Inability to balance work and family commitments may have resulted in conflicts at workplace and in the family, and this discord can be a significant cause of stress. Indeed, lack of control and strain at job are important external stressors (Ward, Jones, & Phillips, 2003).However, stress seldom occurs in isolation. Physical exhaustion often coexists with psychological or nervous exhaustion. Also, physiological systems are activated in the presence of stressors, and many biological markers associated with these activations have been associated with health implications (Ward, Jones, & Phillips, 2003; Brady & Sonne, 1999). Psychosocial stress has also been clearly linked with cardiovascular disease (von Känel, 2012). Therefore, Suzy’s physical, mental and emotional health needs to be examined before she can be offered any advice regarding her state of wellness. The concept of integrative medicine is applicable to this case. Rather than just prescribing ‘drugs’ to treat the symptoms, which present the surface of the problem, a combined approach that includes modification of the risk factors, dietary modification, incorporation of physical activity, nutraceuticals and mind body techniques is used to achieve holistic health.Straker (2012) emphasised the importance of giving priority to prevention of diseases. He enumerates and explains five lifestyle risk factors responsible for many disease states that are currently prevalent, and much can be gained from modifying these factors (Straker, 2012). Smoking, alcohol intake and physical inactivity are some of these behaviours that Suzy needs to address. She can prevent conditions like cardiovascular disease, stroke, diabetes and its related complications, cancers, osteoporosis and depression. The evidence-based practices that have been recommended for prevention of chronic lifestyle-related diseases are smoking cessation, optimization of nutrition, normalisation of weight, optimal physical activity, stress reduction, optimal sleep and cessation of substance abuse, which is alcohol in this case (Dean, 2009).Comprehensive assessment of Suzy’s health includes eliciting the medical history, physical and psychological examination and investigations. It is essential to screen for modifiable risk factors such as hypertension, dyslipidemia and diabetes, so the early treatment can be initiated (Whitley, Main, McGloin, &
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