Wellness Promotion Project. Assessment of the Utica-Rome, NY community - Essay Example

? Wellness Promotion Project Introduction This paper will flow in the following order from assessing the Utica-Rome, NY community and stating a nursing diagnosis for this population, followed by a Literature Review using 10-15 scholarly sources that related to Community/Public Health closely following the Gallop Study and finally using the community assessment and literature review come up with a best in practice plan to help these people. Assessment of the Utica-Rome, NY community A later Gallup poll in USA Today puts the Utica-Rome region fourth in a standing of urban communities where individuals have the most heart strike. The main poll puts that stacked up progressively at danger were the Huntington-Ashland region in West Virginia; the Davenport-Moline Rock Island in Iowa and Fort Smith in Arkansas (Ferries, 2013). The study discovered that expansive amounts of individuals here are corpulent, and smoke, however that yet little numbers practice customarily. A nearby interventional cardiologist says that patients he sees in his office don't repudiate those discoveries, however he additionally sees numerous sound patients in their 90s since they settle on solid life decisions. That's the focus needed to drive home, that you have a say in which sort of fact you come to be. Coronary illness is a preventable infection and you can change your result. You can change the detail (Kelberman, 2013). It's not a miserable try. Individuals can have an enormous effect and we need to truly change. Practice is vital, however how we consume, what we consume is as well. Literature Review The Gallup Study First of all, what is the Gallup poll? For more than 70 years, Gallup has built its reputation on delivering relevant, timely, and visionary research on what humans around the world think and feel. Using impeccable data, our advisers assist leaders in identifying and monitoring critical economic and behavioral indicators that are vital to their strategic plans. The study discovered that the occurrence of high circulatory strain in the Utica-Rome range was higher than the national normal. The study additionally said that about a full third of individuals in the region are corpulent, and more than a quarter, smoke (Ships, 2013). Heart illness, which causes heart strike, is the heading explanation for expiration in the United States. More than 700,000 Americans show some kindness assault every year. As per the Gallup-Healthways twelve-month well-being study, a few US metropolitan locales have much higher rates of heart strike than whatever is left of the nation. Broadly, an expected 4% of American mature people reported surviving a heart assault. Occupants of Utica-Rome, NY metropolitan locale were more than twice as liable to endure the same destiny (Mendez, 2013). In view of Gallup and Healthways information for US metropolitan factual ranges, 24/7 Wall St. audited the urban areas with the most noteworthy rates of heart ambushes. Managing director of Gallup.com said that by and large, occupants living in metro zones with high rates of heart strike likewise battle progressively with incessant health issues like high circulatory strain, heftiness, and diabetes. In Utica-Rome, NY, the top district in the nation for heart ambushes, an expected 43.3% of overviewed grown-ups reported experiencing high circulatory strain, compared to only 27.6% of grown-ups across the nation. The territory was additionally in the top five for high cholesterol and stoutness (Mendez, 2013). Mendes clarified that Gallup has noted a relationship between low income and weakness, incorporating heart strike. Part of this may have to do with access to quality mind, weakness propensities identified with an absence of training or competitive, solid sustenance. In view of the latest Census information, the majority of the metro regions with the most elevated danger of coronary illness had average family unit incomes beneath the US figure of $50,502. In the meantime, the greater part of the 10 territories with the most minimal rate of heart ambushes had an average income above the national figure (Mendez, 2013). Metropolitan ranges that had higher rates of heart ambushes than the national normal showed a large portion of the poor propensities connected with coronary illness, incorporating poor practice propensities and high smoking rates. Occupants in the dominant part of these spots were around the least extent liable to practice normally (Weigley, 2013). Additionally numerous zones had around the most astounding smoking rates in the nation. In the Utica-Rome, NY range, more than 26% of occupants smoked, compared to not exactly 20% the nation over. While poor eating methodology is commonly connected with heart conditions, a hefty portion of these metropolitan zones reported adhering to a good diet propensity. In Utica-Rome, NY, which had the fourth-most astounding rate of grown-ups who had encountered a heart ambush, about 75% of the aforementioned overviewed reported consuming sound the greater part of the day preceding? Broadly, the rate was 66.5% of the aforementioned reviewed (Weigley, 2013). To figure out the 10 metropolitan zones where the most individuals shown at least a bit of kindness ambush, 24/7 Wall St. evaluated figures from the Gallup-Healthways Well-Being Index for 2012. The study was dependent upon meetings with more than 230,000 mature people ages 18 and over in 189 distinctive metropolitan zones the nation over. Notwithstanding the rate of occupants who have shown at least a bit of kindness assault, we acknowledged a mixture of information from the Well-Being Index, basically concerning physical health and sound conducts drilled by inhabitants (Weigley, 2013). We additionally checked on average income, destitution rates and instructive fulfillment from the US Statistics Bureau. All Census figures were for 2011, the latest accessible year. Utica-Rome, NY stacked up fourth in this study. Utica-Rome, N.Y. Statistics 2012 Percentage of people reporting heart attack: 6.6% The Median household income: $45,111 Percentage of obese people: 30.1% (29th highest Percentage of people who smoke: 26.7% (16th highest) As most different urban areas on this record, Utica had poor physical health and solid conduct. More than 34% of individuals have been let they know had high circulatory strain, respectably higher than the 27.6% of individuals over the US who have been told the same thing. A little more than 47% of individuals in the zone said they practiced no less than three days in the past week for no less than 30 minutes. This was around the lowest part 10 of all metro ranges. Also, the territory stacked up seventh most noticeably awful in the Gallup Healthways study for generally speaking life assessment, a measure that takes a gander at if individuals are flourishing, battling or enduring in their normal life (Weigley, 2013). The prevalence of smoking among non-white women has been reported to be higher compared to the white women. As a result, many researchers have been focused on understanding the prevalence of smoking in the non-white population compared to the white. However, there are a few studies that have been conducted on smoking in middle-aged white women. The socio economic status has been established to have an effect on the prevalence of smoking with women poor women being reported to smoke more. The economical disadvantage white woman is more likely to suffer from health complications that come with smoking compare to those of high economic states (Choi & Dinitto 2011). There is also high prevalence of smoking among the unemployed white women compared to the employed white women. Statistics also show that obesity among the white middle aged women is high with 45% being obese (Cawley 2011). Another research based on government survey show that middle aged women between the ages of 55-80 are the ones who smoke the most. Since the population of women of middle age in Oneider (45-64) has increased by 12.5% percent over the last years. Therefore, there is need to develop health care services that deal with smoking problem for white women of this age. This is because women take up the habit of smoking at a later age than males. This explains why the life mortality rate is higher among males that female as many males die from respiratory related diseases and lung cancer. This implies middle aged female population is higher than the younger population; the number of young medical personnel taking care of people in this age group is reducing. There is therefore a need to recruit more nursing personnel to take care of this group. A research conducted by Robinson (2007) tries to explore the reasons why there is prevalence of smoking among the poor population. This article asserts that the connection between smoking and poverty is unclear since these trends are not uniform across all countries. There are some countries where the rich smoke more than the poor. However, there are several hypotheses that have been used to explain the link between poverty and smoking. One hypothesis is that most poor people are likely to be less educated and are likely to lack awareness of the health implications of tobacco smoking. Moreover, tobacco smoking is used by the poor population as a method of self medication to treat stress, regulate mood and help individuals deal with the problems that comes with material deprivation. This hypothesis has been challenged since nicotine lacks sedative effects. Another argument is that smoking is used by the poor as a replacement reward since it is among the few things a poor person can afford to reward themselves (Robinson, 2007). Nutrition has also been associated with high mortality rates in white female smokers. This is because smokers of the high social and economic status are able to eat the right nutrition and this prevents them from getting health ailment related to smoking. The poorer smokers on the other hand may not afford to spend on the right nutrition and this makes them vulnerable to diseases that result from smoking. In Oneider County, smoking among adults is observed to increase with decrease in earnings levels. Persons with incomes lower than $24 999 or less have a 29.1 prevalence of smokers with those earning above $75 000 having only 8.8% prevalence of smokers. The persons in the lower earning profile are also less likely to live in homes with smoking prohibition. These people are thus in a position to suffer as either firsthand or secondhand smokers. In terms of success in quitting smoking, research has shown that there is a difference between both men and women. It has been observed that the use of medical intervention to help smokers to quit has been associated with greater success in men compared to women. Some of the drugs that are used to help smokers quit include Zybans and Chantix. The research also observed group support and counseling has been helpful in helping both women and men quit successfully (Kopala & Keitel 2003). The same studies have tried to understand how menstrual cycle affects quitting in women. It was observed that women have a greater urge to smoke just before they start menstruating. It is thus recommended that women try to quit smoking after the premenstrual symptoms have passed (Leppert & Peipert 2004). Mental disorders are associated with problem quitting smoking. It has been observed that women suffering from mental disorders such as depression and stress and anxiety have a harder time quitting compared to people who do not suffer from the same illnesses. Mental health counseling has been seen to be an important factor in helping women quit smoking. Some researchers have been conducted in the area lung prevalence in the both women and men. The assertion that lung cancer is predominant in females and males is not satisfactory. The studies that have illustrated that there is a high risk of female deaths from lung cancer are based on cohort studies and their results show absolute deaths from lung cancer (Leppert & Peipert 2004). However, studies of the general population shows that deaths resulting from lung cancer are higher in males than females of the same demographic characteristics in terms of age and smoking. The reasons why the study of middle aged white smokers is important is because it has been observed that women within this age bracket are more likely to initiate smoking compared to men. They are also likely to become more obese. This is because women within this age bracket suffer a lot of mental related health problem such as stress, mood instability and anxiety disorder. This has been associated with menopause since most women around this age experience menopausal symptoms. The psychological distress is associated with a high level of smoking and eating as a way of escaping from the condition. Moreover, it has also women of this age are reported to experience a higher level of loneliness and isolation. With the high rate of divorces in America, many women reach the age of 40 when they are divorced from their husbands. Women of advanced age are less likely to get remarried compared to men. As a result, there are many divorced middle aged women who are dissatisfied with their lives. They engage in cigarette smoking and other recreational drug use as a way of escaping from their situation (Cawley 2011). Moreover, the interaction of overeating and smoking aggravates the psychological problems that these women suffer from and this causes addiction and they smoke more cigarettes or drink more to cover these problems (Campos 2004). It can thus be concluded that from the various studies conducted, the cause of obesity and cigarette smoking among the middle aged women in America is as a result of women in this age bracket being vulnerable to mental disorders such as stress and depression. Smoking and over eating are thus used as a way of escaping from pressures. Best Practice Plan to help the people of Utica-Rome, N.Y. I will break down my plan to help the people of Utica-Rome, N.Y. community based on the factors of Obesity Control, Smoking Cessation, Stress Management, Alcohol Quitting and the New York state snap program. These four areas are the most critical and challenging to correct. In order for a best practice plan to work, we have to address all the components above separately. I will begin with Tobacco smoking. New York state snap program (NASP) The Supplemental Nutrition Assistance Program (Snap) is our country's essential sustenance help project, extending the month to month nourishment plans of all who meet program guidelines. Snap has been our country's first line of barrier against crave more than 70 years, and has been in its current structure for almost 35 years (HSNA, 2013). How it functions: Monthly profits are immediately kept in members' records. Utilizing an electronic profits exchange (EBT) card, members might decide to purchase most sustenance’s and sustenance handling seeds or plants from taking part neighborhood stores and ranchers' markets. Snap profits are allowed to the individuals who meet qualification and provision necessities (HSNA, 2013). The Eligibility: Criteria and profit sums for Snap shift dependent upon pay, family unit measure, overheads, and different components. Snap likewise has unique qualification decides for family units that hold a senior or debilitated part which might build the families' month to month profit measures (HSNA, 2013). To accept Snap profits, certain guidelines must be met. Investing in the neighborhood: This is carried out when Snap beneficiaries make buys with their profit cards it has an investment progressively outstretching influence into nearby groups. Consistent with the US Branch of Agriculture (USDA), each $5 in Snap nourishment buys creates more than $9 in investment action. Snap profits likewise help ranchers. As per the USDA, on normal, $1 billion of retail nourishment request by Snap beneficiaries produces 3,000 ranch occupations over the United States (HSNA, 2013). In 2011, New Yorkers utilizing EBT cards used about $2.6 million at agriculturists' markets, the second most noteworthy measure went through with EBT cards at ranchers' markets in the nation. Funding: The Snap is supported and legislated by the United States Department of Agriculture and controlled by the Office of Temporary and Disability Assistance (OTDA), nearby province Departments of Social Services, and the Human Resources Administration in New York City. Instructions to Apply: Hunger Solutions New York administers the Nutrition Outreach and Education Program (NOEP). NOEP offers free and secret administrations to join ravenous New Yorkers with nourishment aid projects, incorporating Snap. NOEP is accessible in numerous regions over the state, and in all New York City districts (HSNA, 2013) Ways You Can Help Solve U.S. Poverty One in seven Americans live under the destitution line, consistent with the most recent evaluation information. That doesn't mean they need to live in destitution. Never taking into account the United States have such a large number of Americans battled to make closes meet (Tonic, 2010). Education: In America, state funded school plans are connected to region property charges. As being what is indicated, poor Americans should by and large send their children to badly provided and underfunded schools. Exacerbating matters, kids from poor families are dependent upon six times less averse to drop out of school than children from affluent families, consistent with Dosomething.org (Tonic, 2010). There's no simple out, however possibly the most straightforward? Google "free historical centers," connect to your postal division, and take along an adolescent child to study something, regardless of the possibility that it’s the extent to which he or she scorns tsarist-time port. Health Care: More Americans lost health protection between 2008 and 2009 than throughout whatever available year in the nation's history. In America, human services is not a right. There's nothing interesting about that, unless you need to get into the dental strategies utilized by uncertified boondocks orthodontists (Tonic, 2010). You can help one of a huge number of uncovered Americans by inferring he or she drop by a Remote Area Medical (Ram) pop-up clinic. Clean Water: Access to clean water isn't the issue in America that it is in improving countries, where sewage and fluid refreshment regularly intermix. Still, numerous who can't bear to pay for utilities might look for dangerous watering gaps, or possibly more terrible, subsist on pop. There's a straightforward and clear result: Brita. The channels aren't ensured to purge microbiologically hazardous water, yet fill unified with tap and toss it in an ice chest and you're ensured to hydrate more habitually with H2o than something less solid. Blessing a channel pitcher to somebody who can't bear the cost of it to keep America drink (Tonic, 2010). Nutrition: Almost 15 percent of American family units had low or extremely low nourishment security in 2008, as per the USAD (Tonic, 2010). In 2010, significantly more families are nourishment shaky. The most effective method to offer assistance? Visit Feeding America, the country's heading local craving help philanthropy and study more about how and where you can offer assistance. Their Food Bank Locator couldn't make it easier (Tonic, 2010). Treatments for Tobacco Addiction Impressive examination has demonstrated that medicines for tobacco fixation do work. Despite the fact that a few smokers can stop without help, numerous people require aid with stopping. Smoking end can have instantaneous health profits. Case in point, inside 24 hours of stopping, pulse and risks of heart assault diminish. Long haul profits of smoking suspension incorporate diminished danger of stroke, lung and different growths, and coronary illness (Nina, 2012). A 35-year-old man who stops smoking will, on normal, increment his future by 5 years which heads me to Nicotine Replacement Therapies (NRTs), for example nicotine gum and the transdermal nicotine patch, were the first pharmacological medicines affirmed by the Food and Drug Administration (FDA) for utilization in smoking suspension treatment. NRTs are utilized within conjunction with behavioral uphold to mitigate withdrawal manifestations they process less intense physiological changes than tobacco-based frameworks and by and large furnish clients with more level generally nicotine levels than they get with tobacco. An included profit is that these manifestations of nicotine have ill-use potential since they don't process the pleasurable impacts of tobacco items, nor do they hold the cancer-causing agents and gases connected with tobacco smoke (Nina, 2012). Behavioral medicines, even past what is proposed on bundling marks, have been demonstrated to improve the adequacy of NRTs and enhance long haul results. Additionally Behavioral intercessions assume a basic part in smoking end medicine, either in conjunction with prescription or alone. A mixed bag of routines can aid smokers with stopping, going from self-improvement materials to singular cognitive-behavioral help (Nina, 2012). These mediations educate people to distinguish high-danger smoking circumstances, advance elective adapting systems, administer stretch, enhance issue explaining aptitudes, and expand social backing. Research has likewise demonstrated that the more treatment is custom-made to an individual's circumstance, the more amazing the chances are for triumph (Nina, 2012). Effective medication to treat alcohol addiction In the United States there are four presently affirmed prescriptions for liquor addiction which are disulfiram, two types of naltrexone, and acamprosate. A few different medications are likewise utilized and a lot of people are under examination (Bukstein, 2003). The first prescription to treat liquor is Campral which may stabilize the mind science that is changed because of liquor reliance by means of offending the activities of glutamate, a hyperactive neurotransmitter hyperactive in the post-withdrawal stage. By decreasing over the top Nmda movement which happens at the onset of liquor withdrawal, Campral can diminish or forestall liquor withdrawal identified neurotoxicity (Thurman, 2006). The second is Baclofen. It is an agonist for the Gabab receptors which stifles the inspiration to liquor by repressing both withdraws side effects and longings. Disulfiram counteracts the end of acetaldehyde, a compound the figure produces when breaking down ethanol (Cornelius, 2003). Acetaldehyde itself is the explanation for numerous headache side effects from liquor utilization. The by and large impact is intense distress when liquor is ingested: a greatly quick acting and dependable uncomfortable aftereffect. This disheartens a drunkard from drinking in critical measures while they take the pharmaceutical. Finally, Naltrexone is an intense adversary for opioid receptors, successfully hindering the impacts of endorphins and sedatives (Mason, 2010). Naltrexone is utilized to lessening yearnings for liquor and energizes restraint. Liquor makes the form discharge endorphins, which thusly discharge dopamine and actuate the prize pathways; thus when naltrexone is in the figure there is a diminishment in the pleasurable impacts from expending liquor. Effective steps to rectify obesity Corpulence is a developing issue in the United States particularly in Utica-Rome, NY neighborhood and one that is undermining the lives of a huge number of people. Heftiness rates around both youngsters and mature people proceed to ascent, and the health dangers are critical. Hefty people are liable to advance high pulse and cholesterol, coronary illness, diabetes and an expanded danger of a heart ambush or stroke. For the friends and family encompassing a hefty individual, the health concerns may be sufficient to arouse them energetically. The point when that happens, it is critical to know the correct approach to furnish help (Crosswell, 2010). First teach yourself on weight. Comprehension the issue you are attempting to battle is significant, and the learning you assemble could be supportive to any stout people whom you expect to help (Crosswell, 2010). It may be that the large individual does not comprehend the health consequences of his condition, and illuminating him about the dangers he faces might cause goad him to activity. Also, offer to work nearby this singular with the goal that she knows she has somebody on her side. Offer to be a workout accomplice or responsibility accomplice. Make yourself accessible for treks to the supermarket to select sound nourishments, and attempt to be a wellspring of consolation (Crosswell, 2010). Help the single person to feel just as she is not experiencing this alone as this can raise resolve and attempt weight reduction deliberations more great. Thirdly, make yourself accessible to talk. Much of the time, a percentage of the variables that prompt weight are enthusiastic. Heftiness itself can have a passionate effect, incorporating a more excellent danger of misery and low self-regard. Permit your adored one to talk over his emotions, if positive or negative. Introduce yourself in a nonjudgmental way and be earnest in your deliberations to comprehend his perspective (Crosswell, 2010). Offer expressions of consolation through this examination and encourage strengthen his purpose to change. The fourth and last step is to advertise an animated lifestyle. Regardless of what age a fat unique is, she will coordinate movement into her every day to get in shape and improve a solid form. Straightforward exercises for more advanced in years people can could be strolling outside, swimming or basically utilizing a pedometer to accomplish a set number of steps in a day (Crosswell, 2010). Youngsters could be dynamic by investing less time inside and getting included in recreational game alliances. Playing outside is a normal manifestation of practice numerous youngsters can get a charge out of, and it will enhance their metabolism and calories smoldered while pushing a dynamic, solid lifestyle. Effective was to reduce stress levels Viable anxiety administration procedures can help bring down the danger of cardiovascular infection by an enormous rate. Hormones connected with mental push, for example cortisone, raise glucose levels. Anxiety is likewise joined to higher circulatory strain (Nordqvist, 2013). Chances are, your steadily developing to-do record doesn't incorporate one extremely significant assignment which is to unwind. Yet supervising push is key to staying sound. The accompanying underneath practices may as well help in anxiety management. Meditate: A couple of minutes of practice for every day can help simplicity restlessness. Research infers that day by day reflection might adjust the cerebrum's neural pathways, making you stronger to push (Hartman, 2013). The methodology could be basic. Sit up straight with both feet on the floor. Shut your eyes. Center your consideration on presenting out uproarious or noiselessly something positive. Place one hand on your paunch to synch the mantra with your breaths. Let any diverting considerations drift by like cloud Breathe Deeply: Give yourself a 5-moment break from whatever is troubling you and center rather on your relaxing. Sit up straight, eyes shut, with a hand on your stomach. Gradually sniff through your nose, feeling the breath begin in your belly and work its route to the highest point of your head. Reverse the procedure as you sigh through your mouth (Tutin, 2013). Be Present: You hurry through supper, hasten to your next errand, and race to fulfill one all the more thing on your program. Right away attempt something other than what's expected. Ease off. Take 5 minutes and concentrate on stand out conduct with mindfulness (Smith, 2013). Perceive how the air feels all over when you're strolling and how your feet feel hitting the ground. Like the surface and taste of every nibble of nourishment as you gradually bite. When you invest time in the minute and keep tabs on your faculties, you may as well feel the pressure leave your body. Reach Out: A great social emotionally supportive network is a standout amongst the most paramount assets for managing push. Conversing with others rather up close and personal or at any rate on the telephone is an incredible approach to better administer whatever is worrying you (Mininger, 2013). Tune In to Your Body: Rationally examine your physique to get a feeling of how push influences it every day. Lie on your back or sit with your feet on the floor. Begin at your toes and work your route up to your scalp, perceiving how your physique feels (Tutin, 2013). In conclusion when Obesity, Smoking, Stress and Alcohol are greatly controlled or reduced. The chances of suffering cardiovascular diseases are greatly diminished. The people of Utica-Rome, N.Y. can be shown these best practices through a clinic which can be established by the community itself or funded by the government through state resources. When the following practices are observed, Utica-Rome community will fall from the map of being the 4th ranked in heart diseases to being the lowest metropolitan area suffering from heart conditions. References Campos, P. F. (2004). The obesity myth: Why America's obsession with weight is hazardous to your health. New York: Gotham Books. Cornelius JR, Bukstein O, Salloum I, Clark D (2003). "Alcohol and psychiatric comorbidity". Recent Dev Alcohol. Recent Developments in Alcoholism Szlemko, WJ.; Wood, JW.; Thurman, PJ. (2006). "Native Americans and alcohol: past, present, and future". J Gen Psychol Mason, BJ.; Heyser, CJ. (Jan 2010). "The neurobiology, clinical efficacy and safety of acamprosate in the treatment of alcohol dependence". Expert Opin Drug Saf Cawley, J. H. (2011). The Oxford handbook of the social science of obesity. New York: Oxford University Press. Choi, N., & Dinitto, D. (2011). Drinking, smoking, and psychological distress in middle and late Life. Aging & Mental Health, 15(6), 720-731. doi:10.1080/13607863.2010.551343 Handbook of evidence-based practice in clinical psychology: 2. (2012). Hoboken, NJ: Wiley. Kopala, M., & Keitel, M. A. (2003). Handbook of counseling women. Thousand Oaks, CA: Sage Publications. Legato, M. J. (2010). Principles of gender-specific medicine. Amsterdam: Academic Press. Leppert, P. C., & Peipert, J. F. (2004). Primary care for women. Philadelphia: Lippincott Williams & Wilkins. Picente, Anthony & Gilmore, Daniel. (2013). Oneider County 2010-2013 Community health assessment. http://www.ocgov.net/oneida/sites/default/files/health/CommunityHealthAssessment/ONEIDA%20COUNTY%202010-2013%20CHA.pdf Robinson, B. H. (2007). Biomedicine: A textbook for practitioners of acupuncture & oriental medicine. Boulder, CO: Blue Poppy Press. Nida. (2013) Are There Effective Treatments for Tobacco Addiction? National Institute on Drug Abuse. Retrieved from http://www.drugabuse.gov/publications/research-reports/tobacco-addiction/are-there-effective-treatments-tobacco-addiction Ferries. (2013) Study: Utica-Rome area is #4 in nation for heart attacks. Wktv. Retrieved from http://www.wktv.com/news/local/Study-Utica-Rome-area-is-4-in-nation-for-heart-attacks-216990341.html Weighley. (2013) Cities where the most people have heart attacks. USA Today. Retrieved from http://www.usatoday.com/story/money/2013/07/25/cities-with-most-heart-attacks/2583223/ Crosswell. (2010) How to help Obese People. Live strong. Retrieved from http://www.livestrong.com/article/173599-how-to-help-obese-people/ Moninger. (2013) 10 Relaxation Techniques That Zap Stress Fast. WebMD. Retrieved from http://www.webmd.com/balance/guide/blissing-out-10-relaxation-techniques-reduce-stress-spot Tonic. (2010) Six Ways You Can Help Solve U.S. Poverty. Divine Caroline. Retrieved from http://www.divinecaroline.com/life-etc/culture-causes/six-ways-you-can-help-solve-us-poverty Read More