WELLNESS VIDEOS:
https://viewmedica.com/ondemand-patient-education-videos/see-videos/wellness/
Nearly half of U.S. adults have hypertension.
Stages:
Normal = less than 120 over less than 80 Elevated = 120 to 129 over less than 80
Stage 1 = 130 to 139 or 80 to 89 Stage 2 = 140 or higher or 90 or higher Crisis = 180 or higher or 120 or higher (urgent/emergency)
Goal: Keep blood pressure under 130 over 80 for most patients.
Prevention: DASH or Mediterranean diet, less than 2.3 grams of sodium daily, 150 minutes per week of exercise, limit alcohol.
URLs:
AHA Hypertension Guideline PDF – https://professional.heart.org/en/science-news/-/media/597477e610c64866bdde138e1729066d.ashx
DASH One-Week Menu – https://www.nhlbi.nih.gov/sites/default/files/publications/WeekOnDASH.pdf
ViewMedica Wellness Videos – https://viewmedica.com/ondemand-patient-education-videos/see-videos/wellness/
Over 40 percent of adults have obesity. BMI Classes: Class 1 = 30.0 to 34.9 Class 2 = 35.0 to 39.9 Class 3 = 40.0 or higher
Prevention: Plant-based meals, high fiber intake (25–30 grams per day), daily physical activity, and behavioral support.
URLs:
MyPlate Print Materials – https://www.myplate.gov/resources/print-materials
Mediterranean Diet – https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/mediterranean-diet
Anti-Inflammatory Diet (VA PDF) – https://www.va.gov/WHOLEHEALTH/veteran-handouts/docs/EatReduceInflam__Final508__07-25-2019.pdf
Prediabetes affects about one in three adults.
Prediabetes: A1c between 5.7 and 6.4 percent, fasting glucose between 100 and 125 milligrams per deciliter, or two-hour glucose 140 to 199.
Diabetes: A1c 6.5 percent or higher, fasting glucose 126 or higher, or random glucose 200 or higher with symptoms.
Prevention: Weight loss of 5 to 10 percent, 150 minutes per week of exercise, and reduced sugar intake.
URLs:
ADA Diagnosis – https://diabetes.org/about-diabetes/diagnosis
ADA Standards 2025 – https://diabetesjournals.org/care/article/48/Supplement_1/S27/157566/2-Diagnosis-and-Classification-of-Diabetes
CDC Diabetes Data – https://www.cdc.gov/diabetes/php/data-research/index.html
Move Your Way – https://odphp.health.gov/moveyourway
Affects about 14 percent of adults; most are unaware.
Stages:
Stage 1 – eGFR 90 or higher Stage 2 – eGFR 60 to 89
Stage 3a – eGFR 45 to 59 Stage 3b – eGFR 30 to 44
Stage 4 – eGFR 15 to 29 Stage 5 – eGFR less than 15 (kidney failure)
Albuminuria: A1 less than 30 milligrams per gram A2 between 30 and 300 A3 more than 300
Prevention: Control blood pressure and glucose, use ACE inhibitors or ARBs, avoid NSAIDs, stay hydrated.
URLs:
KDIGO CKD Guideline 2024 – https://kdigo.org/wp-content/uploads/2024/03/KDIGO-2024-CKD-Guideline.pdf
NKF Heat Map Card – https://www.kidney.org/sites/default/files/heat_map_card.pdf
About 11 percent of adults have total cholesterol above 240.
Prevention: Mediterranean-style diet, soluble fiber, reduce trans fats, regular exercise.
URLs:
USPSTF Statin Use – https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication
AHA Life’s Essential 8 – https://www.heart.org/-/media/Healthy-Living-Files/LE8-Fact-Sheets/Lifes_Essential_8_Fact_Sheet.pdf
Roughly 5 percent of adults affected.
Prevention: Manage blood pressure, cholesterol, and diabetes, stop smoking, exercise regularly, and maintain a plant-rich diet.
AHA Healthy Living – https://www.heart.org/en/healthy-living
Affects about one in five adults.
Grade 1 – Doubtful osteophytes, no joint space narrowing
Grade 2 – Definite osteophytes, possible narrowing
Grade 3 – Multiple osteophytes, definite narrowing, some sclerosis
Grade 4 – Large osteophytes, marked narrowing, deformity present
Prevention: Weight control, physical therapy, low-impact exercise, anti-inflammatory diet, and topical NSAIDs.
CDC Osteoarthritis – https://www.cdc.gov/arthritis/basics/osteoarthritis.htm
Affects over 20 percent of adults. Pain Scale: Mild = 1 to 3 Moderate = 4 to 6 Severe = 7 to 10
Treatment: Function-focused therapy, graded movement, stress and sleep management, non-opioid medications.
CDC Chronic Pain MMWR – https://www.cdc.gov/mmwr/volumes/73/wr/mm7303a3.htm
About 19 percent of adults yearly.
Treatment: CBT, relaxation training, sleep hygiene, SSRIs or SNRIs if needed.
NIMH Anxiety – https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml
Affects about 8 percent of adults yearly.
Screen with PHQ-2 or PHQ-9.
Treatment: CBT, physical activity, medication, and social support.
NIMH Depression – https://www.nimh.nih.gov/health/topics/depression/index.shtml
ViewMedica Mental Health – https://viewmedica.com/vmcast-waiting-room-tv/see-videos/mental-health/
About 8.6 percent of adults.
Control means symptoms fewer than two days per week, no limits on activity, and no night awakenings.
CDC Asthma – https://www.cdc.gov/asthma/faststats.html
ViewMedica Wellness – https://viewmedica.com/ondemand-patient-education-videos/see-videos/wellness/
About 4 percent of adults.
Confirmed by post-bronchodilator FEV1 to FVC ratio under 0.70.
Stop smoking, vaccinate, pulmonary rehab, inhaler technique review.
CDC COPD – https://www.cdc.gov/copd/basics-about.html
ViewMedica Pulmonary – https://viewmedica.com/ondemand-patient-education-videos/see-videos/cardiovascular/
Affects about 3 percent of adults.
Prevention: Control blood pressure, cholesterol, atrial fibrillation, and avoid smoking.
CDC Stroke – https://www.cdc.gov/stroke/facts.htm
Affects about one in five adults.
Treatment: Weight loss, avoid late meals, caffeine, and fatty foods.
ACG GERD – https://gi.org/topics/gerd-gastroesophageal-reflux-disease/
Affects about 11 percent of those over 65.
Prevention: Control vascular risk factors, regular exercise, social engagement, sleep, and hearing correction.
Alzheimer’s Facts – https://www.alz.org/alzheimers-dementia/facts-figures
About 11 percent of adults still smoke.
Encourage counseling, nicotine replacement, or varenicline.
CDC Tobacco Data – https://www.cdc.gov/tobacco/data_statistics/index.htm
Affects about 28 million people aged 12 or older.
CAGE Questions:
Do you ever feel you should Cut down?
Do people Annoy you by criticizing your drinking?
Do you feel Guilty about drinking?
Do you need an Eye-opener in the morning?
Two or more “yes” answers indicate likely alcohol misuse.
NIAAA Alcohol Use Disorder – https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-use-disorder
Affects about 30 percent of adults. Prevention: Weight loss of 7 to 10 percent, Mediterranean diet, physical activity, and low sugar intake.
NIDDK NAFLD – https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash
Affects nearly 40 percent of adults at least once. Treatment: Maintain movement, posture training, avoid prolonged rest.
WHO Low Back Pain – https://www.who.int/news-room/fact-sheets/detail/low-back-pain
Common in postmenopausal women and older men.
Prevention: Adequate calcium and vitamin D, resistance exercise, fall prevention.
USPSTF Osteoporosis Screening – https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening
Includes colorectal, breast, cervical, lung, and prostate. Follow USPSTF and ACS guidelines for age-based screening.
USPSTF A and B Recommendations – https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
About 1.2 million Americans live with HIV. Screen all adults 15 to 65, offer PrEP to those at risk.
CDC HIV Basics – https://www.cdc.gov/hiv/basics/index.html
Promote 7 to 9 hours of sleep, mindfulness, yoga, and digital detox before bed.
ViewMedica Wellness – https://viewmedica.com/ondemand-patient-education-videos/see-videos/wellness/
Monitor potassium, hemoglobin, and phosphate levels.
Refer to nephrology if stage 4 or 5.
KDIGO CKD Guideline – https://kdigo.org/wp-content/uploads/2024/03/KDIGO-2024-CKD-Guideline.pdf
Keep vaccinations current per CDC adult schedule.
Review screenings for blood pressure, diabetes, cancer, cholesterol, and mental health annually.
Adult Vaccine Schedule PDF – https://www.cdc.gov/vaccines/hcp/imz-schedules/downloads/adult/adult-combined-schedule.pdf