ZOOMER Magazine

House Call

The path to better health and longer life is paved with good intentions. Here’s your A to Zzz guide

- By Dr. Zachary Levine

Dr. Zach

JULY 24, 2018, was proclaimed Internatio­nal Self-Care Day by the World Health Organizati­on (WHO). The WHO defined it in 1998 as: “Self-care is what people do for themselves to establish and maintain health, prevent and deal with illness. It is a broad concept encompassi­ng; hygiene (general and personal); nutrition (type and quality of food eaten); lifestyle (sporting activities, leisure, etc.); environmen­tal factors (living conditions, social habits, etc.); socio-economic factors (income level, cultural beliefs, etc.); self-medication.”

Your doctor and your family are partners in maintainin­g your well-

being. But there is no medicine as powerful as what you can do to take care of yourself. Your health-care profession­als can be guides in what has been shown to be healthy and what is recommende­d for you. By doing everything you can to take care of yourself, you will limit the number of external interventi­ons (medication­s, procedures) you need. Your friends and family and your community are also vital to your mental health. Mental health is just as important to your overall health as physical health, and the two are very closely intertwine­d.

4 key facets to self-care

The most obvious to people is the physical. There are a number of ways to do this: By getting the amount of sleep you need (most adults need seven to eight hours a night). By exercising regularly (at least 30 minutes a day at least five days out of seven – and more is even better). By eating well – fruits and vegetables, choosing unrefined carbohydra­tes (brown rice, bread and pasta; fruits) rather than refined ones (white rice, bread and pasta; sugar), choosing healthier fats (plant-based, fish) as opposed to unhealthy ones (trans fats, saturated fats).

The next way is mental, which goes with social: do what you need to do to keep yourself mentally healthy. Take time for yourself. Think of others (doing for others has been shown

to make us feel better). Be active, as exercise has been shown to help stave off depression. Spend time with those whom you care about and who care about you. Practise your faith. Practise mindfulnes­s.

And yet another way is environmen­tal: make your space clean and neat and comfortabl­e. An organized workspace makes one more efficient, and a comfortabl­e home base is a place to recharge and feel relaxed.

The remainder make up the seven pillars of self-care (see sidebar) – being knowledgea­ble about your health, when something is wrong and when you need to seek help, avoiding risk by doing things such as not smoking and practising good hygiene to prevent the spread of infection. Finally, using health-care products and services in an educated, informed manner will save you and the system time and money.

8 positive effects of self-care

1 Less reliance on medication­s. By taking care of yourself your health will improve, and you won’t need medication­s for some things that are related to an ideal lifestyle. For example, if you are healthier and slimmer, you may no longer need blood pressure and cholestero­l medication­s, you may not need anxiety and depression medication and, if you are diabetic, you may need less medication to control it. 2 Improved feeling of self-reliance, self-confidence and well-being 3 Improved physical health 4 Improved mental health 5 Improved relationsh­ips with family and friends. As noted above, self-care actually involves nurturing the important relationsh­ips you have, which in turn leads to better relationsh­ips and better mental health. 6 Savings of time and money spent on health care 7 Stronger social networks 8 Better doctor-patient relationsh­ips. Doctors and patient relationsh­ips thrive when both are active partners.

3 things you can do to practise better self-care

1 Read and follow the label directions when using over-the-counter medicines and natural health products 2 Talk to your doctor, your pharmacist or trusted health profession­al about your self-care options, and ask them to recommend trusted accessible resources, such as Telehealth Ontario, including those online 3 Remember that you do not have to and should not do this alone. Even though it is called self-care, it is best achieved with the help of trusted advisers (your doctor, pharmacist) and those who support you (friends and loved ones).

Dr. Zachary Levine is an assistant professor in the faculty of medicine at McGill University Health Centre and medical correspond­ent for AM740 (a ZoomerMedi­a property).

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