GENERAL CONSIDERATIONS: Holistic health requires more management than other approaches to wellness. This management responsibility is normally left to the individual who is aware of all the separated efforts, e.g. family and friend hygiene practices, primary health care providers, pharmacists, health care team specialists such as nutritionists, chiropractors, dentists, and physical therapists to name a few. A common language, format, level of granularity and style between specialists helps coordinate pathology prevention efforts and communication. There is a great synergistic effect when primary health care is combined into one holistic front, leveraging time and resources to your increased wellness.

ISSUES: The Electronic Health Record (EHR) shared by health professionals is seldom complete. • Information is cryptic and abridged, focusing on only those things the current specialist is familiar with. • Prioritization of care between specialists is only possible in extreme circumstances, normally there are too many conflicting agendas for a complete pathology prevention practice prioritization. • Coordination of fiscal resources and personal time is normally out of the scope of your ECR, therefor not available to those who could contribute if they were willing. • Research needed for a holistic Evidence-Based practice (EBP) requires more time and effort than what is economically realistic for the health professional.

The method of moving from novice to becoming an expert Health Guardian who maintains all their health records competently is through the use of critical thinking. We all start as novices, when we need the familiarity of clear-cut rules to guide actions. Critical thinking is the means by which we learn to assess and modify, if indicated, before acting on a care practice. We may even be beginners more than once during our lifetime. As we transition to different Health Guardian practices, we must rebuild our database of experiences to become experts in new areas of practice.

STRATEGIES: Every person responsible for their own health and wellness, the Health Guardian, needs to establish four different types of management styles, required depending on the clinical situation: Complete, Focused or Problem Centered, Follow-up, and Emergency. To strengthen these management styles, there are six practices the Health Guardian learns how to leverage. 

  1. DIVECES- Electronic devices are used in the management effort to support health care decision making, although they provide many secondary benefits. Through their use, all the power of a full knowledge management health system can be conveniently accessed when you need it. This capability brings quality primary care into the home, and into the scope of each adult’s decision-making capability.
  2. SOFTWARE- Medical and business software enables knowledge curation, including the search, capture, filtering, dicing, and analysis of large amounts of data, research, and history. It can facilitate the Health Guardian, and rest of the primary care team’s efforts, making you more efficient and effective in your various pathology prevention efforts.
  3. RECORDS- Complete: This includes a complete health history and a full physical, mental, and nutritional examination. Focused or Problem Centered: This is for a limited or short-term problem. Here you record data smaller in scope and more targeted than the complete database. Follow-up: The status of any identified problems should be evaluated at regular and appropriate intervals, much like the maintenance manual of your car. Emergency: This is an urgent, rapid collection of crucial information and often is compiled concurrently with lifesaving measures.
  4. PANTRY LIVING- Maintaining a pantry becomes obvious in times of crises such as an earthquake, or disease outbreak requiring quarantine. Health care almost always requires medical supplies, food, water, and fuel. It turns out, that this may be more difficult than expected. This practice gives you liberty, and the ability to provide health care even in times of distress.
  5. FINANCE- Medical supplies, supplements, and herbals can be expensive. Medical insurance and medical care can also be expensive factors in medical decision making. Preparedness is always less expensive than firefighting and emergency action.
  6. TIME- So much of pathology prevention requires long-term, consistent behavior. This normally requires breaking old habits, forming new ones, and invoking behavior change of both you and those around you. Proven time-management and coordination practices can be the element causing your success in pathology prevention.

INTERACTIONS: Proper management covers the entire scope of pathology prevention. Prescription dosage and scheduling, daily exercise, hygiene, all must be managed. Management failure for many people isn’t an option and can affect all pathology prevention efforts. A comfortable balance should be established, and then increased when needed.

WARNINGS: Don’t over plan and analyze. While it is true that some management is required to effectively work with others in the pathology prevention effort, too much management can paralyze the entire team. Seek to maintain a continuous and balanced effort.

 

   There are standards and guidelines that can be used to help formulate insurance selection criteria used by the Health Guardian. The objective of this practice is to provide access to these practices and help the Health Guardian optimize their healthcare decisions, and formulate practical budgets. If your Primary Care provider's eyes glass over, as if your talking in a different language when you ask how much a procedure will cost, its time to study this material.

   The goal of this practice is to provide information and examples of practices that the Health Guardian can use in both short-term and long-term clinical practices to address chronic illness and pathology prevention while supporting self-reliance and increasing wellness. You need the capability to be on-time and on-budget if you expect to complete any of your health objectives.

   For the moment consider the pantry to be an abstract container. This container delivers everything your plan requires. You choose what’s in the plan, the ‘pantry’ delivers it, thus enabling choice. This ‘pantry’ also consumes resources dependent on your choices. Your pantry is the base camp for the Health Guardian's journey to health, self-reliance, well-being, and a higher quality of life.

   This practice's objective is to provide instruction and examples on the construction and management of a pantry that supports the cure of chronic disease and holistic pathology prevention. Pantry living empowers choice, increases self-reliance and wellness, and supports pathology prevention.

   In the Software Practice, we help keep the Health Guardian informed of the current software market. You will find product comparisons, strengths and weaknesses, along with usage recommendations based on various scenarios. The ideal combinations of technology and software are defined. The objective of this, is to provide the Health Guardian with quality information for decision support.

   Medical devices such as blood analysis, heart monitoring, and blood pressure devices are examples of objects we review. Portable health sensing devices used in conjunction with smart phones and their associated software are examples of things within this department’s scope.

    The practice objective is to provide the Health Guardian with the technology to increase their reliability, effectiveness, and efficiency - knowing that this is normally only one of a hundred different responsibilities the Health Guardian faces each day. Our purpose is to make the task easier by providing quality information used to facilitate decision making.

   Medical records provide stability and continuity between the Health Guardian’s practices and pathology prevention activities. They help connect past health achievements with future potential. As the Health Guardian strives to continually increase wellness and quality of life, the health records help prevent repeating the same efforts, while expecting different results. They provide insight into what should be expected and what should be done to achieve those expectations. They provide a medium of communication to other health professionals, and when standardized, they can quickly become invaluable during the diagnostics, treatment, and post evaluation lifecycles. Other articles will cover the creation, maintenance, and use of specific health records. Here, we'll identify the potential depth, breadth, and importance of health records, and critical responsibility of the Health Guardian to perform this practice in pathology prevention efforts.

    So how far back should the Health Guardian look while collecting personal and family records? Turns out that DNA has been shown to play an important role in chronic disease and pathology prevention. Mental, Physical, Spiritual, Nutritional, and Lifestyle Health are all influenced by our parents. In fact, the sciences of Epigenetics and DNA genealogy has shown that many DNA segments can stay active and influence our health for four generations. If those DNA segments are activated anytime during those four generations, then they can continue for another four generations. In theory, if activated periodically, DNA inherited from ancestors thousands of generations ago, can still be impacting survival and overall health. The skill of the Health Guardian lies in collecting the relevant information of the past, analyzing it in the present, while strategically planning changes for the future.

    A little closer to home are the medical records of your generation. These include shot records and medication records. The Health Guardian should maintain exercise, nutrition and food supplement records. Diary’s capturing emotional experiences, relationships, and levels of depression can help address and control your mental, social, spiritual, and cultural health. Documenting the things you want to acquire, accomplish, and New Year’s resolutions over the years can contribute to a strong goal setting practice leading to a ‘Purpose of Life’ and spiritual health. These current records drive holistic diagnostics and help guide future pathology prevention practices.

   The Health Guardian depends on past and current records for developing strategic plans to address and/or prevent chronic disease along with present and future pathologies. These records document future roadmaps, strategic plans, and budgets involving multiple Primary Care team members.