Chapter 1 Section 1 What bs Health? Identifying Health Risks Section 3 Taking Responsibility for Your Health Building Health Skills “The DECIDE Process ‘Section 4 Being 2 Wise Health ConsumerHow Many Decisions Do You Make? ‘Complete tis activity before you watch the video. 1. Predict how many decisions you make in an hour during atypical day. 2. stall the deions you made today from the time you woke up unt the time you ‘arrived a school, '. Select one decison from your st and lescribe the process you used to make that ection,Objectives > Describe two foctors that Can be wed 0 evahiate cover heath > Lise thee aspects of ‘over heath > Explain how the choices that people make can aifect ther postions on the heath ontinm Vocabulary + health * life expectancy + quality of life + goal + physical heath + mental health ‘emotional health ‘social health continuum + wellness 2 Chapter 1 Gam MUTE amy ee {2 Health Stats The graph shows data on the averagelife span of people inthe United States, Le ere ¢ > 48 ; : Pod Fea fn Grojctes) ‘2 KETRIEITE How dia the average life span change from 1900 rage ‘0 2000? What are some possible reasons for this trend? sees Health Today In the past, ifyou did't have an illness, you were considered heathy. “Today the term health no longer means ust the absence of illness. Instead ‘health refers to the overall well-being of your body, your mind, and your relationships with other people. Two factors that can be used to evaluate health are life expectancy and quality of ie. Life Expectancy _Atthetime when your great-grandparents ved it ‘was quite an accomplishment for a person to survive until age 50. Today, -most people live well beyond age 50. The number of years person can. expect to live iscalled lifeepsetaney In the United States life expectancy ‘increased by 30 years between 1900 and 2000, Some reasons fr this increase were better heaincare, nutrition, sanitation, and working conditions. Quality of Life ‘Two women ae born inthe sae year. One woman ‘sphysicaly active and mentally lr throughout erie Shehas dose ela- tionships with family and fiends. The other woman has a series of hath problems during her ie that reduces her bility to enjoy ie Although the ‘women have the same life expectancy, they have a different quality ofl ‘ality life is the degre of overall satisfiction tata person gets from life For many people high quality of eis one oftheir goals. A goal is result that a person aims for and works hard to reach.Aspects of Health ‘Toachicve high quality off, a person cannot concentrate on only one aspect ofhalth. Instead the person must work hard to improve all aspects ‘ofhealh, The aspects of health that ae important o overall well-being ‘re physical health, mental and emotional health and social health, Physical Health Do you have enough energy to goto school, enjoy Your spare time, and take care of your responsibilities at home? fso, your physica nealth is probably good. Bhivscalhealtt refers tohow well your ody functions. When you are physically healthy, you ae able to carry out everyday ass without becoming overly tized. A healthy die, regular exer cise, adecuate sleep, and proper medical and dental care are all important for physical health, Mental and Emotional Health Thestate of being comfortable with yourself, with others, and with your surroundings is called ‘Riel eal When you are mentally healthy, our mind is alert, you can learn from your mistakes, and you recognize your achievements. |Emotionaliealth refers to how you reat to events in your life. You are emotionally healthy when the felings you experience are appropriate responsesto events. To maintain your emotional health, you need to take the time to relax, and you need to share your feelings with others. URE 1 Al aspects of heath fre equally important They“ together the pices of «pure, ‘problem inane ares can eect. fer areas. teaiaating How vould you rate your over physical, ‘emotional and soi heath? Soclal Health Being able to make and keep friends is one sign of social health. SOeillealli refers to how well you get along with others. ‘When you are socially healthy, you have loving relationships, respect the +ights of ethers and give and accept help. Building healthy relationships with famiy and friends is important for social health. So is ‘communicating your needs to other. But good. social health doesn't just happen You Ihave to work at it by getting involved with othess at school and in your community, and perhaps most important, by building strong relationships with members of your family.Hands-On. Activity Health in the Balance In this activity you will create a mobile ‘that balances the three aspects of health. Materials cardboard « scissors + pen or pencil magazines» glue string * tape Ty This © Cut out a cardboard triangle that is 8 Inches. ‘on each side, Label the sides ofthe triangle "Physical Health,” “Mental and Emotional Health,” and “Social Health” © Carefuity puncte small hole through the ‘center ofthe triangle. Thread a plece of String through the hol, then te a knot. © Cut pictures from magazines that show ich picture onto cardboard. Use sing pe to attach each picture to the appro- priate side ofthe triangle. {© Hang the mobile from the center string to see how well it balances, Think and Discuss 1 Describe each ofthe acthities in your mobile and explain how It contributes to physical, Social, oF mental and emotional health. © How well dd the mobile balance? In your Iie, ate your physica, socal, mental, and ‘emotional heelth i balance? expla © Describe some things you could do to improve ‘healthy activities ‘each aspect of your overall wel-being. A Continuum of Health Suppose that someone asked you ths question: “Would you sy that you are in perfect health or in poor heath?” How would you answer? You ‘might not fel comfortable choosing either of these options. You might ‘wish that you had been given some choices in between the two extremes, Defining a Continuum ‘Try to picturea solid line that is white at ‘one end, then ight gray, gray, dark gray and finally alackat the other end. ‘What you have just pictured is one type of continuum. A ‘tii (un Tn yoo um) is a gradual progression through many stages between ‘one extreme and another. In the example ofthe ‘ine, the extremes are ‘White and black and the stages are the many shades of gray in between. Alealth Continuum Figure 2shows one model ofa continuum {or health. One end ofthe continuum represents poor health, which is often referred to as “ilness” The other end represents perfect, or ideal, health, and is often referred to as “wellness” WellNSS isa state of high~ level health. Look at Figure 2 to see some characteristics that describe people at either end cf the continoum. Because the continuum includes the fall range of health, each person's health status would be marked by ‘point along the con‘inuum, een For: More on asesng your eal tate School com | Web Code: ctd1011 IEE where do you think you are on the heath continuum and why?The Health Continuum lr alia deae FIGURE 2 Your location on the feat continu sn he Sreton Movement Along the Continuum Yourlacationonthebath :fichjouwe nog we bth continuum i not constant throughout your i. You can move toward aa Prdcing How affect your poston on te heath illness or you can move toward wellness. fontinuum? ‘Ata point in the middle ofthe continuum, you are not sick, but you. are not enjoying the full benefits of averall health either. At one time, any people were satisfied just to be in the midale of the continuum, ‘They were more concerned about avoiding illness and death than about improving the quality of their lives. Today, however, achieving a higher level of health and a better quality of life is possible for most people. ‘Many ofthe choices you make on a daly bass affect your position ‘on the health continuum. Some decisions move you closer tothe illness ced of the continuum. Suppose you choose to ride a bicyle without a ‘helmet. Ifyou are thrown from the bicycle ina crash, the result could be serious brain damage. Some decisions move you closer to the wellness end ofthe continuum. Ifyou choose not to smoke, you will be les likely todevelop lung cancer or heart disease later in life. You have more con ‘rol over your health than you may think. ing Think of two programs {that a schoo! could offer to help improve the Kay Ideas and Vocabulary ‘overall health of students and teache's Write 2 1. Wy ate bow fe expectancy and quality of fe Paragraph explaining your idess. SUITE) used to evaluate oveal health? 2. Wat ae the three aspects of overall healt? 3. What sa continuum? Describe the extremes of Relating Cause and Ettect What ae two ways ‘theheatth continuum, you could improve your phyalcal heal? Ya 4. Hw ac the chalems people mata related 10 thei. ‘emotional health? Your socal health? Postons onthe health continuum? 7. Evaluating Cody eats alt of “junk” food and ‘doesnt get much exercise. However, he doesnt Critical Thinking ‘have any obvious signs of illness. Where would you ‘5-Comparing and Contrasting What isthe diference _place Cody onthe health continuum? Explain between mental health and emotional heath? _Moking Healthy Decisions 5ICC LL orev Ceres > Identify foctosthat can influence a person's -Seeemowene | QUIET Ti fons Myth Using a cell phone puts a person at risk: {for developing cancer. Vocabulary + heredity Fact Cell phone use does not increase the + gender {sk of developing cancer. However, cell Sinan ‘2 phone use while diving does greathy sc ‘2 Increase the risk of a car crash + media [NETEINED Where do you think people habit {get their formation about health rss? + risk factor How rellase are those sources of information? Influences on Health “Two babies are born on the same day in the same city in the United States. ‘Which baby will live longer? Which will have a higher quality of life? To answer these questions, you would need to consider the different factors that influence a person's health. Pactore that can influence health include heredity, environment, media, technology, healthcare, and behavior. Heredity To some extent, your level of healthis already determined at the time you are born. Ths is because of your {efedity all the traits that are passed biologically from parent to child. Traits that you inherit ‘an afect your health Your skin colo, for example,can affect your risk of developing skin cancer. With far skin, you have «greater likelihood of {developing skin cancer than if your skin is dark. Another example is breast ‘cancer. Some women inherit a higher risk fr this disease. ven if you inherit a risk factor, you can lower your overall risk by avoiding other risk factors. If you have far skin, ou can be sure to use sunscreen, Women who inherit a risk factor for breast cancer can choose not to smoke because smoking is another risk factor for breast cancer. ‘Another pat of your heredity is your genet —whether you are male ‘or female, Gender can influence Your health because risk factors may vary ‘between males and females. 6 chapeer 1Physical Environment The GA¥iROHREAE isa ofthe physcaland social conditions that surround a person and can influence that persons health, Your physical environment includes both your outdoor and indoor surroundings. The quality of the ar you breathe and the water you drink are important to your health So is your exposure to disease-causing ‘organisms to loud noise and to radiation from the sun and other sources. Being aware of potential risk in your physical environment can help ‘you protect your health. Ifyou know that Breathing in the smoke exhaled bby a smoker increases your risk of lung cancer, you can try to avoid second-hand smoke. Ifyou know that loud noises damage your hearing, ‘you may be more ikely to keep your music at less-than harmful levels. Social Environment Your social environment includes the people ‘yu spend time with—your family, fiends, classmates, and other people in your community. Most people learn their fst basic health lessons from their family, Wash your hands before you eat. Brush your teeth before ‘going to bed. Look both ways before crossing the street. Family members also can havea major influence on your mental and emotional health. ‘Your friends can influence your health in many ways. Friends who take too many risks can put alot of pressure on you to do the same. Your social environment is healthier when you choose fiends who show con- cern for their own health and yours. Culture A person’ culture i prt of his or her socal envionment ‘Cale isthe belie and patterns of behavior that are shared by 2 group, ‘of people and passed from generation to generation. The group may be a nation, a region ofa country oF an ethnic group. Some aspects of culture can influence your heath. One examples the foods you choos o eat. In some cltures peopl eat ite oF no meat: in others meat isthe main part ofthe diet. Another example isthe way you show your emotions Insome cultures public display of emotion are typical in others, people tend to ‘ep their emotions private. VENI How do your friends affect your physical YOURLIFE) emotional and socal health? ‘FHaURE 3 Your physical and sock cenronment,incling cute, influence your hea. ue the examples inthe photoaraphi 19 “xpln Pow the envonmen cOukt sect a pesos beat,FIGURE 4 The photographs stow aiflerentinunces on heath, FRelacing Cause and Erect Use the examples inthe photographs to expan how med, technolo, heather, and behavior an afect {person's heath ‘Media How much time each week do you spend watching television, listening to music, laying video games, or going to the movies? Do you read magazines or sewspapers? What ll these activities have in common. is that they involve media, Medi are forms of communication tht pro- ‘vide news and entetainment. You may not realize that media can have a Positive or negative influence on your health. Think about television, for example. An average teen spends about 20 hours a week wetching television. How can television have a positive influence on your health? You might receive useful information from a public service annoancement or from a news report on a health topic, You. ‘might learn about amedical issue from a television series or talkshow. How can television have a negative influence on your health? The hhours you spend in font ofthe television are hours that you are not exer- ising, You also are not relating to other family members or taking part, in community projet. Some characters on television shows may be poor role models who indulge in rsky behavior Advertisers may present mis- leading claims about health products they want you to buy. Technology Advances in technology help doctors to detect health problems sooner and improve the quality of life for patients. Many people use sites on the Internet to learn about health topics that interest them. ‘This approach requires caution and good judgment. Some Web sites 2r0- Vide accurate information about health. Others are filled with misleading or self-serving information, Be sure to consider the source ofthe infor- ‘mation on a Web ste and the purpose of the site. What isthe goal ofthe ‘people posting the information, and what are their qualifications? Spending many hours on the computer alo limits the time for other activities, such as excise. Ifyou use the computer to meet new peeple, there isthe risk thatyou will connect with someone dangerous.Healthcare Your health is influenced by the healthcare that saval- tbl to you and your family. Healthcare includes the medical services provided by doctors, nurses, dentists, and therapists. Healthcare also includes the places these people work such as nics and hospitals. ‘Some factors increase the likelihood that a person will take advantage of available healthcare. The service must bein alocation thats easy to get {o. The service should be open on weekends or evenings for people who «anit take time off from work. Finally, people need some form of health insurance so that they can afford the costs of necessary checkups and. ‘ueatments, including medicines. Behavior Suppose thata friend came up to you and stid,“A group of ‘ware going swimming tonight at the lake after dark. Be ready at eight — "Mpick you up” What would you do? Would you go along without giving things a second thought? Or would you stop and think about the risks involved? Of all the influences on your health, the decisions you make ‘and the ations you take often have the greatest impact on your health. Sometimes behaviors become habits. A Dbl is a behavior that is "peated so often that it becomes almost automatic, For example, you may have a habit of brushing your teeth after meals. That isa healthy habit because it helps prevent tooth decay and gum disease. You may also have 8 habit of staying up late watching television That isnot a healthy habit ‘because it reduces the number of hours available for sleep. When you lose slep, tis dificult to concentrate the next day. A repeated lack of sleep can ‘make it hard for your body to ight off an illness or repair an injury. ‘Unhealthy habits canbe broken. When you find that you keep epeat- {nga behavior that may threaten your health, you can set a goal to change your behavior. Your goal should include a pian for changing your habit. Such plan often works best when you involve fiends or family members for support. ‘Why do you think that teenagers tend to take YOURLIFE more risks than any other age group? csFRGURES Spancing time ouside ‘ena sunny day coud increase 8 [peson’ kof developing skin ‘ance, Observing Which lk ‘ctr for shin ance can t's enon contol? Wish isk ator fanthe contol? ee For More on rk factors Visi scoot ‘Web Code: 1012 10 Chapter 1 Evaluating Health Risks ‘Should you try the ates fad diet to lose weight? How do you decide? One ‘yay to think about th decision isin terms ofits risk factors. A HSK RECO isany ection or condition that increases the liklihood of injury disease, for other negative outcome. For example, one risk factor ofa fad diet is that it may not include all the foods that your body needs. ‘There are three ways you can evaluate a rsk factor. Consider both short- and long-term consequences. Decide whether you can control the risk factor. Analyze the possible benefits end risks ofa decision. Short- and Long-Term Consequences Some behaviors can hhave an immediate effect on your health. You tike shortcut through an. ‘unfamiliar yard end end up with a nasty case of poison ivy. You don't buckle your seatbelt and get injured ina car cis. ‘With some risky behaviors, the consequences are not immediate. Suppose you eat a mainly fast-food dit, which s high in fats, sugar and ‘alt. People tell you that your diet increases your risk of developing heart discase and diabetes later in life. But you feel healthy and energetic. S0 ‘hy not wait until you are oder to change your behavior? First, it can be ‘very difficult to change habits that have exstc for years and, even if you do change your eating habits latrin fe you msy not beable to repair the damage you have done to your body. List three of your current habits that could have negative long-term consequences. Risk Factors You Cannot Control friend invites you to the ‘peach. You ae worried because you have fr shir. You cant control he color ‘of your skin o other risk factors that are part of your heredity Nor can you ‘control al the risk factrsin your environment. For example, you may have less emotional support f someone you are close to gets and dies,Risk Factors You Can Control So what risk fac~ ‘ors can you contro? You can control risk factors that are ‘eated to your behavior. For example, you can control your ‘exposure to utreviolet radiation in sunlight andi tanning ‘booths, which will reduce your risk of developing skin ‘eancerOr you can maintain close relationships with many ‘people. That way.ifone of your relationships ends, you will still have emotional support. These are other examples of. ‘sk factors over which you have contol. Your level of physical activity > Your intake of fat, sugar or salt Your use of tobecco, alcohol, and other drugs » Your use of protective gear, suchas seatbelts Your choice of frends ‘You may be able to control some rsk factors in your environment. For example, you can join with others in your community o find solu- tions for problems such as pollution or lack of open spaces, GUE 6 Asidebenet chart Can help you decide whether to ‘Sccept le rom a fend who Soest have aliense Making fudgments Would ‘you accept ide wth # diver to has nly learners permit? Wy ora na Analyzing Benefits and Risks There isno such thing a a isk- fee life. Most of the things you do involve some degree of risk. Without taking risks and trying new thing, it would be impossible to grow as @ person. So how can you decide which risk are worth taking and which are not? You need to weigh the risks of an action against the posible benefits. ‘Suppose that a friend wha only has a lerner's permit offers to dive ‘you home so you won't miss your curfew. What ae the risks and benefits| of accepting this offer of a ride? You can use a risk-benefit chart like the ‘one in Figure 6 to help you decide if the benefits outweigh the risks. Identifying Health Risks dently thee risk factor that affect the health of your arly. Think Key Ideas and Vocabulary 1. What does the term heredity mean? 2s five factors other than heredty that can influence your heath. '3. What 5 a habit? Describe one heathy habit and cone unhealthy habit. 4. in redation to health, how ia rskfactor defined? ‘5.Listthree ways to evaluate a risk actor? Critical Thinking 6. Applying Concepts Uist the risk and benefits of ‘swimming i a ake at right wit frends. about rhs related to heredity enironment, and bbehavior. Then pick one of the risk factors and describe some ways that your family could reduce (his heath isk. SUSIE 7. Evaluating Do you tink that your physical ‘cnvronmentor Your socal environment is a more Important influence on your health? Explain. '8. Predicting How could spending a lot of time playing viden games have a negative influence '9n someone's health? _Making Healthy Deiions 1Objectives of Healthy People 2010. > Identify three steps you Can take to meet your personal health goals, Vocabulary + prevention values action plan advocacy health IReracy 12° Chapter 1 > Describe thebroad goals Taking Responsibility for Your Health (Com. {Que Que How many ofthese statements accurate dsebe your behav? © 1 ce it ta ssn & week ge eee eee a @ 1 get about eight hours of sleep each night. @ 1 ave soho, tobacco, and ater ds ® ‘aways wear a seat belt when riding n a car SUIRHIITE] Make a connection between the number ‘oF "Yes" answers and how responsible you are about your heath, Healthy People 2010 ‘A nation wats ts peopl to bea enya possible. Helhy people ae sore productive shoo and at work Pathe cost of xing for people onc they Decor illan bea burden on ames employers andthe go. ernment For decades, te Department of Heal and Human Serirs Ia ed national effort omprove heh in the United States. A aor focus ofthis effort is on BREYERUOH—taking action to avoid dscns injury. and eter near ean oso (ver 500 national nd sate heh organizations helped develop a national health program, Henly Pople 2010 hast brow pals > Increase the years of healthy life foreach American Eliminate differences in health based on race, ethnic group, or income Healthy People 2010 includes a set of smaller goals aimed at reducing risky health behaviors. The goals are related to specific areas of concern, such a8 injury and violence prevention. Look atthe graph in Figure 7, "Notice that the leading causes of death for young people are related to ‘behaviors. For example, one behavior related to motor vehicle deaths is ‘not using a seatbelt. S0 one goal of Healthy People 2010's for 92% ofthe population to use seatbelts by the year 2010,ousauusy Motorahlcle Other Homklde Suickde Cancer Heart ries injuries disease A Healthy You You 10 came ols liminate personal eat sk actor Some of your goals may mitch those in Haay ple 2010 there may be uniee {oyou Same gal suchas wearnga vent blac eyo ahi, Others, such as ating down on fat in your dt nay be more challenging ‘Whatever ourtwgt gals your veal gol shoul Be the sme the one ste th maton eather you i 2010 and beyond, There ee three step youcan take toBeipyou met your personal heath al ‘ning anarenen, uining knowledge and bulding sie: Gaining Awareness You mus first be able to recognize « heath problem before yeu can do anything about it. Some problems are easy to recognize, You know, for erample, when you twist your ankle or have a old. However other health problems, such as high blood pressure, don't hhave obvious sign. This is one reason why itis important to see a doctor foran annual checkup. Doctors are trained to recognize ealy signs of dis- ‘ease and to help you identify risk factors. Gaining Knowledge Once you become aware ofa health prob- Jem, the next steps to learn about the problem. This can mean learning about causes, waraing signs, and possible outcomes. You also need to know how the problem can be prevented or treated. Most importantly, you need to lear zbout risk factors, especialy those related to behavior. Reports about new research results and health studies appear in the ‘news all the time. Popular magazines, Web sites, and friends are some other sources of information about health. Some sources are more reliable than others. But even with reliable sources, you may see two reports on the same topic that have opposing conclusions. One goal of this book is to provide enough basic information about heath so that you wil be better able to evaluate new information, (GEESE what is your most common source of health Information? What is your most rellable source? FIGURE |The orph shows ‘aes of death for young People inthe United Stes, Interpreting Graphs What Percentage ofthe ttl deaths re due to hry ores? ‘Making Healthy Decisions 13[IGURE & This woman is ona famping wp atone wits. Predicting How coud owing how to access ifomation and ‘ake decisions help to heep her Safe during er tip? Building Health Skills Knowledge ist very useful if you do.not have the sills to apply What would you think ofa baseball player who ‘Knew the rues of busca but never practiced hitting» curve bal r laying down a bunt Inthe ste way, just knowing which behaviors are healthy isnt a guarantee of god health. You ned to master the slid below. You wil eto practic these skills throughout the year, especially inthe Building Health Skilsection of each chapter > Analyzing Influences How do you decide what foods toca Do you select certainfoods because they re fair from your culture? Does advertising fect your choicest Do you try fds ifyour frends like them? Animyortant sll for promoting healt is recognizing the influence culture, media, and friends have on your health habits. > Accessing Information Which sources of information about health-related products and services can you trust? How do you locate ‘doctor of mentl-health counselor in your community! To answer stich questions you need to know how to find and evaluate health information. » Communicating Being able to communicate your thoughts and feelings effectively helps you to maintain close relationships. Good ‘communication skills allow you to resolve conflicts. Thy also help © you express your opinions and show caring and respect for others. © Making Decisions Making wise decisions is key to protecting your health, The DECIDE process on pages 16-17 can help you make diff- cult decisions. Tis process teaches you to identity your alternatives, think about the possible outcomes of a decision, and consider your values Your ales are the standards and beliefs that are most impor- tant you, comnuriction sells “vit: wo seins reheat ‘Wie Code: n-1013 14 Chapter 1> Setting Goals The goals yousethelp you translate knowledge to behav. Once you seta gol, you ean develop an setionplan—2 series of specific teps you can take to achieve the goal. The plan is lkea roadmap that helps you get from where you reo where you want to go. > PractlcIng Healthful Behaviors Do some of your current tehavors enhance your health? Do others place your health at tisk? You need to develop strategies for maintaining healthy ‘behaviors and reducing risky behaviors. Ofteo, you will ned © ‘practice a new behavior repeatedly unt it becomes a habit » Advocacy To advocate means to speak or write in support of person or issue. The skill of d¥OeAGy involves using communi ‘ation to influence and support others in making positive health decisions, For example you can advocate fora friend who has ‘frequent severe headaches by encouraging your frend to see a Inc bath postive and epi res > Consider what probably would happen, not ‘what you hope would happen, > Askyourself How risky is each alternative? ‘What are its chances of success? How would itafect my future? Remember to consider the effects on other people as well WM ecess your vats Sometines your values influence your dec- sions een when you ae not aware ofthe influence. At other times, you may overiook your values because you want something badly. ‘When you do this however, you may fee uncomfortable with your decison later > Consider your long-term goals as wells the beliefs of your family and culture, > Consider your own and others health and safety and your se respect. > ldentfy those choices tha are a good match for your values. Dus and act. > Use the information you have collected to compare the alternatives. Decide which one is bestfor you. Remember, sometimes there {smote than one*rght” choice, > Make a plan to act on your decision. You ‘may need to break the plan into smaller steps. Set realistic deadlines for each step ‘Then follow through with your plan [Ai eateate tne rests. Some afer you le pt oud Isto is lometin torent > How your decion werk oa? > How htt aed our et > How bated otent > Wat ou era? > tf you could dott over again, what would you do differently? Ifyou can stl change Some things forthe better, doit 10, ARAAARKARAMRARRRARORRROM ere) 1. Suppose you were facing the decision descined inthe Intredurtion —to choose the job or the team Follow the steps of DECIDE to determine what you would do tn this situation. Be sure to consider all alterna. tives; there may be more than two. (For ‘example, it may be possble to postpone a choice or to take anothe: route to 2 goal) 2. List some other importart decisions for which DECIDE might be useful. Do they fall into categories? What caregores of decisions ‘might not be suitable for DECIDE? 3. Think about a tough decsion that you have ‘made inthe pas or that you are facing now. Use DECIDE to determine what you should 140 (or should have done! 4. Did using DECIDE help you focus on impor tant values or choices you might otherwise have overlooked? Which ones? Did DECIDE ‘make the decision-making process easier? Why or why not? ‘Making Healthy Decisions 47