GENERAL CONSIDERATIONS: Physical distancing is nothing new. Historically, it was the reason for Leper colonies. From our point of view, it’s a pathology prevention method, that’s been used to control our external environment from almost the beginning of time. We’ve found that some common drawbacks of social distancing can include loneliness, stress, the development of poor habits, and loss of personal drive linked to mental and social wellness. During short periods of time, this method can slow the spread of certain pathogens, but care must be made in avoiding other diseases due to bad personal hygiene, while maintaining physical distances from others. The objective is to maintain and even improve your wellness, not to isolate yourself, or diminish wellness due to other unhealthy habits. By keeping our eye on the big picture of increased wellness, physical distancing can become a good thing while avoiding its drawbacks.

ISSUES: Physical distancing is often an unpleasant experience for those who undergo it. We are social animals, some more than others. Successful use of physical distancing as a health measure requires us to reduce, as far as possible, the negative effects associated with it. These negative effects include:

  • Spiritual health decline, and a sense of hopelessness, and loss of purpose
  • Social health decline, loneliness, and decreased self-image
  • Physical health decline, overeating, and a feeling of lost control
  • Mental health decline, loss of perspective, defensiveness 
  • Dissatisfaction with current lifestyle, restlessness, lack of commitment to personal goals

STRATEGIES: Don't settle with survival or maintaining current health, but strive towards increased wellness. 

  1. Conduct a lifestyle assessment. This doesn’t need to be anything fancy. Just take a moment and reflect on your current lifestyle in terms of pathology prevention. Look at each of the 8 Health Guardian’s practices listed on our homepage. You may eventually want to dig deeper and consider every pathology prevention practice, but first only consider the 8. Are you doing everything you can at that level? If not, drill down into and get some ideas for improvement.
  2. Create a check list, and try to view yourself through the eight perspectives of psychology. Remember to claim extra sleep during time of emotional stress. 
  3. Go for walks, wave to people, participate in your community, cherish your humanity.
  4. Leverage technology where you can, and when you need to, but put extra effort into visiting people from a distance. 
  5. Practice caregiving, serve others.

INTERACTIONS: Expect seemingly unrelated difficulties. We live in a complex system, when we make changes, we’re bound to cause unexpected results. Make time to deal with these changes. Other people may not understand, you may have to explain your behavior to people that you’d think new better. Stay calm, soon, the correct expectations will evolve into status quo and your social norm.

WARNINGS: Physical distancing is about change for most people. You may receive resistance; the clearer you can be with your expectations, the more success you'll be. However, there are times you may run into difficulties. Don't be afraid to get professional help if you need to.


  The Health Guardian is a challenging role, but caregiving in context of pediatrics, the word “challenging” has a whole new meaning. To begin with, it must be stated, “There is no perfect Pediatric Health Guardian.” Every Health Guardian has many plates spinning at one time. We just do our best. One day we wake up, and it’s all over.

   It’s the role of every Pediatric Health Guardian to understand the children they care for. When a child feels they’re understood, he or she learns to trust the Health Guardian better. Listening is crucial to understanding. Therefore, it is very important that Pediatric Health Guardians learn to really listen to their children.

   Pediatric Health Guardian involves promoting a child’s well-being (holistically), by supporting his/her physical, nutritional, intellectual, emotional, spiritual, mental, and social development. They must be sensitive with their children. They must read ‘the signs’ instinctively – right from the time their children are born. There should be a strong emotional connection between a Pediatric Health Guardian and a child, that a professional pediatrician cannot simply emulate.

   As Pediatric Health Guardians, you need to keep your eyes open and observe the children for any emotional, physical or behavioral changes. This way we can recognize any problem early on, without waiting for it to turn into a “situation”.

   A baby starts recognizing a mother’s scent and face merely days after birth. From that moment on, the mother’s presence, her touch, her voice, are all a secure base for the child. “I want my mommy” is often the first reaction to anything that upsets the child. This is why it is important for the Pediatric Health Guardian to work on strengthening a trust bond between them and the child. Unreasonable anger and impatience, negative discipline, and public shaming are some of the ways you can lose this trust easily.

   As a Pediatric Health Guardian, you have to make your child feel safe and secure – this is often a taken-for-granted role, but it is nevertheless important as insecurity can lead to many emotional and psychological problems in children.

   Just as easily as a mother can read her children from their expressions and body language, the Pediatric Health Guardian can also easily talk to their children about what the children are going through. Even if there are no problems brewing, the Pediatric Health Guardian is always interested to know more about their children. They ask probing questions, and they are good at getting answers. As a Pediatric Health Guardian, you need to keep this communication channel open and live, until children become adults. As they grow, children tend to confide more in their friends than parents. This is why you need to be their friend, have daily interactions and share a good laugh – not just start talking when there is trouble.

   In order to validate learning and development, it must be documented. There are several creative ideas the Pediatric Health Guardian can use in order to keep valuable records for each child. A favorite method is based on the “minit-book” approach. Through minit-health books, children are taught to comprehend and condense large amounts of material in creatively designed little booklets.

   Children are also motivated to better achievement by meaningful charts, graphs, and records. These can be started by the Pediatric Health Guardian and continued by the older children, eventually becoming a part of the health record. In the process, good penmanship, neatness, accuracy, thoroughness, creativity, health awareness, hygiene and other qualities can be developed.

   In the human body there are eleven organ ‘systems’ working together to make up one whole, a system of systems – our body. It should be kept in mind that these divisions are somewhat arbitrary as to which organs are included and which are excluded in any one system. It also bears remembering that no one organ system ever functions independently of the others.

   The nervous system sends instructions to the muscular system as to when to move particular muscles. The cardiovascular system delivers nutrients and removes wastes from the muscle fibers of the musculoskeletal system to allow them to continue to function, etc. Dividing the human body into eleven organ systems is simply a way for the Health Guardian to organize information about what parts do what. In the body itself, the parts that need to interact do interact, regardless of which system they have been grouped into.

   The maintenance of homeostasis is pivotal to any experience of wellness within the urinary system. The kidneys are major organs of elimination. They work in conjunction with the liver, lungs, the skin and bowels to help ensure a clean internal environment. The Kidneys are responsible for maintaining the water balance of the body, the pH of the blood, regulating blood pressure, and eliminating drugs or their metabolites. The kidneys also release the protein erythropoietin, which stimulates the bone marrow to increase the formation of red blood cells.

   As people get older, the bladder changes, including bladder infections, urinary incontinence, and urinary tract infections. Elastic bladder tissue may toughen and become less stretchy. A less stretchy bladder cannot hold as much urine as before and might make you go to the bathroom more often. The bladder wall and pelvic floor muscles may weaken, making it harder to empty the bladder fully and causing urine to leak. Bladder problems can disrupt day-to-day life. When people have bladder problems, they may avoid social settings and have a harder time getting tasks done at home or at work.

Common bladder problems include:

   Urinary tract infections (UTIs)— UTIs are the second most common type of infection in the body and can happen anywhere in the urinary system. More than half of women will have at least one UTI in their lifetime. Older women are more likely to get UTIs because the bladder muscles weaken and make it hard to fully empty the bladder. This causes urine to stay in the bladder. When urine stays in the bladder too long, it makes an infection more likely.

   Types of UTIs include: Bladder infection— This is the most common type of UTI, in which bacteria enter the bladder and cause symptoms such as strong and sudden urges to urinate. Kidney infection—Infections in the bladder can spread to the kidneys, which can lead to severe problems. When kidney infections occur frequently or last a long time, they may cause permanent damage to the kidneys.

   Urethra infection — A UTI can also develop in the urethra, but this is less common.

   Lower urinary tract symptoms (LUTS)— a group of symptoms such as trouble urinating, loss of bladder control, leaking urine, and frequent need to urinate. LUTS are caused by problems with the bladder, urethra, or pelvic floor muscles.

   Bladder cancer— Bladder cancer occurs in the lining of the bladder.

Everyone’s bladder behaves a little bit differently. But certain signs may mean a bladder problem.

   Signs of a bladder problem can include: Inability to hold urine or leaking urine (called urinary incontinence), Needing to urinate eight or more times in one day, Waking up many times at night to urinate, Sudden and urgent need to urinate, Pain or burning before, during, or after urinating, Cloudy or bloody urine, Passing only small amounts of urine after strong urges to urinate, Trouble starting or having a weak stream while urinating, and Trouble emptying the bladder. Signs of Urinary Tract Infection: In some elderly people, mental changes and confusion may be the only signs of a UTI. Older adults with a UTI are more likely to be tired, shaky, and weak and have muscle aches and abdominal pain.

   Symptoms of a UTI in the bladder may include: Cloudy, bloody, or foul-smelling urine, Pain or burning during urination, Strong and frequent need to urinate, even right after emptying the bladder, A mild fever below 101°F in some people. If a

   UTI spreads to the kidneys, symptoms may include: Chills and shaking, Night sweats, Feeling tired or generally ill, Fever above 101°F, Pain in the side, back, or groin, Flushed, warm, or reddened skin, Mental changes or confusion, Nausea and vomiting, Very bad abdominal pain in some people, Some people may have bacteria in the bladder or urinary tract, but not feel any symptoms.

   While you can’t control everything that affects bladder health, there are some steps you can take to improve bladder health.

  1. Don’t wait too long to use the restroom. Withholding urination can put added pressure on your bladder which can lead to infection.
  2. Pay close attention to hygiene – avoid harsh soaps and make sure to shower thoroughly after swimming in pools or lakes.
  3. Avoid foods that may irritate the bladder. If you have an overactive or sensitive bladder, avoid carbonated and caffeinated drinks and alcoholic drinks.
  4. Stay hydrated. Drink plenty of water throughout the day in order to keep a normal urinary pattern. This works to remove any waste products in your system.

   A common concept among holistically orientated practitioners such as the Health Guardian, is that a human being is a self-healing individual, and at best, all a medical practitioner can do is facilitate this profound inner process. Addressing pathology prevention is relatively straightforward, but health is much more an active state of well-being than the absence of disease.

   Health Guardians use herbal remedies to help prevent or cure disease. However, some warnings are in order, there are many unscrupulous sellers out there. Herbal remedies are not regulated like medicines. Herbals may not be tested before they are sold. Herbals may not work as claimed due to the variance in potency and many other uncontrollable factors and agendas. Labels do not need to be approved. Labels may not list the correct amount of an ingredient. Some herbal remedies may contain ingredients or contaminants not listed on the label.

   Cooperation among health practitioners of different therapeutic modalities can create a geodesic relationship of extraordinary potential and strength. In such a scenario, differences lead to a celebration of the richness of therapeutic diversity and are no longer a cause for angry, bitter debate and conflict.

GENERAL CONSIDERATIONS: Food provides energy and building material for countless substances that are essential for the growth and survival of every human being. To address nutrition, we must consider at least an overview of digestion, absorption, transportation, and excretion of nutrients at every system's level. These processes convert complex foodstuffs into individual nutrients ready to be used in metabolism. Proteins, fats, and carbohydrates each contribute to the total energy pool, but ultimately the energy they yield is available for the work of the muscles and organs of the body. The way nutrients become integral parts of the body and contribute to proper functioning depends heavily on the physiologic and biochemical processes that govern their actions. It is now known that these metabolic processes are altered in the presence of acute and chronic inflammation.

ISSUES: The type of nutritional care provided for an individual varies depending on the findings of the assessment process. The environment, surgery or trauma, food allergies, inadequate access to safe or sufficient food, stage of growth and development, harmful beliefs, lack of knowledge, and socioeconomic issues can all effect whether the individual has an adequate diet. In the healthy individual, omission of a specific food group, or intake of high-energy, nutrient-poor foods does not lead to failed nutritional status overnight. It is the prolonged imbalanced intake that leads to chronic disease.

STRATEGIES: Nutritional care includes four steps, and is the responsibility of each of us, as our own Health Guardian:

  1. ASSESSMENT- Conduct, record, and maintain a nutrition assessment. To implement a successful nutrition plan, the assessment must include key elements of your clinical or medical history, current situation, anthropometric measurements, biochemical and laboratory values, information on medication and herbal supplement use for potential food-drug interactions, plus a thorough food and nutrition intake history.
  2. ANALYSIS-  Analyze the record data and diagnose constraints. Focus on the biggest nutritional constraint affecting current nutritional intake and overall nutritional status. Analyze factors contributing to the strengthening and weakening of these constraints to determine intervention direction.
  3. INTERVENTION- Plan and manage a nutrition intervention when needed. This step requires planning and goal setting followed by the selection of interventions that deal with the cause of the nutrition constraint.
  4. MONITOR- Monitor and evaluate nutritional status, and adjust. This final step is specific to the individual and is related to the signs and symptoms identified in the assessment. This is developed according to the nutrition diagnoses, assessment factors, and outcomes for the individual.

INTERACTIONS: The Health Guardian’s nutrition practices are inter-dependent, while also depending on the proper functioning of the body’s organ systems. Your ‘diet’ is the nutritional “Big Picture”, which conceptually is made up of menus and recipes. These recipes could be thought of as medical formulas, consumed as nutritional “Medicine” for the body over a long period of time. These medical recipes, (RX Recipes) or formulas deliver specific amounts of vitaminsminerals, and macronutrients to the body. Herbals play a critical role in facilitating the biochemical mechanisms of our systems, ensuring we get the optimal nutritional values from what we eat. The Nutritiona Database provides nutritional information needed to diagnose, analyze, and manage our nutritional health.

WARNINGS: Sophisticated feeding and nourishment procedures place an increased responsibility on those concerned with providing nutrition care. The nutrition-related disorders can be managed by changes in dietary practices based on current knowledge. The goal in all cases is to move the individual along the continuum of disease and health management toward better nutritional health and overall well-being without becoming overly reliant on others for our health.

   The nervous system collects and processes information from the senses via nerves and the brain and tells the muscles to contract to cause physical actions. The central nervous system includes the brain and spinal cord. The peripheral nervous system consists of nerves that connect every other part of the body to the central nervous system. Together with the endocrine system, the nervous system is responsible for regulating and maintaining homeostasis. Through its receptors, the nervous system keeps us in touch with our environment, both external and internal. Millions of sensory receptors detect changes, called stimuli, which occur inside and outside the body. They monitor such things as temperature, light, and sound from the external environment. Inside the body, the internal environment, receptors detect variations in pressure, pH, carbon dioxide concentration, and the levels of various electrolytes.

   Some serious conditions, diseases, and injuries that can cause nervous system problems include: Blood supply problems (vascular disorders), Injuries (trauma), especially injuries to the head and spinal cord, Mental health problems, such as anxiety disorders, depression, or psychosis. Problems that cause a gradual loss of function (degenerative); Parkinson's disease, Multiple sclerosis (MS), Amyotrophic lateral sclerosis (ALS), Alzheimer's disease, Huntington's disease, Peripheral neuropathies. Infections that may occur in the: Brain (encephalitis or abscesses), Membrane surrounding the brain and spinal cord (meningitis). Overuse of or withdrawal from prescription and nonprescription medicines, illegal drugs, or alcohol, and A brain tumor. Other Organ system failure: Respiratory failure, Heart failure, Liver failure (hepatic encephalopathy), Kidney failure (uremia). Other conditions; Thyroid dysfunction (overactive or underactive thyroid), High blood sugar (diabetes) or low blood sugar (hypoglycemia), Electrolyte problems, Nutritional deficiencies, such as vitamin B1 (thiamine) or vitamin B12 deficiency and Guillain-Barré syndrome.

   A sudden (acute) nervous system problem can cause many different symptoms, depending on the area of the nervous system involved. Stroke and transient ischemic attack (TIA) are common examples of acute problems. You may experience the sudden onset of one or more symptoms, such as: Numbness, tingling, weakness, or inability to move a part or all of one side of the body (paralysis), Dimness, blurring, double vision, or loss of vision in one or both eyes. Loss of speech, trouble talking, or trouble understanding speech, Sudden, severe headache, Dizziness, unsteadiness, or the inability to stand or walk, especially if other symptoms are present, Confusion or a change in level of consciousness or behavior or Severe nausea or vomiting. If you are experiencing any of these symptoms, seek medical advice.

Following the Prevention Guidelines Can Help Keep Your Nervous System Healthy:

  • Exercise regularly. If you have medical or health issues, talk to your doctor about an exercise plan that will be right for you.
  • Do not smoke or use other tobacco products.
  • Get plenty of rest.
  • Take care of health conditions that may cause decreased nervous system functioning, such as: Diabetes and High blood pressure.
  • Eat a balanced diet. A balanced, low-fat diet with ample sources of vitamins B6, B12, and folate will help protect the nervous system. Make sure that your diet contains lots of fresh fruits, vegetables, and whole grains.
  • Drink plenty of water and other fluids. This helps prevent dehydration, which can cause confusion and memory problems. To prevent dehydration during hot weather and exercise, drink water, rehydration drinks, or other fluids each day. Drink extra water before, during, and after exercise. Take a container of water or sports drink with you when you exercise and try to drink at least every 15 to 20 minutes. Limit your intake of caffeinated drinks, such as coffee and colas, which increase dehydration and can affect sleep.
  • Do not use alcohol or illegal drugs, which can affect functioning long after use.
  • Have your hearing or vision tested. When you do not hear or see well, it is hard for your brain to record information.
  • Set priorities and concentrate on one thing at a time. Older adults have a harder time than younger people giving their attention to more than one activity.
  • Increase your attention span and ability to focus by learning new skills.
  • Keep written notes. Write all your plans on a calendar where you can look at them often.
  • Use a medicine box with spaces for each day. This will help you remember when to take your medicines. Take your medicines exactly as they are prescribed.
  • Decrease your use of nonprescription medicines. Overuse of medicines may be the single biggest cause of nervous system problems in older adults.
  • Develop a positive attitude about your abilities. Reject the notion that nervous system (neurological) functioning declines with age.
  • Protect yourself from head injuries and prevent falls in your home.

   Preventive medicine can be categorized as primary, secondary, or tertiary. Primary prevention aims to remove or reduce disease risk factors and is the principle activity of the Health Guardian. Secondary prevention techniques promote early detection of disease or precursor states normally beginning with a holistic health assessment. Tertiary prevention measures are aimed at limiting the impact of established chronic disease through strategic lifestyle changes.

   The steps of a Evidence Based Practice, which the Health Guardian masters, centers around cultivating a spirit of inquiry. They must ask compelling and provoking clinical questions. The objective is the finding and identification of relevant evidence used to answer these clinical questions. The Health Guardian must critically appraise the gathered evidence, become an expert in the art of moving evidence to a sustainable effort of change. Many times, success revolves around the ability to create and sustain a culture and environment for long-term evidence-based caregiving.

   Extensive skeletal and muscular misalignment can impair the function of the neurological system and other organs and disrupt the harmony of the whole body. The health and wholeness of the musculoskeletal system can be maintained only as long as the inner environment and metabolism remain in harmony. Musculoskeletal diseases include tendinitis, Carpal tunnel syndrome, Osteoarthritis, Rheumatoid arthritis (RA), Fibromyalgia, Bone fractures, Arthritis, Bursitis, Osteogenesis imperfections, Rickets, Osteomyelitis, Osteosarcoma, Hip dysplasia, Bone disease, Metabolic bone disease and Bone cancer, muscular dystrophy, mitochondrial myopathy, myasthenia gravis, and tetanus and others. Primary symptoms of the musculoskeletal disease include pain, stiffness, swelling, limited range of motion, weakness, fatigue, and decreased physical function.

   The most common disease or disorders of the male reproductive system are; Prostate cancer, Testicular cancer, Enlarged prostate or BPH, Prostatitis, Erectile dysfunction, Male infertility, Testosterone deficiency, Undescended testicle, Varicocele or dilated veins around testicle, Hydrocele or fluid around testicle. Male reproductive system health challenges also include genital ulcers, testicular disorders, or sexually transmitted infections or diseases (STDs.)

   Among all the problems that can affect the musculoskeletal system, herbal medicine has the most to offer in treatment of chronic and degenerative ailments. In most cases, successful treatment of musculoskeletal illness with herbal medicine will be based on supporting the whole body, because systemic factors so often lay the foundation for degenerative musculoskeletal conditions.

How to Protect your Musculoskeletal System

  • Don’t Smoke- Smoking creates a greater risk of heart attack and stroke, causes coronary artery disease, increases blood pressure and blocks arteries. It alleviates the LDL “lousy” cholesterol and lowers the HDL healthy cholesterol. Smoking destroys the musculoskeletal system by decreasing exercise tolerance due to the reduced amount of oxygen available to muscle tissue. Avoid smoking to keep you healthy.
  • Stretch Often Throughout the Day- Maintain muscles, tendons, and ligaments by doing routine stretching and stretching movements throughout the day. If possible, primarily focus on strengthening your abdomen, quadriceps, shoulders, and hamstrings while also staying limber.
  • Keep an eye on your blood pressure- Just because you don’t show symptoms right away doesn’t mean your blood pressure is at a healthy standing. Check your levels regularly, a considerable amount of damage can be done before you realize your blood pressure is elevated.
  • Watch your cholesterol- Try to maintain a good ratio between your LDL and your HDL, studies show risk factors associated with chronic low back pain, are smoking, high cholesterol and high blood pressure. People with these conditions were twice as likely to have back pain. The theory is that these conditions may slow the blood flow to the lumbar spine, causing pain.
  • Manage your weight- Try to keep your body at a healthy weight. Stationary lifestyles and aging cause the body to lose muscle tone. Added weight and gravity combined with muscle resistance cause the body to fall out of alignment. This deficiency of alignment causes stress on discs, bones, ligaments, and tendons, resulting in micro tears in fibers with ensuing pain.
  • Live a balanced life- Nowadays life is filled with deadlines, noise, interruptions, and stressors that put us out of balance. Take a few moments to try and collect your thoughts and balance your day with healthy outlets that give you a chance to rest and enjoy your life. Physical activity, like going for a 30-minute walk outside, can help reduce the stress of everyday life.
  • Be sure to consume enough water- Drink at least six to eight glasses of water daily. Water flushes toxins and waste products out of the body. -Get enough sleep at night- Getting sleep adequately protects the immune system, rejuvenates cells and makes us feel better.
  • Practice good posture- Whether sitting, standing, lifting heavy equipment, kneeling, bending, good posture is vital. Good posture, when sitting or standing, keeps the body in proper alignment. It reduces strain on the bones structure and individual muscle groups plus keeps muscles toned. Try to keep your feet flat on the floor while sitting instead of crossed or straight out in front of you. While standing, picture a straight line that drops from the ear to the shoulder to the hips.
  • Inhibit osteoporosis- Risks include smoking, excessive alcohol use, low calcium intake, and lack of exercise. Although men have a lower risk than women, they are still at risk, with white men holding the highest risk of all ethnic groups. Additional risks include prolonged exposure to certain medications, such as steroids, anticonvulsants, and certain cancer treatments. Regular weight bearing exercise, like lifting weights, help increase bone density.

   Heath Guardian's train to diagnose conditions that often present differently in older adults; develop care plans that address the special health care needs of older adults; communicate with families and other caregivers; be responsible for care coordination across settings; and to take a patient-centered, evidence-based holistic approach to maintaining older adults’ functional status, independence and quality of life.

   The Health Guardian providing primary care for the elderly act as a point of contact on a team of healthcare providers, keeping track of complex drug interactions and prioritizing treatments for people who may be dealing with several conditions and chronic illnesses.

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