ISSN 1692 - 5556 Octubre - Noviembre 2020 - Edición 155 SOLIDARITY MAKES US STRONGER 1 www.revistasaludcoomeva.com
COOPERATION IS THE FORCE THAT JOINS US LA FUERZAISSN 1692 - 5556 Octubre - Noviembre 2020 - Edición 155Marco Montes Martínezthrough Fundación Coomeva, as well as DE LA General Manager options for recreational activities, tourism, SOLIDARIDAD Coomeva Private Healthcare and culture. The strength of cooperation has made it www.revistasaludcoomeva.com The strength of cooperation has allowed possible for us to be present now more than us at Coomeva to make a difference in ever with our associates, in this time of Number 155 Colombia for 56 years. Seeking health emergency, with more than 42 options October - November 2020 cooperation for the health of our associates for relief and assistance from the and their families, we created Coomeva Cooperative and all its companies to mitigate Revista Salud Founder Private Healthcare 46 years ago as a pioneer the impact of the pandemic, including Private Gilberto Lotero Muñoz (q.e.p.d.) initiative in Colombia, with an innovative Healthcare options for associates, and a model that guarantees preferential solidarity campaign with which we provided President Coomeva treatment, agility, timeliness, comfort, and the basic food and welfare for six months to Board of Directors possibility of direct access to a great number more than 4,000 families in vulnerable José Vicente Torres Osorio of health specialists. communities in 26 cities around the country. With the contribution of each associate, the Following the path of cooperation, Coomeva Executive President Coomeva power of cooperation has allowed Coomeva Private Healthcare also offered relief to its Cooperative Business Group to offer a wide, comprehensive offer of affiliates: it promoted free psychological and Alfredo Arana Velasco services for the wellbeing of the whole nutrition consultations and access to the Oro community of more than 250,000 Plus Private Healthcare program without General Manager professionals and businessmen, among which payment for the first month, while our health Coomeva Health Sector is being part of an excellent program, professionals had free transport that helped Gilberto Quinche Toro Coomeva Private Healthcare, with special them get to their jobs to continue saving lives. discounts, coverage, access to an extensive Coomeva Private Healthcare is proud to be a General Manager Coomeva Private network of specialists, and at the same time, company that belongs to the first Healthcare enjoying housing solutions with 100% cooperative of professionals in Colombia and Marco Montes Martínez financing, a wide range of protection and one of the largest in Latin America, as well as insurance adjusted to each need, educational a business group which has cooperation, National Manager alternatives through agreements, solidarity, and mutual aid at its core, and the Marketing Health Sector scholarships, credits, and our own programs best strategies to move forward. Camilo Ernesto Diusabá Perdomo for the training of associates and their When we see the evolution of Coomeva families. We also have a complete bank at Private Healthcare, we see both the General Management your service, Bancoomeva, with benefits and strength of the Coomeva Group, under its Xiomara Iveth Campo special rates for our associates, philosophy of solidarity, and the confidence accompaniment, financing, and advice for of those who are optimistic about the Editorial Committee entrepreneurship and business growth model based on collaboration and mutual Bertha Varela Rojas National Director of Medical Audits and •support, because we are convinced that Risk Management Blanca Inés Vélez cooperation makes us stronger! National Director Oral Health Diana Cristina Sánchez Ramírez Macroeditor Content Agency Journalists Marketing National Director Voice of the Paula Andrea Montoya T. Laura Jaramillo Arango El Colombiano Customer María Antonia Giraldo Cali: Camilo Saldarriaga Mabel Irina Calero Editor Laura Vega 300 232 4018 National Brand Manager Natalia Estefanía Botero C. Ángel Orrego [email protected] Martha Liliana Cifuentes Bogotá: Yulieth Acosta Galvis National Coordinator of Provider Editorial, Graphics, Design Photography 315 479 7045 Relationships Pre-Press and Printing Management Margarita Rosa Ochoa, ShutterStock Medellín: Viviana Barrera Sandra Viviana Muñoz Rodríguez El Colombiano 310 411 6018 National Epidemiologist Phone: (4) 331 5252 Anabell Maya y Frank Jaramillo [email protected] [email protected] Contributors Marco Emilio Ocampo Erika Ximena López Macías Alexandra Arango Rojas Iván Mondragón González Angélica María Pérez García Hugo Ricardo Campo Cardona Viviana Trujillo Jiménez El contenido de los artículos de la revista Salud Coomeva Medicina Prepagada S.A. está destinada a la ilustración y/o conocimiento general. En ningún caso deberá sustituir el asesoramiento o las indicacio- nes de un médico. El lector no podrá usar esa información para diagnosticar y/o realizar el análisis, diagnóstico o tratamiento de una enfermedad o problema de salud sin consultar a un médico certificado. Las ofertas de producto y servicio realizados en los avisos publicados en la revista Salud Coomeva Medicina Prepagada S.A. son responsabilidad exclusiva de los anunciantes . Así mismo, los contenidos de los artículos que describen servicios, porcedimientos o tratmientos que no estén incluidos en las coberturas que ofrece Coomeva Medicina Prepagada S.A. no obligan a la empresa a prestarlos a sus contra- tantes o a incluirlos dentro de calquiera de sus planes y servicios. Todos los derechos reservados. Prohibida la reproducción parcial o total bajo cualquier forma o sistema. © 2020 3
CONTENT q October - November 2020 SIGUE LA RUTA DE Cuidarte es quererte 07 25 42 61 ( ) ( )( ) ( )WITH YOUR MIND WITH YOUR BODY WITH YOUR WORLD CORPORATE 08 Your generation 26 Nutrition 44 Couples 62 Institutional Knowing and Drinks to go with A conversation for Take advantage of the valuing introverts the day two benefits of our virtual medical center 12 Trends 30 Little giants 48 Harmony in health Peace of mind to talk The table is a When being obese 64 Directory about mental health meeting place, matters Our medical network not a battlefield at your reach 18 Harmony in health Discipline and 52 For her 66 Institutional good habits Instant attention with organize your life 36 Grandparents Equality is built at Sara 22 Keep in mind Stay in shape by home Feel safe when lea- ving home improving your balance 38 Focus on 56 Infography Breast cancer Riding your bike safely 40 For your smile 58 Go natural Keeping your mouth Seven beliefs healthy protects you about fruit from viruses put to the test 4
5
ESTAMOS A TU LADO PARA QUE TE SIENTAS Porque sabemos que lo necesitas, contamos con ATENCIÓN MÉDICA DOMICILIARIA* 24/7. Conoce más sobre este beneficio escaneando el código QR con la cámara de tu celular. O ingresa a medicinaprepagada.coomeva.com.co Somos mucho más que planes de salud *Disponible para el Programa Oro Plus. Se cubren 3 atenciones al año. A partir de la cuarta se cobrará cupón de pago directo. Aplica para las ciudades de Cali, Bogotá, Medellín, Barranquilla y Cartagena. Sujeto al área de cobertura definida por Coomeva Emergencia Médica. Como prerrequisito se debe estar afiliado a una EPS. Aplican condiciones contractuales del programa Oro Plus.
( )CON TU MENTE )WITH YOUR MIND 30 MINUTES OF LAUGHTER AND SOCIALIZATION ACT AS A NATURAL ANALGESIC AND CHANGE YOUR STATE OF MIND, ACCORDING TO THE JOURNAL OF NEUROSCIENCE (2017). LACK OF PHYSICAL CONTACT ALSO AFFECTS YOUR MENTAL HEALTH. FOR YOUR WELLBEING, TRY TO FIND DIFFERENT WAYS TO SOCIALIZE AND CONNECT. ACTIVATE YOUR SUPPORT NETWORKS ENCOURAGE ENTERTAINMENT CULTIVATE OPTIMISM Try to strengthen your emotional ties What are your hobbies? Stay enthusias- It is not easy, but try to find experiences and contact with family, friends, and tic and engage in physical activity, garde- that put you in a good mood. Take a neighbors through other means such as ning, reading, writing, watching movies, break from information overload and calls, video calls, or virtual activities. or learning something new. talk to nice people. 7
( )WITH YOUR MIND KNOWING AND In her TED talk “The Power of VALUING Introverts,” based on her book in which her curiosity to understand her- INTROVERTS self led her to study this type of persona- lity and highlight its values in a society This type of personality is that privileges extroverted behavior, Susan sometimes misunderstood, but it is Cain states that about half of the popula- important to understand its traits. tion is introverted. Introverts are not very good at working in groups, but they can ADVISORS be good leaders because they let others be ANA MARÍA OSPINA, psychologist independent. They are not very communi- EDUARDO VARGAS, psychotherapist cative, but they know how to listen and enjoy solitude, something that can be use- ful in times of social distancing. According to psychologist Ana María Ospina, Swiss psychiatrist Carl Jung was the one who defined this personality. There is no one who is 100% introverted or extroverted. It is a spectrum or a ten- dency that shows itself differently in each individual. “Most only socialize with a few people and do so in measured doses to better control their environment so it is 8
( )WITH YOUR MIND your generation not stressful for them. They do not like to were going to be diluted. They are interes- draw the group’s attention unless they are familiar with everyone. When interacting ted in preserving their individuality, so with a group of people, they usually listen quietly to others. However, even though that is why they isolate themselves. The their participation is low, this does not mean that they do not enjoy being at world seems like a laboratory for them to social events,” she says. observe, but not participate.” It is common for this personality type to be confused with shyness, but accor- The manifestation of envy and dissatis- ding to Ospina, shyness “is the result of a fear of social relationships that may be faction is related to the habit of constant intrinsic to the person or may originate from a negative emotional event. comparison, an exercise from which they Although it may not seem so, shyness can also occur in extroverts.” are always badly liberated, so they prefer not Cain says that today’s society is very to show themselves to others in order to focused on the personality cult, which means that extroversion is very important. prevent this from becoming evident. However, this does not mean that intro- verts should be forced to change themsel- “Another possibility is that they do a lot of ves or not be given the opportunity to develop their personality, especially in things for you to see.” social environments such as schools, which put a lot of emphasis on teamwork The third manifestation, the lack of and class participation, something that introverts find difficult. They should have confidence, is somewhat related to the these abilities and use them, of course, but they would feel more comfortable and second, but is due to the development of perform better if their personality was not considered a defect or a display of emo- a structure in the individual that is called tions such as sadness. cowardice and accusation. “They are FROM CHILDHOOD Being a personality type, introversion afraid of being accused of doing can start to be seen at the age of three or something wrong and being punished, so four and becomes stronger in adolescen- ce. It has three character manifestations they do not show themselves much. which psychotherapist Eduardo Vargas explains as: greed and pathological When they are seen, however, they have to detachment, envy and dissatisfaction, and lack of confidence. be doing the right thing.” Greed and pathological detachment This can be reinforced later in life by are not necessarily related to money but to the impulse of not sharing with others. traumatic events. If an introverted teena- “There is a fear, which may be uncons- cious, that if they give what they have, ger suffers from bullying, he will want to they will be left with nothing, as if they take even more shelter in himself, even if he is grieving. “There is not one single pattern that leads us (to establish condi- Introversion is an individual tions of isolation in condition that focuses on the inner teenagers, as this universe and is evidenced by being may be the result of more reserved, says an article from multiple variables the Open University of Catalonia. and dimensions. It is relevant in each case to identify which of the variables have combined to confi- gure the isolation and address each parti- cular case,” says Vargas. CHANGES THAT ATTRACT ATTENTION Introversion is not pathological unless the person definitely does not want to go out into the world and cannot handle his personality traits, which makes having a consultation necessary. On the other 9
WITH YOUR MIND ( )your generation hand, “there are health issues that can THE GLASS GENERATION cause isolation, such as acne, for example, or if the young person has a disability, a They are the children of Generation X; their parents were born in the 70s and scar, or something that puts them at a 80s. They greatly identify with technology, can spend hours on their electronic disadvantage with their reference group,” devices, but are quite unsocial in other ways. They are not necessarily states Vargas. If this reinforcement of iso- introverted, but are influenced by cultural norms popularized through digital lation represents a change in personality, media. They know how to use technology, but they do not know how to create or it may be a warning sign. interpret it, and their communities are more virtual than face-to-face. They prefer The extra time at home that some have social relationships through a screen. because of current public health issues They seem to be more sensitive, do can be an opportunity for self-knowledge not recognize limits very well, find and getting closer to other family mem- it difficult to believe in strict bers, a useful process for recognizing authority, and are very lonely when behaviors correspond to personality because their parents work. traits or when they may be a symptom of It is not a personality type – something else that should be addressed. although some may be clearly introverted – but a cultural issue. Introverts are happy in the world. “They can be oblivious to what is going on around them (for example, reading a book while their children are making a lot of noise). They close themselves off and are happy with this self-imposed isola- tion,” says Ospina. They are also more sensitive, which society sometimes points out as something negative, but can actua- lly facilitate empathy and strengthen social relationships. An introvert may have trouble develo- ping relationships, but once he does, he maintains them for the rest of his life. “They have a small circle of close and trus- ted friends they would do anything for (even if they do not see them for years). They can also be uncommunicative non- verbally, but especially verbally. Their feelings are better served through letters, cards, or with gestures,” says Ospina. This world is as rich as the world of those who love to express themselves and share with others; it is not about antipathy or boredom. The difference is that everyone can complement each other and contribute in their own way. The best gift that can be given is unders- tanding and avoiding prejudices that allow the freedom to develop the best •version of themselves 10
( )WITH YOUR MIND 11
( )CON TU MENTE TRANQUILIDAD PARA HABLAR DE SALUD MENTAL Este aspecto debe estar en el centro de la conversación en la familia y la sociedad para asegurar el bienestar emocional, controlar el estrés y tomar buenas decisiones. 12
(( )WCITOHNYOTUURMMENINTDE trends PEACE OF MIND TO TALK ABOUT MENTAL HEALTH This issue should be at the center conversations with family and in society to ensure emotional wellbeing, manage stress, and make good decisions. ASESOR ADVISOR ANTONIO CARLOS TORO OBANDO ANTONIO CARLOS TORO OBANDO Médico psiquiatra Psychiatrist En nuestra cultura se habla mucho del bienestar como una In our culture, there is a lot of talk about wellness being meta deseable. La RAE lo define como el conjunto de a desirable goal. The Royal Academy of Spanish elementos que una persona necesita para vivir bien. Por Language defines it as a set of elements that a person su parte, la Organización Mundial de la Salud (OMS) conside- needs to live well. The World Health Organization (WHO) ra que la salud es un “completo bienestar físico, mental y social, considers that health is “complete physical, mental, and y no solamente la ausencia de afecciones o enfermedades”. social wellbeing, and not only the absence of symptoms or Alcanzar y mantener este estado es uno de los objetivos promo- illnesses.” Achieving and maintaining this is one of the vidos desde la salud mental con el fin de prevenir los trastornos goals being promoted starting with mental health in order que alteran los pensamientos o el comportamiento. to prevent illnesses that alter thoughts or behavior. La salud mental es tan importante que puede afectar cómo Mental health is so important that it can affect how we enfrentamos el estrés, cómo nos relacionamos y cómo tomamos deal with stress, how we relate to each other, and how we decisiones en la vida. Por esto, Antonio Carlos Toro Obando, make decisions in life. Because of this, Antonio Carlos Toro médico psiquiatra y profesor en la Facultad de Medicina de la Obando, psychiatrist and professor at the Faculty of Universidad de Antioquia, explica que un estilo de vida saluda- Medicine at the Universidad de Antioquia, explains that a ble es el principal mecanismo para mantener tanto la salud físi- healthy lifestyle is the main mechanism for maintaining ca como la mental y emocional, porque una no puede existir sin physical as well as mental and emotional health, because one la otra. “La evidencia científica muestra el impacto que tiene el cannot exist without the other. “Scientific evidence shows ejercicio en la prevención y tratamiento de trastornos depresi- the impact that exercise has on the prevention and treatment vos y ansiosos. Desde todas la áreas de la medicina tenemos que of disorders related to depression and anxiety. From all areas hablar de la actividad física como parte del tratamiento. Es of medicine we have to talk about physical activity as part of como una pastilla: la misma rigurosidad que tenemos con los the treatment. It is like a pill: the same rigor we have with medicamentos deberíamos tenerla con la actividad física”. medication we should have with physical activity.” La buena alimentación, la calidad del sueño, tener un traba- Good nutrition, quality sleep, having a motivating job jo o un plan motivador también son indispensables en la bús- or plan are also crucial in the search for wellbeing. “It has queda del bienestar. “Está demostrado que el principal antído- been shown that the main antidote for loneliness and to para la soledad y la desesperanza es contar con un trabajo o hopelessness is having a job or some other meaningful una actividad significativa. Es fundamental que las personas activity. It is fundamental for people to be involved in an 13
( )WITH YOUR MIND gerado, obsesivo”, son algunas de las palabras que se usan para referirse a alguien que presenta síntomas rela- puedan tener una actividad que les represente algo impor- cionados, porque muchos no distinguen los trastornos, tante, por el contacto social, para sentirse reconocidos e para quienes los desconocen cada paciente cuenta con importantes; o para cumplir con una rutina. Es muy impor- las mismas características. tante esto para evitar los impactos negativos sobre la salud mental”, añade el médico psiquiatra. También están las personas que rebajan los síntomas a simples caprichos para decirles a los pacientes que lo que Hacer parte de un ambiente que permita llevar un estilo padecen no es una enfermedad real. La educación es uno de vida amigable con el cuerpo y la mente es clave. Otros de los frentes impulsados por la Organización factores están relacionados con el acceso a la educación, las Panamericana de la Salud para fortalecer su respuesta fren- relaciones sociales, así como con la protección y respeto de te al tratamiento que se le da a los trastornos mentales en sus derechos civiles. “Sin la seguridad y la libertad que pro- la región. Pacientes y familiares tienen la posibilidad de porcionan estos derechos resulta muy difícil mantener un buscar asesoría, para entender qué son y de qué se tratan buen nivel de salud mental”, afirma la OMS en su sitio web. esos cambios en el comportamiento y en la forma cómo se enfrentan las situaciones más cotidianas de la vida. Por esta razón se habla de la salud mental como algo que afecta, tanto positiva como negativamente, a una Una vez superada esta etapa de información es ideal comunidad, una familia, una empresa, una ciudad, inclu- empezar a hablar del tema con tranquilidad y normalidad, so a un país, y se convierte en una prioridad la implemen- como sucede con otras patologías como la diabetes o la tación de acciones que la promuevan. Salud mental para hipertensión, y así transformar los imaginarios que existen todos: mayor inversión, mayor acceso es el lema promovi- alrededor de los trastornos mentales. do este año para el Día Mundial de la Salud Mental (10 de octubre). En el Foro Económico Mundial, edición 2018, se presentó un informe que evidenció el crecimiento de los trastornos mentales en cada país del mundo, incremento que de no tratarse a tiempo le podría costar a la economía global billonarias pérdidas para 2030. Ahora, con la llegada del coronavirus cambiaron las condiciones y el número de personas con trastornos men- tales incrementó: una de cada cuatro personas padece un trastorno mental, según la OMS. “Nunca se había habla- do tanto de este aspecto como lo hemos hecho en los últi- mos meses, creo que nos estamos interesando más en nuestra calidad de vida y estamos aprendiendo a integrar la necesidad de contar con salud mental en nuestra vida diaria”, añade Toro Obando. PARA ROMPER ESTIGMAS La falta de conocimiento frente a los trastornos mentales ha jugado un papel clave en la creación de los mitos y pre- juicios que los rodean. “Loco, psiquiátrico, histérico, exa- (La escucha activa, que implica preguntar sin juzgar, es clave para entender la situación del otro y apoyar a quienes viven un momento difícil con su salud mental. 14
( )WITH YOUR MIND trends activity that represents something important to them, Economic Forum a report was presented that showed through social contact, in order to feel recognized a rise in mental illnesses in every country in the world, and important; or to have a routine. This is really an increase that if not treated soon enough could cost important in preventing negative effects on mental the global economy billions in losses by 2030. health,” adds the psychiatrist. Now, with the arrival of the Coronavirus, condi- Being part of an environment that allows for a tions changed and the number of people with mental mind-body friendly lifestyle is key. Other factors are illnesses increased: one in every four people suffers related to access to education, social relationships, as from a mental illness, according to the WHO. “There well as the protection and respect of civil rights. has never been so much talk about this aspect as we “Without the security and liberty that these rights pro- have had in recent months. I think we are becoming vide, it is very difficult to maintain a good level of more interested in our quality of life and are learning mental health,” states the WHO on its website. to integrate the need for mental health into our daily lives,” adds Toro Obando. For this reason, mental health is talked about as something that affects, positively as well as negatively, BREAKING STIGMAS a community, family, company, city, and even a coun- The lack of knowledge about mental illnesses has played try, and the implementation of actions to promote a key role in the creation of myths and prejudices sur- this has become a priority. Mental health for all: rounding them. “Crazy, psychiatric, hysterical, exagger- Greater investment - Greater access Everyone, ated, obsessive” are some of the words used to refer to Everywhere is the slogan promoted this year for World someone who has symptoms related to a mental illness, Mental Health Day (October 10). At the 2018 World because many people do not differentiate between disor- ders. For those who do not know about these illnesses, every patient seems to have the same characteristics. There are also people who reduce the symptoms to mere whims, telling the patients that what they have is not a real illness. Education is one of the fronts pro- moted by the Pan American Health Organization to reinforce their response to treatment given to mental illnesses in the region. Patients and families have the opportunity to seek counseling, to understand what these changes in behavior are and how they deal with everyday situations in life. After this stage of information, it is ideal to start talking about the subject calmly, in everyday conversa- tion, as with other diseases like diabetes or high blood pressure, and thus transform the imaginary ideas that exist around mental illnesses. (Active listening, which implies asking without judging, is key for under- standing someone else’s situation and supporting those who are going through a difficult time with their mental health. 15
WITH YOUR MIND ( )trends UNA RUTA HACIA A ROAD TO LA SALUD MENTAL MENTAL HEALTH ► Entablar conversaciones: es la fórmula más sencilla para ► Engaging in conversations: is the simplest way to under- comprender y acompañar a las personas que padecen algún stand and support those suffering from a mental illness. trastorno mental. Este es un mundo desconocido para This is an unknown world for many, which is why the muchos, por eso tanto el paciente como familiares y amigos patient as well as family and friends can feel overwhelmed podrán sentirse abrumados con los síntomas, en especial si with the symptoms, especially if they have never had simi- nunca han vivido una experiencia similar. lar experiences. ► Prevenir es preguntar: ¿Cómo te sientes? ¿Necesitas ► Asking helps preventing: How do you feel? Do you need ayuda? Una pregunta en el momento adecuado puede dis- help? A simple question at the right time can decrease minuir, incluso, las posibilidades de que un paciente atente the chances of a patient doing something life-threatening. contra su vida. También le dará la confianza para hablar It will also give them the reassurance they need to talk abiertamente de sus emociones. openly about their emotions. ► Evitar el aislamiento: “en el caso de esta pandemia es nece- ► Avoiding isolation: “during this pandemic, it is necessary sario comprender que estamos en medio de un distancia- to understand that we are in the middle of physical dis- miento físico y no social. Podemos utilizar todas las herra- tancing, not social distancing. We can use all the tools mientas disponibles para mantener la comunicación con fami- available to maintain communication with family and liares y amigos; y si es el caso, mantener el contacto con un friends, and if necessary, keep in contact with a mental profesional en salud mental”, explica el doctor Toro Obando. health professional,” explains doctor Toro Obando. ► Atención a los detalles: “entender que todos estamos pasan- ► Attention to detail: “understanding that we are all going do por un momento difícil y angustiante, sin embargo, hay through a difficult and stressful time; however, some peo- quienes no tratan estas emociones y desarrollan depresión o ple do not treat these emotions and develop depression ansiedad. Entonces, si vemos que si alguien que conozco no or anxiety. So, if we see that someone we know is not está durmiendo, no está comiendo o no tiene energía hay que sleeping, not eating, or does not have energy, we should buscar ayuda con relación a lo que le esté pasando”. seek help for whatever they are going through.” ► Informarse muy bien sobre los tratamientos: el profesional ► Be very well informed about treatment options: the pro- enfatiza en que hay muchas formas de tratar un trastorno men- fessional emphasizes that there are many ways to treat a tal. “No hay opciones obligatorias, no se puede hacer nada con- mental illness. “There are no mandatory options, nothing tra la voluntad del paciente, sobre todo cuando hablamos de can be done against the patient’s will, especially when it medicamentos. Por eso es nuestra responsabilidad como profe- comes to medicine. This is why it is our responsibility as •sionales entregarles todas las opciones de tratamiento disponi- •professionals to provide them with all the available treat- bles, incluso desde otras especialidades” ment options, even from other specialties.” 16
( )WITH YOUR MIND 17
( )WITH YOUR MIND 18
( )WITH YOUR MIND harmony in health DISCIPLINE AND GOOD HABITS ORGANIZE YOUR LIFE Don’t let the situation be the reason your life plan turns to chaos. Here are some tips on how to cope with difficulties. ADVISORS LAURA LAVERDE ACEVEDO, psychologist YULIANA BEDOYA RESTREPO, financial analyst T he isolation experienced during or emotional difficulties that have never the period of confinement due to been diagnosed and are triggered by this the global pandemic was difficult situation. Beyond that, there are options for many to handle. It turned out to be an for staying mentally healthy and facing unprecedented situation that puts most this period with greater clarity. people at a point that triggers irritability, mood swings, or changes in daily routi- The Colombian College of nes. For Laura Laverde Acevedo, psycho- Psychologists offers some advice in this logist from the Universidad San regard: first, avoid over information. This Buenaventura, what has been caused is a generates an idea in the brain and causes scheme known as “tunnel vision,” which greater stress, raising cortisol levels and is the fact of constantly thinking about anxiety. The second, accepting reality. the future and anticipating answers to Although these are difficult times, it is questions like this: how are we going to important to understand the rules, even restructure?, what are social and family with the gradual reopening, and unders- relationships going to be like?, where am tand that they are followed as an act of I going to work? “In this aspect, stress self-care for oneself and for others. The about the future is actually stronger than third, being connected to loved ones, the stress of what is happening in the pre- whether they are friends, family, sent,” states Laverde. neighbors, or a partner, and maintaining those relationships on an emotional level According to the psychologist, one rea- is empowering and comforting. son that some people can go into crisis is that they have basic psychiatric disorders You can also take the time to learn things that you have always wanted to but 19
WITH YOUR MIND ( )harmony in health have never been able to due to a lack of LEARN TO ELIMINATE time. “Discipline is important because it ANT EXPENSES creates habits and, in turn, creates new ways of thinking that will build a lifestyle,” Evaluate your expenses and make a sumption,” which happens when your concludes Laverde. budget that identifies some expenses, cell phone or PC are connected to such as the so-called ant expenses, the outlet even if it is not charging. AND THE ECONOMIC DIFFICULTIES? which are those small and continuous Also, try to save water and energy, as Although there is a “new normal,” purchases that can be eliminated or this will result in lower utility charges. household obligations remain the same. changed. Also, follow these tips from ► Make a personal or family budget, Unemployment affected many and the ban- analyst Yuliana Bedoya. which will help to have more control kruptcy of numerous companies and busi- on what can be spent on leisure or nesses put financial stability in jeopardy. ► Make a market-conscious list to entertainment. In this regard, Yuliana Bedoya Restrepo, avoid spending money on unneces- ► Understand that the situation will be advisor and analyst of financial innova- sary purchases. Being in a limited temporary, so it may be useful to tion, recommends being very calm accor- situation, anxiety levels are altered renegotiate your debt with the bank, ding to the situation. “The first step is and cravings may increase. using mechanisms such as portfolio thinking about what you can do to have purchase, among others. more money, how to be more producti- ► Avoid the so-called “phantom con- ve. Getting to know yourself, what you like to do, what you are good at, and what skills you have and how to develop them in order to put them at the service of another. Often, we say that we have to decrease expenses, but we also have to increase income,” she comments. We must also use a radar for the situa- tion: if you are a person in debt, the first thing to do is to focus on those debts, and once this is paid off, adopt the habit of saving, especially for priorities such as health and education. Bedoya advises a mapping of financial purposes, as sometimes people have additional sources of income and do not know how to manage them. “We are not going out so much, but e-commerce is very strong. There has to be a balance between rationality and emotionality. Think about each purchase, whether you are buying something only for the desire or if it is a real necessity to avoid adding things to the shopping cart all the time,” •she concludes 20
( )WITH YOUR MIND 21
( )WITH YOUR MIND he number of Covid-19 infections FEEL SAFE WHEN is already decreasing in some Tregions of the country, and economic recovery is starting. Many LEAVING HOME people are returning to their jobs and adapting to the new normal. However, for others, the idea of going out causes them to feel anxious, which is known as Following preventative measures cabin syndrome. It is not a typified disease, but it is carefully can help decrease the usually seen in people who have spent a feeling of anxiety that comes with lot of time in isolation, such as oil leaving your house. platforms or submarines. The solution recommended by mental health professionals is to address the fear and ADVISOR create routines that allow you to feel SANDRA VIVIANA MUÑOZ RODRÍGUEZ more confident in the process, such as National Epidemiologist Coomeva Private Healthcare correctly following public health recommendations regarding the use of masks and hand washing. For epidemiologist Sandra Muñoz, we must be attentive to local administration recommendations regarding the virus, since they make decisions about isolation that respond to each particular context. Even when it is not necessary to stay at home and we need to go out to the supermarket, the bank or a health center, we must not be overconfident – we need to pay attention to all safety protocols. Here is a reminder of the recommendations. 22
( )WITH YOUR MIND keep in mind FOLLOW PREVENTION PROTOCOL ► Avoid doing unnecessary errands and taking people with you. If you ► Shields and glasses help protect your eyes and must go out, try to do everything on the same day so that you are can help you avoid touching your face. not exposed several times during the week – only once. ► Help your immune system. Maintain a good diet. ► When you return home, clean the soles of your shoes with alcohol, The use of supplements such as vitamin C is not leave them at the door, wash the clothes you wore, and take a superfluous, although only the correct diet can shower to eliminate any traces of the virus that may have been left help you stay healthy. Keep in mind that there is on your skin. The virus does not pass through the skin, but if it is on no miracle cure other than following the you and touches your face, it could be carried into your body. preventative measures. ► Try to wear clothing that allows as little exposure to the skin as ► Avoid visits from family and friends, especially if possible, such as pants and long sleeves. Anti-fluid clothing is not they are among the at-risk population. Be necessary, but covering the skin helps reduce exposure. empathetic so that their autonomy and independence is not affected. ► Try to maintain social distancing of two meters at all times. HOW TO USE A SURGICAL MASK CORRECTLY 12 Sí5 6 3 4 Wash your hands before Check that it is not Place the metal Cover your mouth, nose, and touching the mask. torn or damaged. piece or rigid edge chin. Adjust it so that there are over the nose. no openings on the sides. IMPORTANT N95 masks should not be used, as these are for healthcare personnel. Reusable cloth masks can be used, as long as they are properly washed. If you are visiting a health center, it is Take it off from behind Dispose of it in a best to wear a disposable surgical mask that your ears or chin. Keep it closed trash can. Wash you can throw away. away from you. your hands. 23
WITH YOUR MIND ( )keep in mind 88 % (You do not need a special soap to wash your hands. Just wash your hands frequently, OF PEOPLE ARE ON ALERT FOR following the correct steps. Soap breaks the sur- face layer of the virus and eliminates it. NON-COMPLIANCE WITH BIOSAFETY STANDARDS, ACCORDING TO A STUDY BY PROFAMILIA. 1 23 Avoid using a torn Do not wear it only on your If it is loose, or wet mask. nose or mouth. do not use it. No4 5 Do not touch the front or Avoid reusing it and leaving take it off to talk to someone it within reach of others. Dispose of it properly. else or sneeze. Source: OMS 24
( )CON TU CUERPO )WITH YOUR BODY 3 TYPES OF MOBILE JOINTS INTERVENE IN VOLUNTARY MOVEMENTS, STATES THE RCHSD. TAKE CARE OF YOUR JOINTS BY AVOIDING EXCESSIVE WEIGHT, POORLY PERFORMED EXERCISES, AND LONG DAYS WITHOUT BREAKS. APPROPRIATE DEMAND It is best to be conscious of your joints both in physical training and in your daily life. Avoid carrying exces- sive weight. BETTER POSTURE Rest after spending a lot of time doing the same activity. Always try to keep the right posture, in balance. FIRST, CHECK Before self-medicating yourself or trying homemade remedies, consult with a specialist if you have any recurring pain. Hydration is key. . 25
DRINKS TO ADVISOR CAMILO ROA, nutritionist and dietician GO WITH THE DAY DuDuring the pandemic, preparing a com- Improve digestion, regulate the plete grocery list and making every meal elimination of liquids or lower became a ritual for those who see eating as cholesterol levels. Plants and a lifestyle and the main tool for taking care of their health. In addition, by spending more time in the fruits are ideal when it comes to kitchen, some people took the opportunity to taking care of the body. transform their habits and be more aware of the ingredients in their meals, and even the drinks that accompany them. Different types of tea, plants, and fruits are the best choices for refreshing or pampering the body. In the case of tea, there are people who cannot drink coffee for medical reasons and resort to infusions for something similar. Nutritionist and dietician Camilo Roa explains that “tea resembles caffeine because of xanthine, which causes similar activity. These substances, which include theophylline and theobromine, are in different varieties of tea and give the body energy without causing the side effects of caffeine, such as insom- nia or tachycardia, because tea has a smaller quan- tity of these substances.” For energy, Camilo Roa also recommends other beverages, such as beet-based preparations. It is a precursor of nitric oxide that leads to more concen- tration of that compound in the blood and allows for more energy when doing physical activity.” With fruit, it is necessary to take advantage of their nutrients and benefits, which vary according to the way they are consumed (whole, in juice, or infusions). For example, if the goal is to awaken the body, they will not be as beneficial. “They are going to cause a sugar high that initially gives you energy, however, this forces the activation of insu- lin (the hormone that controls sugar) to impulse the descent of that high, which produces the opposite effect and causes you to feel tired.” The key is to be increasingly creative in prepa- ring infusions, juices, salads, and soups. Here are some ideas for drinks that nourish the body and •give it a break from the day RECIPES ESTEFANÍA ISAZA, food engineer for the La Teresita infusion team 26
( )WITH YOUR BODY nutrition Pineapple is a natural diuretic; it also has anti- inflammatory properties. OPTION 1 FRUIT INFUSION WITH LEMON VERBENA INGREDIENTS: 4 tea bags Lemon verbena infusion 1/4 cup Pineapple slices in chunks 1/4 cup Mango slices in chunks Honey or sugar to taste INSTRUCTIONS: - Heat the water until boiling - Add the 4 tea bags of lemon verbena and let steep for 5 minutes. Remove the tea bags. - Add the fruit and sweetener (to taste). Let sit and add ice. Mango contains zeaxanthin, a pigment involved in the protection of eye health. DIURETIC PROPERTIES 27
WITH YOUR BODY ( )nutrition Cinnamon is mainly characterized for its contribution to digestive functions. OPTION 2 COLD GREEN TEA INGREDIENTS: 1 l Water 2 tea bags Green tea 1 bag Cinnamon infusion or a cinnamon stick 1/2 a Zest of a lime 1 tea bag Ginger and honey infusion 1 tbsp Honey INSTRUCTIONS: - Boil one cup of water and pour it over the green tea bags. - Add the lemon zest and cinnamon. Let steep for 3-5 minutes. The more time it steeps, the more concentrated the drink will be. - Add a tablespoon of honey (optional) and put in the fridge for one hour. In addition to being a source of vitamin C, limes provide minerals such as potassium and selenium. REFRESHING BEVERAGE 28
( )WITH YOUR BODY DIGESTIVE DRINK OPTION 3 Hibiscus contains vitamin A, B1, C, and E, as well as iron HIBISCUS AND MINT INFUSION and phosphorous. INGREDIENTS: With its aroma and freshness, mint is also known 1 cup Water 1 tea bag Mint for its relaxing properties. 1 tea bag hibiscus infusion or 29 5 dried hibiscus flowers 1 tsp Sugar or sweetener 1 tsp Honey Fruit to taste INSTRUCTIONS: - Heat the water until boiling, and remove from heat. - Pour the water over the two tea bags (mint and hibis- cus or hibiscus flowers). - Add sugar, sweetener, or honey (optional) to taste and stir until dissolved. - Let sit between 3 and 5 minutes (according to the level of flavor desired) and serve hot.
( )WITH YOUR BODY THE TABLE IS A MEETING PLACE, NOT A BATTLEFIELD Phrases about children’s body image, contrary to being constructive, promote conflicting relationships with food. Encourage balanced nutrition from a young age. ADVISOR JULIANA RAMÍREZ Nutritionist dietician, certification in Children and Addressing Eating Disorders 30
( )WITH YOUR BODY little giants ust as you remember your favorite toys, childhood friends, favorite TV shows, J There are many factorsand grandmother’s delicious recipes, there are many events in your memory from childhood, and from then on begin to weave into aspects of adult life, including (your relationship with food. involved in nutrition. Acts of restraint can trigger disorders by creating feelings of unworthiness “You’re too skinny…You’re too and feelings of inadequacy. fat…You can’t eat that! You are the chubby one in the house,” labeling chil- dren by their body shape affects the long- term development of various eating disor- ders. This is how nutritionist and d ponsibility to choose what is served, how, ietician Juliana Ramirez, an expert in dea- where, and when. But in the end, the ling with these nutritional disorders, child chooses what and how much to eat explains it. “The words fat and thin are from that dish. This is where factors of loaded with many things. As parents or hunger and fullness come into play. caregivers, we must avoid talking about These two feelings in the body are innate diet and image all the time,” she states. and different in each individual. They Expressions like this can encourage con- indicate whether food is needed or if it was flicting behaviors around eating, such as enough. Respecting them and not forcing children starting to restrict their food or them is vital in preventing eating disorders hiding to eat. And a fundamental fact is and in creating good eating habits. “Nor is that their self-esteem is also affected. “We it about promoting obesity, for example, or are seeing many cases of anorexia, increasin- encouraging conditions at home that gly at younger ages. We are giving a lot of make the child obese. But we do unders- attention to the figure and food. Several tand that some children are bigger than patients reach these disorders as a result of others. The goal is not that the shorter things they have been told all their lives,” kids are reaching heavier weights and the says the nutritionist. taller ones are weighing less than they should,” states the nutritionist. RESPECT NATURAL PROCESSES Sometimes, the table becomes a battle- SET AN EXAMPLE field and dinnertime becomes a nightma- In short, example and imitation are fun- re for the little ones. “When we force chil- damental keys to cultivating healthy dren to eat, we turn that meal into a game habits. “I learn what I see in my parents. of strength to see who has more power, If I am served broccoli and my mom is and we start to cause a bad relationship eating pizza, I might eat it that time, but I with food,” comments nutritionist Juliana will not learn by imitation. I will learn by Ramírez. The specialist also emphasizes obligation or because I am rewarded,” that parents and caregivers have the res- concludes Ramírez. 31
WITH YOUR BODY GUIDELINES FOR PROMOTING BALANCED NUTRITION ( )little giants ► Know which basic guidelines, such as eating 1 fruits and vegetables, apply to the whole family and not just children. IN EVERY 5 CHILDREN IN LATIN AMERICA SUFFER FROM ► Establish a routine with specific times and places for food. SOME TYPE OF MALNUTRITION, STATES THE ► It is important that meals be a family affair. Make sure that food is not the topic of con- UNICEF FOOD SECURITY versation, but a variety of other topics. OUTLOOK (2019). ► Explain food groups to children and which 32 ones are considered to be the most important to nourish them. Avoid labeling them as healthy or unhealthy, good or bad. ► Try to help children learn to manage their food through feelings of hunger and fullness. Let this be a natural process, also flexible. ► Avoid constantly commenting on body image, especially in a negative way. Give your children positive compliments focusing •on their talents and abilities
( )WITH YOUR BODY 33
( )CON TU CUERPO rutina Antien 1 Limpia Previene 3 Desmaquilla Repara Todo tipo A de piel V Previene la aparición L de líneas de expresión Con Efecto Anti Polución 3K\\FRVDFFKDULGH $3 34
( )WITH YOUR WORLD 47
( )WITH YOUR WORLD WHEN BEING OBESE MATTERS Excessive body weight can lead to health complications. Learn what the body mass index is and why taking care of your lifestyle is good for you. ADVISORS CRISTINA SIERRA VARGAS, internist doctor CARLOS BUILES BARRERA, endocrinologist 48
( )WITH YOUR WORLD harmony in health The World Health Organization THE KEY INDICATOR FOR (WHO) defines obesity and being UNDERSTANDING EXCESS KILOS overweight as “an abnormal or excessive accumulation of fat that can be Having a few extra pounds does not necessarily mean that a person is obese. To do so, detrimental to health,” two conditions one must measure his or her body mass index (BMI) and understand the difference that, according to the entity’s figures, between being overweight and being obese, the former being a warning sign before have almost tripled since 1975 around the latter appears. According to the Texas Heart Institute, BMI corresponds to a the world due to two main factors: number calculated according to each person’s weight and height, and should be increased consumption of high-fat and compared according to a standardized table. A BMI over 25 means that the person is high-calorie foods, and decreased physi- overweight, and anything over 30 is considered obese. This in turn is classified by cal activity due to the sedentary nature of levels: from 30-35 is level 1, from 35-40 is level 2, and over 40 is level 3. However, the many types of work, transportation, and BMI is an approximate value since there are different types of thickness and physique increasing urbanization. according to each person. Obesity and being overweight occur as system and can make them more prone to Carlos Builes Barrera, adult endocrino- a result of an energy imbalance between disease. Likewise, obesity is associated logist at the San Vicente Foundation calories consumed and burned, and leads with other conditions such as high blood Hospital and professor of endocrinology at to the body’s chronic inflammation. pressure, diabetes, cardiovascular disease, the University of Antioquia, explains that Added to that are genetic factors that can sleep apnea, high cholesterol and triglyce- the virus manages to enter the body’s cells also lead a person to suffer from this con- rides, and osteoarthritis, among others. through an enzyme, in obese patients due dition throughout his or her life. to the greater amount of accumulated fatty Obesity is an issue of global importan- tissue, has a higher probability to be used to It should be clarified that obesity ce because it does not contribute to a heal- reproduce the virus in the body. means having too much body fat and is thy lifestyle, and in times like these, it not the same as being overweight, becau- becomes more important because it cons- “Obesity should be understood as a sys- se a person can weigh more because of titutes an additional risk factor for other temic and chronic inflammatory phenome- muscle or extra water, not necessarily diseases, including Covid-19. non. If the body was already generating because of fat. However, in both cases, it some inflammatory substances in obese means that an individual’s weight is grea- HOW DOES THE VIRUS BEHAVE? people, the virus could magnify that ter than what is considered healthy for Although scientific evidence is still limi- inflammation phenomenon,” said Builes, his or her height. adding further restrictions to lung function, ted, according to data from observational which in people with obesity are common So, the question arises, how do you studies reviewed by the specialist, patients and make it even more complicated to per- know if a person is obese or just over- with Covid-19 and obesity require more fre- form a pulmonary resuscitation maneuver. weight? Nutritionists and physicians use quent ICU admission and mechanical ven- a formula known as the Body Mass Index tilation compared to those with Covid-19 at Making the decision to change your diet (BMI) that determines a person’s condi- a healthy weight. The specialist states that and exercise is the first step in combating tion based on his or her weight and this association seems to be independent of it. The WHO recommends limiting total height (see table). age and other comorbidities such as diabe- fat and sugar intake, increasing consump- tes or high blood pressure. In addition, an tion of fruit and vegetables, as well as legu- According to Cristina Sierra Vargas, increased risk of death has been observed mes, whole grains, and nuts, and doing internist and professor at CES University, in patients with coronavirus and obesity. there are other factors that also trigger •regular physical activity obesity and can put the lives of people suffering from it at risk, such as the fact that they usually have an altered composi- tion of intestinal microbiota, which is essential for the regulation of the immune 49
INFORME COMERCIAL Acalis Superior, un espacio para vivir en plenitud Un hogar para el adulto con calidad internacional, que ofrece un cuidado integral. Encontrar la armonía en todos los sentidos, ese es el gustos que los residentes tengan”, explicó Catalina propósito de Acalis Superior, la cadena chilena de Valencia Ospina, coordinadora de Enfermería de Acalis. residencias para el cuidado del adulto mayor que llegó hace un año a Medellín y que también tiene presen- Las habitaciones son cálidas y acogedoras, al cia en otros países del continente, como Uruguay. igual que las zonas comunes y salas de estar. Todo se pensó para hacer del centro un verdadero hogar. Ubicado en la Transversal Superior, sector de Los “No es un ambiente hospitalario sino que parece un Balsos, en Medellín, el centro se localiza en un edifi- hogar de verdad. El plus que tenemos nosotros es la cio de 12 niveles que cuenta con infraestructura de gerontología, el acompañamiento y el hecho de que lujo, segura y con un equipo de profesionales dispues- hacemos la vida de los residentes lo más normal y tos al servicio, siendo una de las mejores opciones de activa posible”, concluyó Valencia. la ciudad para que los seres queridos vivan de mane- ra íntegra, cómoda y en compañía de otros mayores. Así se aseguran de que el cuidado sea integral, manteniendo la actividad de las personas, sus capaci- El servicio de enfermería está garantizado las 24 dades motrices y cognitivas, y brindando un estilo de horas, los siete días de la semana. Además, también vida lleno de bienestar a los residentes. cuentan con profesionales especializados en las áreas de nutrición, gerontología, fisioterapia y medicina gene- CONTACTO ral. Asimismo, para quienes necesitan cuidados adicio- nales, desde el momento de su ingreso se realiza una DIRECCIÓN: carrera 25 # 9 A sur 162 evaluación previa para suplir todas las necesidades. TELÉFONO: 501 75 56 “Tenemos restaurante, gimnasio, peluquería, además de espacios para la recreación y cuartos lúdicos donde PÁGINA WEB: www.acalis.co se pueden realizar actividades varias de acuerdo a los 50
Search
