for Families ........................................................ 9 Hospital Stay ..................................................................................11

Getting organized ....................................................................12 Changes ...................................................................................14 Movement ................................................................................14 Communication........................................................................18 Eating, drinking & swallowing .................................................19 Bladder & bowel function .......................................................21 Senses (sight, touch, position) ...............................................22 Behavior ...................................................................................24 Thinking ....................................................................................27

Being Safe and Comfortable in Bed ...........................................29

…and out of bed ......................................................................31

Moving Around ..............................................................................32 Understanding Your Feelings ......................................................33

Grief ..........................................................................................33

Leaving the Hospital .....................................................................37

Enjoying life ..............................................................................39

Choosing the Best Care After Discharge ....................................40 Types of care............................................................................40

The Road to Recovery ..................................................................42 Appendix.........................................................................................43

Brain diagrams ........................................................................43 Preventing a stroke .................................................................44 Seizures ....................................................................................46 Resources ................................................................................47

item 186C–Stroke* Early Stages of Recovery $3.90 each • 5th grade reading level 48 page paperback • 81⁄ 2 x 11”

* Available in Spanish – see page 50

CUSTOMIZE (All of our books can be customized. See page 27 for more details)

p-h.com or 1-800-241-4925

NutritionBooks Material Please visit us online at p-h.com to see our full line of patient education material.

item 76C– It’s Heartly Fare

A food book about fat, cholesterol and salt Read all labels, things you might not know about some foods, eating out, cooking it yourself and snacks. $4.05 each

Remember to keep a balance between food and exercise.

5th grade reading level 56 page paperback and supplements 81⁄ 2 x 10”

Fruits — Fruit is important. Eat fruits like apples, grapes, peaches and bananas. Oils & Fats — You should use these sparingly, and it is best to use ones like vegetable oils, nuts and fatty fish, like salmon and tuna. Try to avoid using solid fats, such as shortening, lard, stick margarine and butter. Milk — This includes milk products like cheese and yogurt. Look for lower fat dairy products labeled skim, reduced fat, 1% or 2%. Meat and Beans — Choose lean meats as you have learned already. Beans, eggs, nuts and seeds are healthy choices in this group.

More food talk

item 261A–The Love Your Heart Diet Book

nutrition guide for heart patients A Fats and cholesterol, sodium-food labels, tips for cooking. $1.80 each • 5th grade reading level • 8 page booklet • 81⁄2 x 10”

A nutrition guide for heart patients

item 234B–Nutrition Posters Subjects include: food choices, choose my plate, reading a nutrition label and portion size.

Choosemyplate.gov is a guide to help you make healthier food choices like eating more fruits and vegetables and less of foods high in sodium and sugar.

$18.00 set • 4 laminated posters • 11 x 17”

* What a portion is depends on your calorie needs. Use this guide to help you.

If you have access to the internet, you can go to www.choosemyplate.gov and create a plan just for you. *Source: U.S. Department of Agriculture. USDA does not endorse any products, services, or organizations.

Oils

Product #234A

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asta dishes ith lo at sauces

✔ dried ✔ hole

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rain or enriched hite reads, lain a els, ita reads

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✔ dried or resh her s ✔ non at dressin or non at

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Serving Size 1 cup (240 g) Servings Per Container 1

ri e ri , s are ri s, hot do s, rat urst, sausa e, acon, at ac , oose, duc , li er , i ar ds and other or an eats

Trans Fat 0 mg

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Nutrition Facts

e 2 e

Milk, yogurt & cheese

Amount Per Serving Calories 250

Calories from Fat 18 % Daily Value*

Total Fat 2g

1,000–1,400 1,600–3,200

2 cups 3 cups

Meats and Beans (meats, beans, eggs & nuts)

1,000 1,200 1,400 1,600–1,800 2,000 2,200 2,400–2,600 2,800–3,200

2 oz eq* 3 oz eq 4 oz eq 5 oz eq 512⁄ oz eq 6 oz eq 612⁄ oz eq 7 oz eq

Vegetables

1,000 1,200–1,400 1,600 1,800–2,000 2,200–2,400 2,600–2,800 3,000–3,200

1 cups 112⁄ cups 2 cups 212⁄ cups 3 cups 312⁄ cups 4 cups

1,000–1,200 1,400–1,800 2,000–2,600 2,800–3,200

1 cups 112⁄ cups 2 cups

3% 5%

Saturated Fat Less than 1 g

Cholesterol 20 mg

Sodium 420 mg

18%

Total Carbohydrate 44g

15% 8%

Dietary Fiber 2g Sugars 4g Protein 14g

chi s,

att

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Vitamin A

50%

•

Calcium

25%

•

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thin h dr o enated a an ade, saturated at called trans at

Vitamin C Iron

8% 15%

croissants, donuts, a er ca es or coo ies, anish

2,000 65g 20g 300mg 2,400mg 300g 25g

Calories per gram: Fat 9 • Carbohydrates 4

•

2,500 80g 25g 300mg 2,400mg 375g 30g

Fruits

Protein 4

✘ so

t drin s, su ar ruit drin s and cand

✘ salt and salt

3 tsp 1,000 4 tsp 1,200–1,400 5 tsp 1,600–1,800 2,000–2,200 6 tsp 2,400 7 tsp 2,600–2,800 8 tsp 3,000–3,200 10 tsp 3 tsp = 1 Tbsp

Grains (bread,cereal, rice & pasta)

seasonin s

1,000 1,200 1,400–1,600 1,800–2,000 2,200 2,400 2,600 2,800–3,200

212⁄ cups

3 oz eq 4 oz eq 5 oz eq 6 oz eq 7 oz eq 8 oz eq 9 oz eq 10 oz eq

1 tsp 2 tsps

= =

the tip of your thumb a ping pong ball

1 cup 1 oz 11⁄2 oz 2 oz

= = = =

baseball a pair of dice a 9-volt battery a pair of dominoes

3 oz

1 oz

a deck of 52 cards a cupped handful

1 cup ⁄ cup

= =

3 4

⁄ cup

1 cup 1 ⁄4 cup 1 ⁄2 cup

= = =

3 4

⁄ cup

1 slice 1 cup 1 ⁄2 cup

= = =

1 2

1 piece of cornbread = 1 pancake = 1 ⁄2 bagel =

a baseball a scoop of ice cream a racquetball

a tennis ball a large egg a scoop of ice cream a racquetball a CD case a baseball a scoop of ice cream 1 ⁄2 a bar of soap a CD a hockey puck

1 cup = 8 oz roduct

Product #234A

p-h.com or 1-800-241-4925

Product #234A

Tearpads

Orthopaedic

(tearpads are 81/2 x 11”, double-sided, unless indicated otherwise– in pads of 50 sheets)

item 266–Back Precautions

item 260–Osteoporosis

$10.95 4th grade reading level

$10.95 5th grade reading level

item 296–Back

item 554–Rollator Use

Strengthening

$25.00 4th grade reading level

$10.95 4th grade reading level

ONLINE ONLY PDF download • unlimited use

item 280–Cane Use

item 295–Shoulder

$9.95 5th grade reading level

Strengthening

single-sided

$10.95 5th grade reading level

item 279–

item 281–Walker Use

Crutches Use

Strengthening Your Shoulders Tips: Tips

$10.95 4th grade reading level

$10.95 5th grade reading level

• Do the checked exercises only. • Do the exercises slowly and smoothly. Do not bounce or jerk. • Breathe normally. Don’t hold your breath.

• If you need to use weights, your medical professional will tell you (and show you how). • If an exercise causes pain, stop! Tell your medical professional.

• Ask your doctor or PT where you can buy surgical tubing and how to adjust it.

item 230A–Hip Precautions

$10.95 single-sided

❑ Slow Arm Swing

item 574–Wheelchair Safety

1) Lean over a table or countertop. Relax your left arm and let it hang down toward the ground. 2) For a total of 1–2 minutes, do this set of exercises:

• Slowly move your arm from side to side; next make small circles.

$15.25 5th grade reading level

• Then gently swing your arm forward and backward, letting the swings slowly grow larger. 3) Repeat _____ times. Do the same number with your right arm.

four-sided • 11 x 17” folded

❑ Front Shoulder Lift 1) Lie on your back holding a light-weight bar or cane across your thighs with your palms up.

2) Slowly raise the bar over your head, or as far as you can without straining. As you do this, keep your elbows fairly straight. Pause for 5 seconds, then slowly return.

item 231–Knee Mobility

3) Repeat _____ times.

❑ Outward Shoulder Turn 1) Lie on your back holding the handle of a light-weight bar or cane in your left hand. Both arms should be by your side with the elbows bent at a 90° angle.

$9.95 single-sided

2) Gently push the cane across your body with your right hand. 3) Pause for 5 seconds, then slowly return. Repeat _____ times. Do the same number with your other arm. Pritchett & Hull Associates, Inc.

Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Product # 295

item 376– Orthopaedic Supply

$9.95 single-sided item 550 –Osteoarthritis of the Hand

Samples

Total Mobility Hip Knee Precautions After Total Knee Replacement Surgery Bend knee as much as you can.

90ϒ

45ϒ

www.p-h.com

110ϒ

Straighten knee all the way.

$10.95 5th grade reading level

90ϒ

45ϒ 0ϒ

Pick foot up as you turn.

DON’T twist or pivot.

item 552–Osteoarthritis of the Knee

$10.95 5th grade reading level

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Product # 231

item 553–Osteoarthritis of the Spine

Rollator Use

$10.95 5th grade reading level

Starting position

(for all movements)

1. Make sure the seat is in the down position and all wheels are touching the floor. 2. Lock the rollator wheels by pushing the brake handles down until they click.

Adjusting the height 1. Stand with the rollator in front of you and hold the hand grips. Be sure the brakes are locked. 2. Have someone help by loosening the height adjustment screws on both handles.

handle height adjustment screws

handles should be even with your hip joint

seat * The features on your rollator model may vary slightly from the ones pictured.

PDF download unlimited use

Pritchett & Hull Associates, Inc.

loosen height adjustment screws on each side

3. Once the handles are loose, slide them up or down until the hand grips are even with your hip joint. Your arms should be at a comfortable angle.

hand grips brake locks

ONLINE ONLY

brakes locked (pushed down)

ROLLATOR*

4. Replace and tighten the height adjustment screws again.

Atlanta, GA

800-241-4925

Bringing Patients & Health Together ®

p-h.com or 1-800-241-4925

Contents: The thighbone’s connected to the shinbone................................................ 2

After surgery.................................

Some reasons for knee surgery................. 4

Preventing blood clots..............

Before your surgery....................................... 5

When you go home.....................

The morning of surgery............................... 9

(K)News for knees.......................

While you are in surgery........................... 10

Points to discuss with your doctor..........................

Your new knee............................................... 12

item 229A–Total Knee Replacement

$3.10 each • 5th grade reading level 24 page paperback • 81⁄2 x 10”

Preview the latest edition at http://p-h.com/229

p-h.com or 1-800-241-4925 (item 229A)

.................. 13

.................. 17

.................. 18

.................. 22

.................. 23

p-h.com or 1-800-241-4925

Orthopaedic Books Please visit us online at p-h.com to see our full line of patient education material.

item 221A–Total Hip Replacement

This upbeat, colorful book explains how the hip joint works, prepares patients for hip replacement surgery and explains the do’s and don’ts during recovery. When patients are nervous about going for surgery, give them a book that reduces fears by answering their many questions. $3.10 each • 5th grade reading level • 24 page paperback • 81⁄2 x 10”

After surgery The recovery room After surgery,* you will spend about 1 hour in the recovery room. Here, your blood pressure and heart rate are watched very closely. You will have a mask over your face to get oxygen. Later you will be taken to your hospital room.

Hip precautions (anterior) After your hip replacement, there are some safety rules that you will need to observe to help prevent dislocation of your new hip. Your health team will remind you often of your hip precautions. Ask your doctor how many months you will need to follow these rules after your surgery. Here are the rules when your surgery was on the front side.

DON’T You may notice a V-shaped wedge pillow (abduction pillow) between your legs. This keeps your new hip in the best position. You need to keep this wedge in place when turning in bed. How long you use the wedge will depend on what your doctor decides is best for you. * You may not remember much about the surgery.

. . . stretch your hip back beyond neutral

. . . squat down on 1 knee— use both knees to squat or cross your legs

. . . take short steps

. . . sleep on your stomach

Preview the latest edition at p-h.com/221

. . . twist upper body away from new hip

. . . use pillows against your legs and hip at night to keep from rolling on your hip

“ Very informative! Comprehensive! Great pictures! Total Hip Replacement is perfect for someone preparing for hip surgery. Easier to read aloud and understand than your competitors!” — J. McDaniel

item 228–Back to Love

Sex after hip replacement

Help your patients ease back into a healthy sex life after hip replacement surgery with this clinically accurate yet compassionate book. The easyto-read text and light-hearted, helpful illustrations provide the information patients need to safely resume sexual activity.

$2.95

each • 5th grade reading level • 16 page paperback • 81⁄2 x 10”

p-h.com or 1-800-241-4925

Orthopaedic Materials Please visit us online at p-h.com to see our full line of patient education material.

item 305–Back In Action lumbar laminectomy and lumbar discectomy Back In Action can help prepare your patients for lumbar laminectomy, laminotomy or discectomy surgery. Clearly written and illustrated, it explains the structure and function of the lumbar vertebrae, herniated discs and spinal stenosis, as well as what happens before surgery and how to make the home safe after surgery. Back In Action also includes additional information on incision care, helpful resources, a notes page and interactive boxes for personalized teaching.

$3.10

ack In Action lumbar laminectomy and lumbar discectomy

each • 3rd grade reading level • 24 page paperback • 81⁄2 x 11”

ypes of surgery

Types of surgery to ease back and leg pain are:

“

” ack in your room

laminotomy or laminectomy Your doctor removes bone from one or more lamina to make room for a spinal nerve. This surgery is most often done for people with osteoarthritis. • laminotomy - only part of lamina is removed • laminectomy - all of lamina is removed

pain and spasms

laminotomy

laminectomy

Your legs and back may feel better right away. But the swelling from your surgery needs some time to go down. It may be a few days before you can feel a difference. Your incision may cause some pain, and you might need pain medicine for a few days. Your doctor may also prescribe pain medicine for you to take at home.

You may have muscle spasms in your lower back, legs or buttocks. Medicines, walking or ice may ease these.

part of lamina removed

Do not take any non-prescription medicines or use a heating pad on your back until you have talked to your doctor about it!

resting easy Your nurse can help you rest in bed the way that feels best for you. Pillows can help. n

When you lie on your back, keep pillows under your head and under both knees to relax your spine.

lamina removed

discectomy Your doctor removes the damaged part of a herniated disc to ease pressure on a spinal nerve. To reach the disc, your doctor may need to remove part of a lamina. This surgery is done for people with disc problems.

When you lie on your side, keep pillows under your head and between your legs. You may also want to “hug” a pillow to your chest.

Your nurse or physical therapist will also teach you how to “logroll.” You roll from your back to your side keeping your knees, hips and shoulders in a straight line (like a log). This lets you move in bed without twisting your back.

item 232–Hip Flip Cards Topics include: • normal hip • hip replacement • home equipment • precautions • abduction wedge

greater trochanter

lesser trochanter Socket Replacement

femur

Ball Replacement

$28.50 set • 6 laminated cards includes write-on/wipe-off pen

• 81⁄ 2 x 11”

item 235–Knee Flip Cards Topics include: • normal knee • patellar, femoral & tibial replacement • home equipment • after surgery • CPM device

Total Knee Replacement femur

p-h.com or 1-800-241-4925

femoral replacement

patellar replacement

tibial replacement

tibia

$28.50 set • 6 laminated cards • 81⁄ 2 x 11” includes write-on/wipe-off pen

Pain Material Please visit us online at p-h.com to see our full line of patient education material. Patient’s Name: _____________________________

Date: ____________

Time: ____________

How My Pain Makes Me Feel

item 394–Pain Assessment Tearpads

Pain Scale

No pain

Some pain but OK

Mild pain

Annoying pain

Distracting pain

Pain can’t be ignored for long

Pain can’t be ignored at all

It’s hard to think and sleep

Pain limits activity; nausea

I cry out in pain

Passed out

$10.95 pad of 50

Where and how it hurts

4th grade reading level

On the pictures to the right: 1. Put an X where it hurts (if it hurts in more than one place, put more than one X) 2. Next to the X you wrote, put a number from the pain scale (above) that best shows how much it hurts 3. From the words below find the one that best says how your pain feels. Then, put the letter that’s beside that word next to the number you wrote from step 2 R

A. Throbbing

J. Itching

B. Shooting C. Dull

L. Numbness

D. Stabbing E. Cutting F. Cramping

M. Sore N. Heavy O. Tender

G. Burning

P. Pressure

H. Stinging

Q. Other: ________ _________________

I. Tingling

K. Aching

Back

Front

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Product # 394

No pain

Some pain but OK

Mild pain

Annoying pain

Distracting pain

Pain can’t be Pain can’t ignored for be ignored more than at all 30 minutes

Pain makes it hard to think and sleep

Pain limits activity; nausea with pain

I cry out in pain

Passed out

Pain Medicine / Treatment Chart Type of pain (dull, sharp, etc.)

Pain scale number before treating

Medicine taken or treatment used

How much did you take

How often was treatment done

Pain scale number 30 minutes after treating

item 362–Pain Management Tearpads

$10.95 pad of 50

4th grade reading level • double sided • 81⁄ 2 x 11”

Pritchett & Hull Associates, Inc.

Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Medicines Acute, chronic and cancer pain are normally controlled with medicines. The type, dose and when it is prescribed depends on your pain and how your body responds to the medicine. The three main types of pain medicine used are: • NSAIDs (non-steroidal, anti-inflammatory drugs)

Where pain medicines work

Opioids and antidepressants work in the brain

Brain

Pain signal

Opioids also work in your spinal cord

• Opioids Injury pain occurs

• Other Helpful Medicines (Adjuvants)

Spinal cord

Anticonvulsants and NSAIDs work at the exact site of your pain

item 377–Making It Better Book

Living With Pain Coping skills, coping tips, how well am I coping, about pain, types of pain, what is pain control, medicines, complementary therapies, pain management centers, surgery. $2.65 each 3rd grade reading level 48 page paperback • 81⁄ 2 x 10”

item 401A–Pain Scale Poster

Pain Scale

No pain

Some pain but OK

Mild pain worse

Annoying pain

Distracting pain

Pain too bad to ignore for long

Pain can’t be ignored at all

Pain makes it hard to think and sleep

Pain limits activity; nausea with pain

I cry out in pain

Passed out

Pritchett & Hull Associates, Inc. ©

Atlanta, GA 800-241-4925 Providing Quality Patient Education Materials Since 1973

Poster now contains both English and Spanish.

$8.75 laminated poster • 11 x 17”

item 420–Pain Scale Magnet Same image as the Pain Scale Poster. In English only.

$3.35 each • 6 x 9”

p-h.com or 1-800-241-4925

Pediatric Cardiology Please visit us online at p-h.com to see our full line of patient education material.

item 378A–Heart Caths for Kids

A book for parents of children needing heart catheterization Your child’s health care team, a heart cath, types of heart caths, the heart cath lab, pre-admission tests, getting ready for the heart cath and going home.

$4.10

each • 5th grade reading level 32 page paperback • 81⁄ 2 x 10”

Product # 378A

item 379A–Pediatric Cath Lab CD-ROM (Version 1.1)

Pediatric Cardiology

Cath Lab Procedures Pritchett & Hull Associates, Inc. ®

Includes diagnostic and interventional cath procedures. Repairs for 7 defects are animated as well as EPS, EPS/RFA, heart biopsy and coronary angiography. Diagrams and explanations can be printed for parents to take home. This CD can be used on PC computers with MS Windows operating systems.

$299.00 each (item 379A) Version 1.0

VERSION 1.1

item 379A–Pediatric Cath Lab CD-ROM (Version 1.1) contains the following subjects: Diagnostic Cath •C oronary Angiogram Interventional Cath • Atrial Septal Defect • Aortic Valve Stenosis •C oarctation of the Aorta •P atent Ductus Arteriosis •P ulmonary Artery Stenosis •P ulmonary Valve Stenosis •V entricular Septal Defect •E lectrophysiology Study (EPS) •E PS and Radio Frequency Ablation • Biopsy

The Pediatric Cath Lab CD-ROM is not subject to regular quantity discounts. Special discounts apply to this product. Call us for details.

p-h.com or 1-800-241-4925

PCA | Pediatric Cardiology Animations App

Explain any of 27 possible heart defects in just seconds PCA puts a patient education program in the palm of your hand. Developed with leading pediatric cardiologists, PCA will help you quickly demonstrate normal heart, defects and correction animations to families and caregivers from your website using any mobile device. PCA makes patient & family education easy. Whatâ&#x20AC;&#x2122;s PCA? PCA is a web application that provides a simple interface to show animations of the normal heart, animated blood flow along with 27 defects and corrections from your website using any mobile device. Access PCA anywhere Access PCA from any web-enabled device. No compromises. You choose the delivery platform that works best for you. Why should you choose PCA? There isnâ&#x20AC;&#x2122;t a faster or more effective way to teach families and caregivers. PCA helps you to inform, educate, and ease fears while saving precious time.

p-h.com or 1-800-241-4925

Visit p-h.com/pca to see a demo of the product shown here.

item 313â&#x20AC;&#x201C;Pediatric Cardiology Animations (PCA) Application Includes animations of the normal heart plus 27 heart defects and the surgical options to repair them. Shows animated blood flow and how the defect(s) and repair procedure(s) affect the flow. Diagrams, explanations and customized instructions for each child can be viewed or printed. This application is available from your website to access using any internet enabled device.

$2500.00 per website. Individual licenses are also available. Call for more information. (item 313)

p-h.com or 1-800-241-4925

Pediatric Cardiology Please visit us online at p-h.com to see our full line of patient education material.

surg ic a

(item 309B)

CD-ROM

item 309B–Pediatric Cardiology Teaching Materials CD-ROM (Version 1.3) Includes the normal heart plus 29 heart defects and the surgical options to repair them. Shows animated blood flow and how the defect(s) and repair procedure(s) affect the flow. Diagrams, explanations and customized instructions for each child can be printed for parents to take home. These CD-ROMs can be used on PC computers with MS Windows operating systems.

$300.00 each (item 309B) VERSION 1.3 Product 309B contains the following: • Normal heart and blood flow •A ortic Stenosis (AS) – Subaortic membrane – Supravalve – Valve – Valve with subaortic stenosis • Atrial Septal Defect (ASD) • Atrioventricular Septal Defect (AVSD) • Coarctation of the Aorta • Hypoplastic Aortic Arch • Hypoplastic Left Heart Syndrome (HLHS) • I nterrupted Aortic Arch (IAA) – Type A with intact ventricular septum – Type B with VSD – Type C with VSD • Patent Ductus Arteriosus (PDA) •P ulmonary Atresia (PA) – With intact ventricular septum – With VSD – With VSD and MAPCAs

• Pulmonary Stenosis (PS) – Valve – Subvalve – Supravalve – Valvular with hypoplastic annulus • Tetrology of Fallot (TOF) – With adequate pulmonary annulus – With hypoplastic pulmonary annulus – With hypoplastic pulmonary annulus and pulmonary artery • Transposition of the Great Arteries (TGA) – With intact ventricular septum – with VSD • Tricuspid Atresia (TA) • Truncus Arteriosus (TA) – Type I – Type II and III • Ventricular Septal Defect (VSD)

p-h.com or 1-800-241-4925

cedures ro

Pritchett & Hull Associates, Inc. ®

l p

Pediatric Cardiology Teaching Materials

Version 1.2

Visit www.p-h.com/pedcard to see demos of the products shown here.

CD-ROM

item 480A–Pediatric Cardiology Teaching Materials 2 CD-ROM (Version 2.1)

This CD-Rom includes 17 defects not on version 1.3. Like version 1.3, it lets you show parents the normal heart, the defect and the repair. You can use the animated blood flow to help explain how the defect and repair affect the blood flow. It also allows you to print out helpful diagrams and explanations for each defect and repair so parents can remember what they learned. This CD-ROM can be used on PC computers with MS Windows operating systems.

$300.00 each

(item 480A) VERSION 2.1

Product 480A contains the following subjects: •A nomalous Left Coronary Artery •A orticopulmonary Window •P rimum Atrial Septal defect •S ecundum Atrial Septal defect •S inus Venosus Atrial Septal defect •D ouble Outlet Right Ventricle – mild/moderate •D ouble Outlet Right Ventricle – severe •E bstein’s Anomaly of the Tricuspid Valve •H ypoplastic Right Heart Syndrome/ Single Ventricle •S ingle Ventricle with unrestricted pulmonary blood flow

blood flow • Single Ventricle with Pulmonary Stenosis and adequate blood flow • Total Anomalous Pulmonary Venous Connection–Infracardiac • Total Anomalous Pulmonary Venous Connection–Intracardiac • Total Anomalous Pulmonary Venous Connection–Supracardiac • Vascular Ring–Double Aortic Arch • Vascular Ring–Pulmonary Sling (not in item 317) • Normal heart and blood flow

•S ingle Ventricle with inadequate pulmonary

Products 309B and 480A are not subject to regular quantity discounts. Special discounts apply to this product. Call us for details.

p-h.com or 1-800-241-4925

A guide for people with

chronic lung disease

“A fantastic book for pulmonary patients. An essential part of pulmonary disease management.” — E. Hensley, RRT

Now available in Spanish – see page 50

What’s in this book Chapter 1 - Normal Lungs and Lung Diseases . . . . . . . . . . 4-13 A word about COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Normal lungs and normal breathing . . . . . . . . . . . . . . . . . . . 5-8 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Cystic fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Chapter 2 - Managing COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-36 Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Medicines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-27 Ways to take medicines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28-32 Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33-35 Oxygen concentrator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Chapter 3 - How to Get Control of Your Breathing . . . . 37-58 When you can’t breathe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38-39 Controlled breathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41 When you are wheezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Coughing up mucus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43-46 Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 When to call your doctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Saving energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49-50 Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51-58 Chapter 4 - Living With COPD . . . . . . . . . . . . . . . . . . . . . . . . . . 59–79 Your emotions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60–62 Relaxation exercises. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63–64 Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65–67 Air outside and inside . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68–71 Foods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72–75 Weight tracking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Medicine chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Treatment plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 CPAP or BiPAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Final notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Normal lungs

How to use a metered dose inhaler (MDI) Not all inhalers or spacers are the same. Read the instructions on your package insert to find out exactly how your inhaler and spacer/holding chamber work. For all inhalers:

1. Take off the cap. Shake the inhaler well before each puff.

2. With the inhaler in the upright position,

nasal cavity

insert the mouthpiece of the inhaler into the spacer or holding chamber.

3. Put the mouthpiece of the spacer/holding chamber into your mouth—over your tongue and between your teeth. Seal your lips around the mouthpiece.

trachea

4. Stand or sit up straight. Keep your head level or look up. When ready, gently breathe out completely.

5. As you start breathing in slowly, press down on the metal can to release 1 puff into the spacer/holding chamber.

bronchi lobes

6. Breathe in slowly and deeply to fill your lungs. Hold your breath for 10 seconds.

alveoli

7. If you are supposed to take more than 1 puff, repeat steps 4–6.

8. When you are finished, rinse your mouth and spit. bronchioles

9. Follow the directions on the package to clean and store the inhaler and holding chamber.

CAUTION: The contents of an inhaler are under pressure. Don’t keep it or use it near an open flame.

diaphragm

item 75F–To Air Is Human A Guide for People with Chronic Lung Disease $4.00 each • 5th grade reading level 80 page paperback • 81⁄2 x 11”

p-h.com or 1-800-241-4925

Preview the latest edition at http://p-h.com/75 43

Pulmonology Tearpads (tearpads are 81/2 x 11”, double-sided, unless indicated otherwise in pads of 50 sheets)

Personal Best Peak Flow # _________

child’s name

Medicines

Asthma Signs

How to use

Daily Peak Flow Scores

Sleep

Activity

Cough

Triggers/Comments

Date

80% =_________ 50% =_________

Wheeze

Fill in the blocks under “Asthma Signs” by using numbers in the key at the bottom of this diary. Fill in the names of your child’s medicines, and write in the number of times a day he takes them.

Wheeze

Cough

Activity

Sleep

None = 0 Occasional = 1 Frequent = 2 Continuous = 3

Normal = 0 Can run short distance = 1 Can walk only = 2 Missed school or stayed indoors = 3

Fine = 0 Slept well, slight wheeze or cough = 1 Awake 2–3 times, wheeze or cough= 2 Bad night, awake most of the time = 3

Other Times

item 330–Adult Asthma Diary*

item 311–Pediatric Asthma Diary

$10.95 • 5th grade reading level

item 329–Adult Asthma Medicine Chart

item 290–Pediatric Asthma Triggers

Adapted with permission from National Asthma Education and Prevention Program, Expert Panel Report 2, National Institutes of Health.

Product # 311

item 327–Adult Asthma Treatment Plan

$10.95 • 6th grade reading level item 326–Adult Asthma Warning Signs

How to do controlled coughing

$9.95 • 4th grade reading level single-sided 1. Sit up, and lean your head forward slightly.

2. Take a slow, deep breath through your nose, and hold it for 2 seconds.

3. Cough once (to loosen mucus). Cough a second time (to move mucus forward). Use small short coughs, and avoid large blasts of air. Try not to inhale between the 1st and 2nd cough. If you must, inhale very slowly and not too deeply.

item 328–Adult MDI Use

$10.95 • 5th grade reading level

Do controlled

item 214–Adult Peak Flow Meter

coughing _____ 4. Wait a few seconds. Gently inhale. (A big breath may push mucus back into your lungs and make you cough again.)

5. Relax.

times a day.

6. Repeat steps 1-5 __________ times or until you have cleared your airway.

Do it after taking your inhaled bronchodilator.

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

$10.95 • 5th grade reading level item 144A–An Ounce of Prevention

Follow these good health habits: • Stay away from crowds—lots of people and germs. • Stay away from people with a cold or the flu. • Don’t smoke, and stay away from smokers. • Avoid dirty air— like car fumes. • Get a “good night’s sleep” every night.

So take care to prevent them all!

• Don’t get run down—rest when you need to. • Eat a healthy diet. • Drink a lot of fluid.

Shots/Vaccines • Each fall, ask your

doctor if you should get a flu shot.

• Talk with your

doctor about the pneumonia vaccine. Most people only need this shot once in their lifetime.

Note: Antibiotics will not cure the flu or a cold.

Wash your hands often. Use soap and clean water*:

• Exercise regularly.

• after you use the bathroom, cough or sneeze • if you’re around someone with a cold, flu, bronchitis or pneumonia * You can use an alcohol based hand sanitizer if you hands are not soiled.

item 274–Pediatric Medicine Chart

$10.95 • 5th grade reading level item 276–Pediatric Peak Flow Use*

$10.95 • 5th grade reading level item 277A–Pediatric Warning Signs*

$10.95 • 4th grade reading level

item 373–Controlled Coughing

item 374–Postural Drainage

$10.95 • 4th grade reading level

$10.95 • 3rd grade reading level

item 490–Diaphragmatic Breathing

item 332–Pulmonary Rehab

$10.95 • 3rd grade reading level

Atlanta, GA 800-241-4925 Bringing Patients & Health Together

item 301–Incentive Spirometer

$10.95 • 3rd grade reading level When you can’t breathe What to do 1. As you rest in one of the breathing positions, breathe in through your nose and out through your mouth. Try to slow your breathing down. The slower you breathe, the more oxygen you can get into your body.

2. Begin to breathe through your nose. Use pursed lip breathing if it helps.

How to do pursed lip breathing

How to do diaphragmatic breathing

1. Breathe in (inhale) through your nose as you slowly count to 2.

1. Sit or stand comfortably with your back straight.

3. Slow your breathing more. Begin diaphragmatic breathing. 4. Stay in your breathing position for another 5 minutes or until you can breathe easily again.

2. Purse your lips as if you were going to whistle. 3. Breathe out gently through your pursed lips as you slowly count to 4. (Breathe out twice as slowly as you breathe in.) Let the air escape naturally. Don’t force the air out of your lungs. 4. Keep doing pursed lip breathing until you are no longer short of breath.

2. Place your hands on your sides over your lower ribs.

exhale

3. Feel your lower ribs move down as you exhale slowly through pursed lips. 4. Inhale slowly through your nose, feeling your lower ribs expand.

Pritchett & Hull Associates, Inc.

Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

item 426–Learning About Dry Powder Inhalers

$10.95 • 4th grade reading level

$10.95 • 3rd grade reading level item 371–Pursed Lip Breathing

$10.95 • 3rd grade reading level item 372–When You Can’t Breathe

$10.95 • 4th grade reading level

item 447–Learning about RSV in Children

$10.95 • 5th grade reading level inhale

5. Rest after 3 or 4 breaths.

item 591–Oxygen Concentrator

$15.25 • 5th grade reading level four-sided • 11 x 17” folded

$10.95 • 5th grade reading level

• before you prepare or eat food

Pritchett & Hull Associates, Inc. ®

item 275–Pediatric MDI Use*

four-sided • 11 x 17” folded Prevention: it’s in your hands N

single-sided

item 263–Pneumonia Prevention

$15.25 • 4th grade reading level o one likes to get a cold or the flu—runny nose, sore throat, aching head. Things can get even worse if your cold or flu turns into bronchitis or pneumonia.

$9.95 • 5th grade reading level

* A vailable in Spanish – see page 49

p-h.com or 1-800-241-4925

item 145B–Kids Breathe Free!

A parent’s guide for treating children with ASTHMA $3.30 each • 4th grade reading level 32 page paperback • 81⁄2 x 11”

“ Kids Breathe Free is an excellent resource. I’m purchasing it as a teaching tool to give to children and parents. Very colorful, fun and readable!” C. Odell, RRT

p-h.com or 1-800-241-4925

PulmonologyBooks Books Please visit us online at p-h.com to see our full line of patient education material.

item 219B–Breathing Free Book

E Spanish version

A treatment guide for people with ASTHMA What is asthma, treatment plan, using an asthma diary, when to call your doctor, asthma on the go. $3.40 each • 4th grade reading level • 32 page paperback • 81⁄2 x 11”

imply buy 50 or more Breathing Free books S (item 219B) and get the Spanish version free! Spanish version is provided by email in a PDF format. Digital only.

LOW-LITERACY item 577A–Here’s How to Manage Chronic Lung Disease Book If you have chronic lung disease patients who require easy-to-read materials, Here’s How to Manage Chronic Lung Disease is just what they need. Our Here’s How line of products is aimed at helping them better understand what they need to know about their condition by presenting the information in an easy-to-read format. That means allowing the illustrations to do more of the talking, presenting fewer ideas per page, using plain language and printing in larger type. The result is a better learning experience for your patients.

Now available in Spanish – see page 50

This Here’s How book takes that formula and applies it to chronic lung disease. It gives your patients a handy overview of all the basic information they need in order to manage asthma, bronchitis and more. $34.00 pack of 20 • 3rd grade reading level • 32 page paperback • 81⁄2 x 10”

item 264A–Pneumonia Book a treatment guide Whether treating a patient in the hospital or at home, you can save yourself a great deal of time with this book. It helps patients follow the treatment plan you’ve developed and stay comfortable during recovery. It also teaches them how to stay healthy in the future. $28.85 pack of 25 • 5th grade reading level 16 page booklet • 81⁄2 x 10”

item 264AS

$1.35 single copy

Now available in Spanish – see page 50

Lung Conditions Normal Lungs nasal cavity

lobes

trachea

bronchi

alveoli (air sacs)

item 300 & 300L–Pulmonary Super Poster

bronchioles

diaphragm

Lung Diseases Cystic Fibrosis

Bronchitis thic

k mu

cus

thickened lining

mucus

swollen lining

Bronchiectasis

Emphysema

Asthma bronchial muscles spasm

scar tissue

thick

lining collapses

mucu

trapped air

floppy air sacs (alveoli)

trapped air

Pritchett & Hull Associates, Inc.

Atlanta, GA

800-241-4925

Product # 300

Help your patients understand their chronic lung conditions by using this colorful and informative poster. It explains normal lung anatomy, as well as the most common lung diseases, including bronchitis, cystic fibrosis, asthma, emphysema and bronchiectasis. Printed in extra large font for easy viewing in class instruction. Select 300L for laminated poster. $5.00 each • 23 x 36” poster

p-h.com or 1-800-241-4925

Pamphlets

Sleep

(3-fold pamphlets • in packs of 50 • 31⁄2 x 81⁄2”) item 256A– Breathe Better, Sleep Better

item 257A– How Do You Sleep?

$21.60 4th grade reading level

item 253– Give Your Legs a Rest

item 252A–Insomnia

Positive air pressure devices to help with sleep apnea

Finding out about sleep disorders

Put it to rest

What to do about restless legs syndrome and periodic limb movement disorder

$21.60 4th grade reading level item 251A–Out Of Breath

$21.60 4th grade reading level

How to prevent sleep apnea and snoring

item 255A– Good Night’s Sleep

$21.60 4th grade reading level item 254–Watch By Night

Your guide to good sleep habits

$21.60 4th grade reading level

Going for a sleep study

$21.60 4th grade reading level Sleep apnea

Snoring

Sleep apnea is a sleeping problem that causes you to stop breathing for short periods as many as or more times per hour . t can be a serious problem if not treated. t is more common in men than omen. You are most likely to have sleep apnea if you:

How it works pnea no breathing is hen your throat is blocked so air can t get to your lungs. You may stop breathing for periods of seconds to more than a minute. n bet een these periods you may also:

How do I know if I have sleep apnea? The main signs of sleep apnea are snoring and being sleepy during the day. You do not get restful sleep. This may cause you to have health problems like:

snore loudly

snore

gasp

depression

heart attack

are overweight

snort

make choking sounds

insomnia

stroke

have high blood pressure

There are

have a physical problem in your nose throat or air ay

obesity

obstructive Your throat muscles and tongue rela during breathing and block your air ay. This is the most common type of sleep apnea.

a r lo to

high blood pressure

types of sleep apnea:

a r lo

throat muscles throat

eople ith sleep apnea often snore very loudly. ut not everyone ho snores has sleep apnea. f you snore then stop breathing and make snorting gasping or choking sounds you may have sleep apnea. ind out hat your snoring patterns are. sk your bed partner to atch you and take notes. f you do not have a bed partner you may ant to set up a video camera or tape recorder to record yourself. rite do n your patterns.

ther signs are: morning headaches falling asleep hile driving loss of interest in se or loss of se function

z z z z

memory problems restless sleep can t concentrate

Breathing normally

Breathing during (obstructive) sleep apnea central

f you have sleep apnea you may not kno it. Though your breathing pauses ake you many times during the night you most often don t remember. bed partner is often the first one to notice the problem.

being irritable or an ious

Your brain does not signal the chest muscles and diaphragm to move so that you breathe. This type of apnea is more common in people ith disorders of the muscles and or nerves or ith certain heart problems.

Sleep Tearpad item 267–Sleep Diary Tearpad Give your patients a comprehensive sleep diary that’s easy-to-use. It allows them to track the time they take to fall asleep, number of times they wake up, time it takes to go back to sleep, medicines they take and total hours of sleep. It also allows them to rate their quality of sleep and write any comments about exercise, naps, what they ate/drank, etc. Complete instructions on how to use the diary are on the back side. $10.95 pad of 50 sheets

Sleep diary Date

Time I * Time I went to bed fell asleep

Medicine(s) I took

Keep your diary for two weeks, then take it to your next doctor visit.

Number * Time it of times I took to go woke up back to sleep

Time I woke up

Total hours Quality of of sleep sleep ✢

Comments (exercise, naps, what I ate/drank, anything else that might affect my sleep)

* Don’t watch the clock to record times. Use your best guess. ✢ (1=poor, 2=fair, 3=good)

4th grade reading level • double-sided • 8 ⁄2 x 11” • in pads of 50 sheets 1

p-h.com or 1-800-241-4925

Smoking Material Please visit us online at p-h.com to see our full line of patient education material. Your Quit Plan

Plan before you quit There are different methods you can use to quit using tobacco: • quit “cold turkey” (all at once) • tapering off (using less and less tobacco over a period of time) • Nicotine Replacement Therapy (NRT) (using aids to help you give up tobacco) Talk with your doctor or nurse about which method of quitting would be best for you.

No matter which method you use, you need to make a plan to quit. In it, you should: • set a quit date

• expect that withdrawal symptoms and relapses can happen • find healthy things to do instead of using tobacco • talk with family and friends to help you through the tough times • have a way to reward yourself for each day you succeed

Your daily habits may be a big part of your tobacco addiction. All these have something to do with why you use tobacco: • when you use it

• people you spend time with

• certain situations (stressful times, etc.)

• what you eat or drink

So when you make your plan to quit, plan to change your routine too. It will be a change for the better. Pritchett & Hull Associates, Inc. Bringing Patients & Health Together ®

$10.95 5th grade reading level

• plan to use aids if you need them (ask your doctor about these)

Change your routine

Samples

item 472–Facts About Using Tobacco Tearpad

Giving up tobacco is not easy. The nicotine in cigarettes and other tobacco products is addictive. When you use tobacco, your body thinks it needs nicotine and it becomes habit forming. Giving up tobacco means making a plan and sticking to it.

Atlanta, GA

800-241-4925

Product # 474

www.p-h.com

item 471–Nicotine Replacement Therapy (NRT) Tearpad

$10.95 5th grade reading level item 474–Your Quit Plan Tearpad

$10.95 6th grade reading level item 473–Understanding Nicotine Withdrawal Tearpad

$10.95 5th grade reading level

Why don’t i want to quit?

“I feel too much stress to even think about quitting.”

Almost everyone has felt stress at one time or another. When you use cigarettes to help you deal with stress, your body reacts by increasing your heart rate and blood pressure. This may make you feel even more stressed. There are many other ways to deal with stress that are much more healthy for you. (See pages 13 and 14.)

“I will gain too much weight when I quit.”

item 216A–Ready To Quit Book

Product # 216A

Though some people gain weight, you don’t have to lose control of your weight to quit smoking. On average, a person who quits smoking gains about 5 pounds. One in 5 people who quit smoking gain no weight at all. Plan to exercise as you quit. This will help prevent weight gain.

making your plan to become a nonsmoker Topics include: • facing the challenge • why don’t I want to quit • why I do want to quit • why I smoke • the master plan • quit day contract • other things to help • relapse • get help to quit smoking $3.30 each

“It’s too late. The damage is done.” Not true! Even if you now smoke a pack a day, your extra risk for heart disease is cut in half the first year after quitting. After 15 years, it is about the same as a non-smoker.* If you have already had a heart attack, quitting will reduce your chances of having another heart attack. It’s never too late to quit!

Facing the challenge

* Surgeon General’s Report – The Health Consequences of Smoking

Forty-three million people have quit smoking, 4 and you can too. That’s about half of all living adults who have ever smoked! These new nonsmokers have found healthier, happier lives free from the dangers of nicotine. You deserve the same chance.

Smoking is the largest single preventable cause of death and disability in America.

Now is the time for you to take the first step toward quitting. Don’t worry if you have already tried to quit before. Each try improves your chance of quitting for good. Most former smokers tried more than once to quit. You didn’t decide to get hooked on smoking, but you can decide to quit. Maybe you haven’t made up your mind. Can you imagine your life if you didn’t have to smoke?

5th grade reading level 24 page paperback • 81⁄2 x 10”

Take the ﬁrst brave step toward freedom. Imagine yourself as a nonsmoker.

item 633–Smoking and Your Health Pamphlet*

$60.25 pack of 50

6th grade reading level • 31⁄2 x 81⁄2”

Fits into #10 envelopes! 48

* A vailable in Spanish – see page 49

p-h.com or 1-800-241-4925

Spanish Tearpads (tearpads are 81/2 x 11”, double-sided, unless indicated otherwise–in pads of 50 sheets)

item 460–Self Monitoring of Blood Glucose

$10.95

item 453–Foot Care

El cuidado de los pies Mire sus pies todos los días

$10.95

• Observe si hay cortadas, rasguños, rajaduras, ampollas o enrojecimientos. • Mire entre los dedos y en la planta de los pies. • Si no puede agacharse, use un espejo para ver la planta de los pies.

item 454–Understanding Type 1 Diabetes

$10.95

item 290S–Pediatric Asthma Triggers

• Si lo necesita, pídale a alguien que le ayude.

Lávese los pies diariamente • Use un jabón suave y agua tibia (no caliente). Pruebe primero con su codo. • Séquese dándose palmaditas. Asegúrese de secarse entre los dedos de los pies.

$9.95

• No se remoje los pies ni aplique loción entre los dedos de los pies.

Cuídese las uñas de los dedos de los pies y trate los callos con cuidado • Recórtese las uñas después del baño y séquese los pies.

item 275S–Pediatric MDI Use

item 457–Diabetes Complications

• No recorte las esquinas. Use una lima para emparejarse los bordes de las uñas de los pies. • Use un cortaúñas, no tijeras ni navaja. • No se recorte los callos. Pregúntele a su médico cómo usar una piedra pómez para frotarlos con cuidado. No use parches para callos, ni líquidos para tratar los callos ni renovadores de callos.

$10.95

$10.95 item 458–Carb Counting

item 277S–Pediatric Asthma Warning Signs

$10.95

$9.95 • single sided

item 461–Diabetes Diary

item 276S–Pediatric Peak Flow Use

$10.95

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Proveedores de Materiales Educativos sobre la Salud de Alta Calidad desde 1973

Cómo supervisar la glucosa en su sangre

La autosupervisión es la mejor manera de decir si su diabetes está bajo control. Si usted tiene demasiada o muy poca glucosa (azúcar) en la sangre, es posible que su médico necesite cambiarle su plan alimenticio, de ejercicios o de medicina(s).

Para efectuar la autosupervisión, usted necesita un medidor de glucosa en la sangre, un dispositivo con lanceta y una franja de prueba. Pregúntele a su médico o educador de la diabetes cuál medidor es mejor para usted y cómo conseguir estos materiales. Existen varios paquetes de autosupervisión en el mercado.

Cuándo hacer la supervisión Algunas personas sólo se tienen que supervisar la glucosa en la sangre una vez al día. Otros necesitan hacerse la prueba más a menudo, dependiendo del tipo de diabetes que usted tenga y qué tan bien puede controlarla. Pregúntele a su médico o educador de la diabetes con qué frecuencia necesita hacerse la prueba.

Cuando usted consiga su paquete, lea las direcciones antes de usarlo. Cada paquete es un poco diferente. Cuando esté listo para hacerse la prueba, siga estos pasos básicos. 1. Lávese bien las manos con jabón y agua. 2. Frótese el dedo que va a usar un par de veces para hacerle llegar más sangre. 3. Pínchese a un lado de la punta del dedo con la lanceta para obtener una gota de sangre. Exprima una gota lo suficientemente grande para cubrir el área de la franja que va a examinar. (Use una nueva lanceta cada vez que se haga el examen.) 4. Siga las instrucciones que vienen con el medidor de glucosa en la sangre. Esto le permitirá obtener resultados exactos. 5. Lea los resultados y éntrelos en el registro de glucosa en la sangre que usted lleva junto con la fecha y la hora.

El margen saludable de glucosa en mi sangre es antes de las comidas: _____ a _____ 2 horas después de las comidas: _____ a _____ a la hora de acostarse: _____ a _____

Pamphlets item 637S–I’m Ready for a Healthy Weight Pamphlet

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ”

item 620S–Managing Your Diabetes Pamphlet

item 222AS–How to Inject Insulin Pamphlet

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ”

$16.25 pack of 50 • 3 ⁄ x 8 ⁄ ”

item 626S–Make the Connection Pamphlet

item 14AS–Diabetes Foot Care Pamphlet

$23.65 pack of 50 • 3 ⁄ x 8 ⁄ ”

item 628S–Your Child Has Diabetes Pamphlet

item 625S –Wake Up Call Pamphlet

$62.75 pack of 50 • 3 ⁄ x 8 ⁄ ”

item 634S–High Blood Pressure Pamphlet

item 633S–Smoking and Your Health Pamphlet

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ” 1

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Proveedores de Materiales Educativos sobre la Salud de Alta Calidad desde 1973

Product # 460 Spanish Self-Monitoring of Blood Glucose

Spanish CÓMO CONTR CÓMOLA DIA OLAR CONTROLARBETES CÓMO LA DIABETES CONTROLAR LA DIABETES

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ” 1

6. Cerciórese de desechar la lanceta en un lugar donde no se corran riesgos. Pregúntele a su médico o departamento de salud pública cómo hacerlo.

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ” 1

Producto # 386 El cuidado de los pies

¿Por qué supervisarla?

Pídale a su médico que le haga un examen de los pies “sin calcetines” al menos 4 veces al año.

Autosupervisión del nivel de glucosa en la sangre

$10.95

item 618S–Kid’s Breathe Free! Pamphlet

Llame a su médico si: Si encuentra enrojecimientos, ampollas, úlceras o rasguños, todos los cuales pueden empeorarse rápidamente.

$65.40 pack of 50 • 3 ⁄ x 8 ⁄ ” 1

p-h.com or 1-800-241-4925

Spanish Books Spanish Please visit us online at p-h.com to see our full line of patient education material. HOW

™

here’s

medad la enfer monar pul crónica controla

Después de la Cirugía del Corazón

Producto # 577AS

Moving Right Along After Heart Surgery | Product # 05ES

item 432S–Going for Heart Surgery

item 186BS–Stroke

$5.20

$4.95

each • 48 page paperback • 81⁄2 x 11”

English version on page 7

item 242BS–Heart Attack: Bouncing Back

$4.90

each • 48 page paperback • 81⁄2 x 10” English version on page 6

item 577AS–Here’s How to Manage Chronic Lung Disease

$9.80

each • 32 page paperback • 81⁄2 x 10” English version on page 46

item 578S–Here’s How to Manage Your Heart Failure

$46.35

pack of 20 • 24 page paperback • 81⁄2 x 10”

item 27GS–A Stronger Pump: A guide for people with Heart Failure

$4.40

each • 48 page paperback • 81⁄2 x 10” English version on page 10

item 488BS–The Sweet Truth About Managing Type 2 Diabetes

$4.80

each • 88 page paperback • 81⁄2 x 10” English version on page 17

item 75FS–To Air Is Human; a guide for people with chronic lung disease

English version on page 8

$5.25

item 05ES–Moving Right Along After Heart Surgery

English version on pages 42 & 43

81⁄2 x 11”

each • 80 page paperback

each • 56 page paperback • 81⁄2 x 11” English version on page 13

item 306AS–To Mend a Broken Heart: Pediatric Heart Surgery

item 264ASP–Pneumonia

$4.40 each • 32 page paperback • 81⁄2 x 10” English version on page 4

$5.50

$57.50

pack of 25 • 16 page paperback 81⁄2 x 10” English version on page 46

each • 48 page paperback 81⁄2 x 10” English version on pages 28 & 29

Books Please visit us online at p-h.com to see our full line of patient education material.

“ “

Staff

A repertoire of excellent teaching strategies that can be used at any time, even when nurses feel they have No Time to Teach.”

item 750A–No Time To Teach

I have yet to read a book that contains more practical, hands-on patient education principles than Fran London’s timeless classic, No Time to Teach. Fran’s creative insights and common-sense approach to teaching patients and families have helped to inspire and unleash the teacher hidden inside all of us. This new version offers updated information and a condensed format, sure to be appreciated in our frantic, fast-paced worlds.” ~Kathy Ordelt, RN, CPN, CRRN Patient and Family Education Children’s Healthcare of Atlanta

“

I have used No Time to Teach as a resource for both nursing students and staff nurses. It is easy to understand and gives great tips to enhance patient education in busy clinical settings.” ~Debra Philips, MSN, RN Patient Education Coordinator The Reading Hospital and Medical Center

For more information, visit www.notimetoteach.com

The Essence of Patient and Family Education for Health Care Providers

The Essence of Patient and Family Education for Health Care Providers Gives you the essentials and the inspiration you need to make a big impact on the quality of care and your patients’ quality of life. $12.95 each • 202 page paperback • 4 x 7”

~Pediatric Nursing

In my 40 years of nursing and healthcare education experience,

The Essence of Patient and Family Education for Health Care Providers

ISBN 978-1-933638-94-2

American Journal of Nursing’s Book of the Year

3440 Oakcliff Road, NE, Suite 110 Atlanta, GA 30340-3006 1-800-241-4925 • www.p-h.com

item 700–Lions and Tigers and Nurses: Lateral Violence Book 1 in Nursing Novella series Haylie Evans, fresh from nursing school, is excited to join the team on Med-Surg South, but quickly learns what the expression “nurses eat their young” means. When Miriam, a nurse who is counting her days until retirement, gets assigned as the preceptor, the claws really come out. Will Miriam force Haylie out of nursing? Will there be peace on Med-Surg South ever again? $12.95 each • 170 page paperback • 6 x 9” 3.0 contact hours CNE

item 701–Broken Heart: Change and Loss

Book 2 in Nursing Novella series After a bitter divorce, nurse Imelda Tagaro would do anything to keep from loving again. But when movie star Devin Ryan is injured on a local movie set and rushed to Dogwood Regional Medical Center, Imelda catches his eye in a big way. While Devin recovers on MedSurg South, Imelda’s determination to resist his charms fades a little more each day. Will Devin find a way to win Imelda’s heart? Will she ever be willing to gamble on love again? And who will be lost from the team on Med-Surg South forever? $14.95 each • 242 page paperback • 6 x 9” • 3.5 contact hours CNE

item 702–Through Other Eyes: Cultural Competency

After a bitter divorce, nurse Imelda Tagaro would do anything to keep from loving again. But when movie star Devin Ryan is injured on a local movie set and rushed to Dogwood Regional Medical Center, Imelda catches his eye in a big way. While Devin recovers on Med-Surg South, Imelda’s determination to resist his charms fades a little more each day. Will Devin ever find a way to win Imelda’s heart? Will she ever be willing to gamble on love again? And who will be lost from the team on Med-Surg South forever?

M. Terry Hodges, Compliance Attorney North Carolina Department of Health and Human Services

“‘Through Other Eyes’ tackles the ever present issues surrounding diversity with compassion and understanding, all while giving practical guidance on communication with patients and colleagues.”

Amy Glenn Vega series

Book 3

A nursing novella about diversity

“I am impressed with how Through Other Eyes introduced the subject of language and cultural diversity without first referencing the laws, which is how most professionals come to understand their obligations. Chapter 12 was an eye-opener and I will surely recommend it as a must read to help the public understand Title VI of the Civil Rights of 1964.”

through other eyes

Book 3 in Nursing Novella series Emotions run high as Dogwood Regional Hospital braces for a massive hurricane. On Med-Surg South, Miriam, Brad and Mel are faced with patients who present challenges like they’ve never encountered before. Meanwhile, Haylie butts heads with Prateeka, the teams newest addition from India. As the nurses scramble through disaster preparations, nurse manager Donna struggles to keep everyone safe from the real storm that is brewing on the unit. When personalities, values and beliefs collide, the nurses of MedSurg South must put aside their differences to survive the storm, protect their patients. . . and save the life of one of their own.

amy glenn ega

-Marcus Engel, Author of “The Other End of the Stethoscope” Orlando, FL

Amy Glenn Vega is not a nurse, nor does she play one on TV. However, she has worked closely with nurses over the past fifteen years in her career as a health care educator and a former Emergency Medical TechnicianIntermediate. She obtained her Masters in Business Administration and Masters in Health Administration at Pfeiffer University, and her Bachelor of Science in Health Education at the University of North Carolina in Chapel Hill. She has served in multiple roles in health care education, to include community health, patient education, and staff development. A gifted storyteller, Amy has combined the power of story with teaching in the educational fiction series, “Nursing Novellas.” Amy is also a North Carolina Registered Health Educator and was recently appointed as a Fellow to the Academy of Health Care Education Professionals.

through other eyes A nursing novella about diversity

www.nursingnovellas.com

Pritchett & Hull www.p-h.com

Readers are eligible for 5.4 contact hours, CNE

$14.95 each • 242 page paperback • 6 x 9” • 5.4 contact hours CNE

p-h.com or 1-800-241-4925

Weight Tearpads Learning About Fiber About fiber

What you need

When talking about food, the word fiber means dietary fiber. You may have heard it called “roughage.” Fiber comes from plants. There is no dietary fiber in animal foods.

The fiber in food is filling and it contains little fat. Because of this, fiber can help in weight control. While insoluble fiber can help in constipation, it is important to drink a lot of fluids too. Without enough fluids, fiber can slow down digestion and block your bowels.

There are two types of dietary fiber. One type, insoluble (found mostly in wheat), helps prevent constipation. The other type, soluble, is found in vegetables, fruits, beans, barley, oats and oat bran. This type of fiber helps lower your blood cholesterol levels. Lower cholesterol helps reduce your risk of heart disease.

Experts say you need 20–30 grams of fiber a day from a variety of foods (at least 10 grams should be from soluble fiber). But, don’t try to load up on fiber all at one time. Too much fiber at one time can cause unpleasant side effects (like gas or diarrhea). Gradually increase your daily fiber and aim to eat some with each meal.

(tearpads are 81/2 x 11”, double-sided, unless indicated otherwise– in pads of 50 sheets)

item 427–CAD and Diet

$10.95 5th grade reading level item 428–CAD and Weight

$10.95 5th grade reading level Pritchett & Hull Associates, Inc. ®

Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

$10.95 6th grade reading level

Are you obese?

What causes obesity?

Your bathroom scales may tell you your weight, but it is not the best way to know if you are severely overweight or obese.

There are many causes of obesity, but the 3 basic ones are: • eating habits - not making healthy food choices (too many calories from fat) or eating portions that are too large

The best way to tell is by answering yes to one or both of these questions. 1. Do you have a body mass index (BMI) 30 or higher? (see BMI chart on back) 2. If you are a man, is your waist 40 inches or more? If you are a woman, is your waist 35 inches or more?

• inactivity - not exercising on a regular basis to burn off those extra calories

Your BMI can help you know what your weight should be as well as how much overweight you are. It is not perfect, but it is a good way to assess your weight. INDEX

IT MEANS

18.5 - 24.9

healthy weight

25 - 29.9

overweight

30 - 34.9

obese (level 2) severe obesity

Providing Quality Health Education Materials Since 1973

item 288–DASH Food Plan

$10.95

4th grade reading level

item 368–Heart Failure and Your Weight

$10.95 4th grade reading level

obese (level 1)

35 - 39.9 40 or more

Pritchett & Hull Associates, Inc. • Atlanta, GA • 800-241-4925 ®

• genes - some people seem to gain weight and store fat more than others

item 383–HBP and Weight Management

$10.95 5th grade reading level Childhood Obesity About 13% of children ages 6 to 11 and 14% of adolescents ages 12 to 19 are obese. And being obese can lead to health problems. Why are more and more children overweight and obese today than ever before? For most, the answers lie in how and what they eat and the lack of physical activity.

The food connection

The physical side

More families need both parents working. This may lead to less time for healthy meal planning.

Today’s children are the least active in history. Few of our schools require physical education anymore. Most community playgrounds have either closed, are not convenient or are not safe to use. Children watch television or use the computer instead of going outside and playing.

That’s why fast foods have become the answer to our time demands. Processed foods allow us to get dinner on the table faster. We eat fewer fresh vegetables because it takes longer to cook them.

We have fewer community schools, so fewer children walk or ride a bicycle to school. Parents drive them or they ride a bus.

item 593–Learning About Cholesterol in Food

$10.95 5th grade reading level item 594–Learning About Fats

$10.95 6th grade reading level

We often eat on the run. “I’ll grab a burger and fries” is a common answer to a quick meal. And fast food restaurants and makers of sweet treats and other snack foods often market to children.

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

Product # 495

www.p-h.com

item 493–Learning About Obesity

$10.95

5th grade reading level

item 586–Learning About Trans Fat

4th grade reading level

item 356–Cholesterol Learning About Obesity

item 495–Childhood Obesity $10.95

$10.95

Obesity has become a major health problem. It is reported that roughly 60% of people in the U.S. are overweight or obese. Obesity has been linked to over 30 diseases such as high blood pressure, diabetes, stroke, arthritis, gallbladder disease, different types of cancer (breast, prostate and colon) and coronary heart disease. If you are obese, it is important that you do something about it.

Samples

5th grade reading level

item 450–Let’s Exercise/ Let’s Stretch

$10.95 4th grade reading level item 629–Metabolic Syndrome

$10.95

4th grade reading level

item 494–Obesity Treatment

$10.95

7th grade reading level

item 496–Weight Loss Surgery

$10.95 7th grade reading level item 287–Weight Management

$10.95 4th grade reading level item 608–Your Portion Size Guide

$10.95

item 592–Learning About Fiber

$10.95 5th grade reading level

Learning About Fats All fats are mixtures of saturated and unsaturated fatty acids. There are 4 basic kinds of fats: • Saturated fats

• Polyunsaturated fats

• Monounsaturated fats

• Trans fats

About saturated fats Saturated fats mainly come from animal products— meat, poultry and whole-milk dairy products. But, three vegetable oils are also mostly saturated fat—coconut, palm and palm kernel oils. A diet high in saturated fats can raise total blood and LDL (bad) cholesterol levels. This increases your risk for heart disease.

About unsaturated fats Unsaturated fats mainly come from plants and fish. They are either monounsaturated or polyunsaturated. The monounsaturated fats come from nuts (except walnuts) and 4 oils— olive, canola, peanut and avocado. The polyunsaturated fats come from corn, safflower and sesame oils, fish and walnuts. Unsaturated fats can actually help in lowering your blood cholesterol levels.

Trans fats Trans fats are found in small amounts in beef and dairy products. Man-made trans fats are created when hydrogen is added (hydrogenated) to vegetable oils. This helps improve the texture and flavor while extending the shelf life of the item. Man-made trans fats are found in most package foods, margarines, vegetable shortenings and food items which contain margarine and vegetable shortenings. Look for trans fat information on food labels. Trans fats raise bad (LDL) cholesterol and lower good (HDL) cholesterol and should be limited. ®

Pritchett & Hull Associates, Inc. Atlanta, GA 800-241-4925 Providing Quality Health Education Materials Since 1973

p-h.com or 1-800-241-4925

Weight Material Please visit us online at p-h.com to see our full line of patient education material.

item 637–I’m Ready for a Healthy Weight Pamphlet* Topics include: • BMI (what it is, and how to calculate it) • losing as a lifestyle change • balancing meals • exercise • setting reasonable goals $60.25 pack of 50

Fits in to #10 envelo

6th grade reading level 3-fold pamphlet • 31⁄ 2 x 81⁄ 2”

pes!

* Available in Spanish – see page 49

item 234B–Nutrition Poster Set

Subjects include: Food Choices, Reading a Nutrition Label, Portion Size and Choose My Plate $18.00 set • 4 laminated posters • 11 x 17”

Choosemyplate.gov is a guide to help you make healthier food choices like eating more fruits and vegetables and less of foods high in sodium and sugar.

What a portion is depends on your calorie needs. Use this guide to help you.

Oils

Milk, yogurt & cheese

3 tsp 1,000 4 tsp 1,200–1,400 5 tsp 1,600–1,800 2,000–2,200 6 tsp 2,400 7 tsp 2,600–2,800 8 tsp 3,000–3,200 10 tsp 3 tsp = 1 Tbsp

1,000–1,400 1,600–3,200

2 cups 3 cups

Meats and Beans (meats, beans, eggs & nuts)

1,000 1,200 1,400 1,600–1,800 2,000 2,200 2,400–2,600 2,800–3,200

2 oz eq* 3 oz eq 4 oz eq 5 oz eq 512⁄ oz eq 6 oz eq 612⁄ oz eq 7 oz eq

Vegetables

1,000 1,200–1,400 1,600 1,800–2,000 2,200–2,400 2,600–2,800 3,000–3,200

1 cups 112⁄ cups 2 cups 212⁄ cups 3 cups 312⁄ cups 4 cups

Fruits

Grains (bread,cereal, rice & pasta)

1,000–1,200 1,400–1,800 2,000–2,600 2,800–3,200

1,000 1,200 1,400–1,600 1,800–2,000 2,200 2,400 2,600 2,800–3,200

1 cups 112⁄ cups 2 cups 212⁄ cups

3 oz eq 4 oz eq 5 oz eq 6 oz eq 7 oz eq 8 oz eq 9 oz eq 10 oz eq

1 cup = 8 oz *eq=equivalent

1 tsp 2 tsps

= =

the tip of your thumb a ping pong ball

1 cup 1 oz 11⁄2 oz 2 oz

= = = =

baseball a pair of dice a 9-volt battery a pair of dominoes

3 oz

1 oz

a deck of 52 cards a cupped handful

1 cup 1 ⁄2 cup

= =

⁄ cup

If you have access to the internet, you can go to www.choosemyplate.gov and create a plan just for you.

3 4

Most food products sold in the U.S. will have Nutrition Facts on the label. You can use this information to compare nutrients in different foods or to

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Calories from Fat 18 % Daily Value*

Total Fat 2g

3% 5%

Saturated Fat Less than 1 g Trans Fat 0 mg

Cholesterol 20 mg

Sodium 420 mg

18%

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15% 8%

Dietary Fiber 2g

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* Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs: 2,000 65g 20g 300mg 2,400mg 300g 25g

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