LOOK INSIDE: Flu Season is Here Stay Healthy during Flu Season Smoking It’s Never Too Late to Quit! How Do You Feel? Depression Signs page 2 page 3 page 4 WINTER 2014 Meridian Health Plan’sHealth DiseasePlan’s Management Newsletter Meridian Disease Management Newsletter Get the Most from Your Meds You get the most from your medicine when you take it the way your doctor tells you to. It’s not always easy to take it exactly as you are told. Check what applies to you below to see how well you are doing. q I sometimes forget a dose q I often forget to take my medicine q I have trouble paying for my medicine q The side effects bother me q I am not sure how my medicine helps me q I take every dose, each day, just as my doctor told me Take this with you to your doctor. Talk to your doctor about any problems you have. You and your doctor can work to change your care plan so it is easier for you to follow. Take Your Meds on Time Here are some tips to help you take your medicine on time, just how your doctor told you: • Make a calendar. Write down the name of your meds, when you take them and when you need to get them refilled • Use a seven-day pill box. Fill it each week with all of your meds • Set an alarm. Have it go off when you need to take your next dose • Get a “medicine buddy.” Friends or family can remind you to take your meds. Info about your care plan and health can be given to your caregiver with your permission. Meridian must have your permission on file before we can share anything. Call 877-204-9132 for more info Take Your Meds Safely • Fill all of your prescriptions at one pharmacy so your records are at one place This lowers the risk of taking meds that might not be safe to take together • Do not crush or split your pills unless your doctor or pharmacist tells you to • Tell your doctor how your medicine makes you feel • DO NOT stop taking any meds without talking to your doctor Some meds have to be stopped slowly Stay Healthy during Flu Season Protect yourself and your family during flu season – get the flu shot! The flu shot is free for everyone ages 6 months and older when you get it from your doctor. Call your doctor today to get vaccinated! Flu strains change each year. Protect yourself and those around you from the flu by getting a flu shot each year. You cannot get the flu from the flu vaccine. It takes about two weeks before the vaccine fully protects you, so be sure to get vaccinated early! What is Influenza? Influenza (“the flu”) is not the stomach flu. The flu usually has all of these symptoms: • Fever • Cough • Headache • Tiredness • Runny/stuffy nose • Chills • Sore throat • Severe body aches/pains Symptoms may last a few days to two weeks and are worse than a common cold. Call your doctor if you think you may have the flu. Who Should Get the Flu Shot? Everyone over 6 months of age should get the flu shot. People who are younger than age five or over 65, pregnant or who have certain health problems (diabetes, asthma, heart disease, Chronic Obstructive Pulmonary Disease/COPD) are at risk for serious illness from the flu. All healthcare workers and people who take care of young infants or older people or live with someone with health problems should be vaccinated. 2 Hand Washing Hand washing is a simple way to fight the flu. You can’t wash your hands too many times! • Washing with soap and water is best – wash for at least 20 seconds and don’t forget the backs of your hands • Use an alcohol-based hand sanitizer like Purell® if you can’t get to a sink. Do not use hand sanitizer if your hands are visibly dirty Sneezing or Coughing • Cover your nose and mouth with a tissue OR sneeze or cough into your inner elbow • Wash your hands after you sneeze or cough What to Do If You Get Sick • Stay home and avoid other people • Stay home for at least 24 hours after fever and other symptoms have cleared up Your doctor may give you medicine to treat your illness and protect against serious complications from the flu. This medicine is called an antiviral. You must start taking an antiviral in the first 24-48 hours after you have symptoms for the medicine to work. Follow your doctor and pharmacist’s directions if you get an antiviral. Take all of the medicine – do not skip a dose or save some for another time. Do not share your medicine. Talk to your doctor about getting antiviral medication for family members if you are worried about spreading the flu. Sm king – It’s Never Too Late to Quit! Smoking causes many health issues and is the main cause of COPD and lung cancer. Smoking and secondhand smoke can also trigger asthma and COPD flare-ups. Quitting smoking and getting support from others around you is the best way to manage your disease. It’s never too late to stop smoking. Quitting – even later in life – helps you live longer. Tips to Help You Quit • Write down why you want to quit. Pick something like “to have more energy” or “to live longer” • Set a quit date. Pick a low-stress time to quit • Ask your doctor for ways to help you quit. These can help stop the urge to smoke • Find replacements for smoking. Try chewing sugar-free gum or candy to keep your mouth busy • Be active during the day. It reduces the stress of quitting • Relax before bedtime. Take a hot bath, read a book or drink hot tea before going to sleep • Get help from others. Ask your doctor or local hospital about support groups. Don’t forget to get help from your family and friends! • Stick with it! Most people “practice” quitting many times before stopping for good Are YOU Ready to Quit? If you smoke, quitting is the best thing you can do to improve your health. Your doctor can also tell you about smoking cessation strategies other than medication. Ask your doctor how to quit smoking or using tobacco at your next visit! Call the Iowa Tobacco Quitline at 800-QUIT-NOW (800-784-8669) if you want to quit now. P o r t i on S i z e You r P l at e Eating healthy is important, especially if you have diabetes. Knowing the correct portion size helps you follow a healthy diet. Many people do not eat the right portion size. Here is an easy way to figure out what should be on your plate. 1/4 Proteins Low-fat proteins like chicken, fish or beans are good for your heart and waistline. Bake, broil or grill your protein for a healthy meal. Do not fry! 1/2 Veggies & Fruit Cover half your plate with different types of colorful veggies and fruit. This gives you good nutrition and a filling crunch to satisfy your cravings. Fruits and veggies are also a great way to get plenty of fiber. 1/4 Starches Whole-grain starches keep you feeling full longer and are good for your heart. Yams, potatoes and corn are considered veggies, but they are high in starch and should be placed on this side of your plate. Brown rice or whole wheat pasta are also good choices. Dairy (2-3 cups) Eat or drink dairy foods, like milk, yogurt and hard cheeses to make sure you get enough calcium. Choose dairy foods that are fat-free or low-fat. Avoid foods with little calcium like cream cheese, cream and butter. Portion Size Guidelines 1 cup = baseball ½ cup = tennis ball 1 oz. or 2 tbsp. = golf ball 1 tbsp. = poker chip 1 slice of bread = cassette tape 3 oz. meat (chicken or beef) = deck of cards 3 oz. fish = checkbook 1 oz. lunch meat = compact disc 3 oz. muffin or biscuit = hockey puck 1 ½ oz. cheese = 3 dice Visit www.choosemyplate.gov for more info. Visit www.choosemyplate.gov for more info. 3 How Do You Feel? About one in 10 people have depression symptoms. Depression impacts your mood, sleep, focus and interest in doing things. It can also make it harder to care for yourself and your health issues. Depression can be serious for some. Do not deal with your feelings alone if you think you may have depression. Your family, friends and doctor can help. Depression Signs Talk with your doctor if you feel some of the following: q q q q q q q q q Do not care about things you used to enjoy Have a change in appetite or weight (loss or gain) Sleep too much or too little Lose interest in sex Feel guilty, not worth much or helpless Feel hopeless or negative Cannot think, decide or remember things Have body aches and pains or stomach problems that don’t go away Have thoughts about dying or killing yourself* * Call your doctor right away or go to the ER if you feel like hurting yourself. Depression can be treated. Talk to your doctor about what treatment choices will work best for you. Don’t let depression stop you from taking care of yourself. Get the help you need to control your health. NLDM02 IA 666 Grand Avenue, 14th Floor Des Moines, IA 50309 4
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