Table Of Contenti
Lifestyle Nursing
Lifestyle medicine is an evidence- based approach to helping individuals and families adopt and sus-
tain healthy behaviors in preventing, treating, and, oftentimes, reversing chronic diseases. This fast-
growing specialty operates off of six main principles, including nutrition, physical activity, stress
resilience, cessation or risk reduction of substance use, quality of sleep, and social connectivity.
Nurses are the primary providers of hospital-b ased patient care and deliver most of the nation’s
long- term care. Within healthcare, nurses are often tasked with educating patients and families and
are thereby well positioned to address lifestyle intervention with patients.
Lifestyle Nursing examines the concepts of lifestyle medicine and nursing practice. It is specifically
designed to help nurses introduce the concepts of lifestyle medicine to readers while also encour-
aging them to focus on their own wellness. This book features nutritional guidelines and supple-
mental materials operationalizing this basic nutrition knowledge into personal and patient wellness.
It addresses evidence- based findings of chronic diseases, including heart diseases and stroke, type 2
diabetes, and cancers, which can often be prevented by lifestyle interventions.
Drawing from nursing and medical literature, this volume in the Lifestyle Medicine series encourages
incorporation of lifestyle principles into nursing practices professionally and personally, which will
lead to overall improved patient outcomes and happier, healthier nurses.
ii
Lifestyle Medicine
Series Editor James M. Rippe
Professor of Medicine, University of Massachusetts Medical School
Led by James M. Rippe, MD, founder of the Rippe Lifestyle Institute, this series is directed to a
broad range of researchers and professionals consisting of topical books with clinical applications
in nutrition and health, physical activity, obesity management, and applicable subjects in lifestyle
medicine.
Increasing Physical Activity: A Practical Guide, James M. Rippe
Manual of Lifestyle Medicine, James M. Rippe
Obesity Prevention and Treatment: A Practical Guide, James M. Rippe and John P. Foreyt
Improving Women’s Health Across the Lifespan, Michelle Tollefson, Nancy Eriksen, Neha Pathak
Lifestyle Nursing, Gia Merlo, Kathy Berra
For more information, please visit: www.routle dge.com/ Lifest yle- Medic ine/ book- ser ies/ CRCLM
iii
Lifestyle Nursing
Edited by
Gia Merlo, MD, MBA
Kathy Berra, MSN, NP, FAAN
iv
First edition published 2023
by CRC Press
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and by CRC Press
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CRC Press is an imprint of Taylor & Francis Group, LLC
© 2023 Taylor & Francis Group, LLC
First edition published by CRC Press
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opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or
health- care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their
knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines.
Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be
independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’
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drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate
or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her
own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted
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ISBN: 9781032013688 (hbk)
ISBN: 9781032013343 (pbk)
ISBN: 9781003178330 (ebk)
DOI: 10.1201/9781003178330
Typeset in Times
by Newgen Publishing UK
Access the Support Material: https://www.routledge.com/9781032013343
v
Dedication
With awe and gratitude to nurses as you find the last morsel of strength to care for
others at the end of the day though it feels like you have nothing left to give,
With love to your families and friends who have supported you along the way,
With joy to your spirit of giving and to all those you have helped thrive and heal
every day,
With a moment of silent meditation honoring the lives we have lost that
we continue to mourn every day of our lives,
With hope that you embrace self‑ compassion and self‑ care with the
same gusto that you shower upon others.
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vii
Contents
Preface ...............................................................................................................................................xi
Acknowledgments ...........................................................................................................................xiii
About the Editors .............................................................................................................................xv
Contributor List ..............................................................................................................................xvii
Foreword .........................................................................................................................................xxi
PART I Lifestyle Medicine
Chapter 1 The Nursing Roadmap to Lifestyle Medicine ..............................................................3
Gia Merlo, Karen Laing, Deborah Chielli, and Kathy Berra
Chapter 2 Nutrition and Nursing Practice ...................................................................................11
Deborah Chielli, Caroline Trapp, Cody Stubbe, Tammy Robertson,
and Gia Merlo
Chapter 3 Structured Exercise, Lifestyle Physical Activity, and Cardiorespiratory
Fitness in the Prevention and Treatment of Chronic Diseases ...................................35
Barry A. Franklin and Thomas F. O’Connell
Chapter 4 Sleep Science ..............................................................................................................63
Glenn S. Brassington and Glenn T. Brassington
Chapter 5 Emotional Wellness and Stress Resilience .................................................................81
Elizabeth R. Click and Alyssa Vela
Chapter 6 Happiness and Social Connectivity ............................................................................99
Alyssa Vela and Lisa Kamsickas
Chapter 7 Substance Use Risk Reduction .................................................................................113
Michelle Knapp and Donna McCabe
Chapter 8 Environmental Toxins ...............................................................................................133
Mikki Meadows‑ Oliver
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viii
viii Contents
PART II The Nurses’ Code of Ethics
Chapter 9 Self- Care, Including the History of the Nurses’ Code .............................................145
Elizabeth Simkus, Deborah Chielli, and Gia Merlo
Chapter 10 Theories Around Self- Promotion and Self- Management .........................................153
Maria Grandinetti and Sarah E. Abalos
Chapter 11 Nurse as Patient ........................................................................................................167
Elizabeth Ann Robinson
Chapter 12 Effects of Disease on Families and Support Systems ..............................................175
Janine Santora
Chapter 13 Health Disparities .....................................................................................................179
Yvonne Commodore‑ Mensah, Ruth‑ Alma Turkson‑ Ocran,
Oluwabunmi Ogungbe, Samuel Byiringiro, and Diana‑ Lyn Baptiste
PART III Lifestyle Medicine for Chronic Conditions
Chapter 14 Preventing, Treating, and Reversing Chronic Disease With Nutritional
Interventions .............................................................................................................193
Alexandra Lessem and Caroline Trapp
Chapter 15 Hypertension ............................................................................................................209
Matthew Petersen, Steven Brady, Eileen M. Handberg, and Monica Aggarwal
Chapter 16 Impact of Lifestyle on Cardiometabolic Syndrome and Type 2 Diabetes ................227
Cindy Lamendola and Jane Nelson Worel
Chapter 17 Obesity and Weight Management.............................................................................241
Marcia L. Stefanick
Chapter 18 Dyslipidemia ............................................................................................................253
Susan Halli‑ Demeter and Lynne T. Braun
Chapter 19 Autoimmune Disease ...............................................................................................269
Nanette Morales, Jessica Landry, Christy McDonald Lenahan,
and Janine Santora
ix
Contents ix
Chapter 20 Cancer .......................................................................................................................283
Karen Collins
Chapter 21 Cognitive Disorders and Lifestyle Change ...............................................................305
Janine Santora
Chapter 22 Mental Health in Lifestyle Medicine........................................................................317
Carlie M. Felion and Gia Merlo
Chapter 23 Tobacco Products: Risk Reduction and Cessation ...................................................335
Nancy Houston Miller and Karen Laing
PART IV Maintaining Health Through Lifestyle Medicine
Chapter 24 How Often Do You Think About Oral Health as an Essential Part of
Wellness and a Healthy Lifestyle? ...........................................................................349
Judith Haber, Erin Hartnett, and Jessamin Cipollina
Chapter 25 Special Considerations for Men’s Health .................................................................371
Demetrius J. Porche
Chapter 26 Midwifery Approach to Lifestyle Medicine for Reproductive Health .....................379
Susan Altman and Rebecca Feldman
Chapter 27 Pediatric Health ........................................................................................................391
Mikki Meadows‑ Oliver
Chapter 28 Optimizing Function and Physical Health in Frail Adults .......................................401
Barbara Resnick
PART V Application and Implementation
Chapter 29 Spiritual Care: Practice Implications ........................................................................417
Elizabeth Johnston Taylor
Chapter 30 Empowering Patients Toward Motivation and Maintenance to Change...................429
Lola A. Coke
