the medical health coach leading the change in healthcare … · tips for the day * producer...
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9/10/2013
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The Medical Health Coach Leading the Change
in Healthcare Delivery
Dianne McCaughey Ph.D.
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Dianne McCaughey Ph.D. Concentration in Gerontology
* Award Winning Fitness Specialist with More than 30 Years Experience in
Personal Training, Group Exercise, and Coaching
* International Publisher, Speaker, Author, Consultant, Master Trainer and
Presenter Who has Traveled the World Touching Lives
* ACE Master Trainer
* AFAA Master Trainer
* ISCA Master Trainer
* Developer and Producer of Fitness Facts, Televised Segments /Fitness
Tips for the Day
* Producer /Cardio-Combative Exercise Videos
* Publisher and Author “Fitness Specialists Training Guide to Personal
Training” A Personal Training Manual
* International Corporate and Private Seminar Facilitator for Personal
Growth, Empowerment, and Team Building / Previous Clients Include
Hewlett Packard and the United Nations
* Consultant for America’s Best in Class, A National Fitness Talent Contest
and Educational Company
* Geriatric Exercise Specialist MFA
* Author / Y-U-R Your Universal Reality
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Faculty Disclosure Dianne McCaughey Ph.D.
Dianne McCaughey has listed no financial interest/arrangement
that would be considered a conflict of interest
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Dianne McCaughey has listed
no financia
l interest/arrangement
that would
be conside
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of interest
How does a Health Coach Expert (HCE) differ from a
Personal Trainer (PT) or a Group Fitness Instructor (GFI) ?
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The Medical Health Coach (MHC) Someone who: Places focus
and emphasis on preventing, rather than treating, disease
and illness
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Who are the Medical Health Coaches
* Anyone on the Medical Health or Fitness Team (physicians, nurse practitioners, physical therapists, chiropractors, ex physiologists, fitness professionals etc.) * Agents of change – next breed of professionals * Evaluate clients on all aspects (mind, body, spirit)
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Medical Health Coach
* Understands the aging patient, member, client (PMC) * Creates optimal function and wellness * Does not memorize – analyzes and applies * Applies scientific, medical, and psychological principals
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Medical Health Coach
* One size does not fit all * No cookie cutting * Uses individual programs * Uses personalized prescriptions * Uses an extensive referral system
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Medical Health Coach
* Integrates complete treatment * Networks with multiple medical, health, and wellness professionals * Evaluates and treats to the needs of the PMC in all aspects
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Medical Health Coach Must continue education to facilitate the interaction with other professionals on the network.
Example : patient is over weight Past Present Physician tells patient Physician networks to exercise and diet patient to a nutritionist and fitness expert
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Medical Health Coach Networking
* Physician, Nutritionist, and Fitness Expert all work together to help the patient lose weight. * Each has their own expertise, but all have an understanding of what each expert is prescribing * You do not need to know everything about each field of expertise – but you must have some knowledge and be able to network
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“We are not short on innovation, we are short on implementation!
Dr. James Coughlin
Founder MIT Age Lab www.mit.edu/agelab
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The MHC integrates the knowledge and experience of other professionals in a variety of areas of expertise, including nutrition, mental health, physical therapy, nursing, and condition specific medicine and movement.
Scope of Medical Health Coach only as limited as their network
Medical Health Coach
Anti Aging Anti Aging Specialist
All Doctors Specialized medicine
Osteopaths
Pharmacist Drug interactions
Physical Therapist Rehabilitation Occupational Therapist Speech Therapist
Chiropractors Posture & Alignment
Acupuncturists Pain / Energy
Holistic Doctors Unconventional approach
Exercise Specialists All areas
Massage Therapists Soft tissue
Mental & Emotional Psychiatrists – meds Psychologist Therapist Clergy
Plastic Surgeons & other Asthetic Specialists
Nutritionist /Dieticians Food & Supplements
You
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Medical Health Coach
We teach the Medical Practitioner more
fitness information
We teach the Fitness Practitioner more
medical information
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Exercise is
Medicine
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Posture Analysis
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Posture In normal posture, the head, ribcage and pelvis are perfectly centered on each other. A person with abnormal posture will have altered spinal alignment and function. A good exercise program will emphasize correction of faulty posture.
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Muscle and Neurological Memory
Muscles remember what you tell them and Bones follow along
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Poor Exercise - Poor Posture * Some exercises can make your posture worse * Too much pushing exercise and spinal flexion cause your chest, shoulders and outer abdominal muscles to pull your spine forward. * This causes your spine to resemble a C-shape rather than a natural S-shape.
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Poor Exercise
Poor
Posture
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We must restore and
maintain normal
We must restore and maintain normal joint
alignment, joint movement, muscle balance, and muscle
function, all of which are critical for optimal health
and longevity.
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What is Happening?
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Do you like these Pictures?
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Corrective Tool???
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Appropriate or Inappropriate? CLICK
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The MHC utilizes health and fitness programs to help prevent and manage chronic and lifestyle-
related health conditions.
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Evaluating Exercise
Is it Safe and Effective? 1. Purpose strength / endurance /
cardiovascular / flexibility / skill / stress reduction / other
2. Is this effective for my purpose joint action / role of muscle / type of contraction / line of pull / line of resistance
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3. Safety concerns – speed / ROM / posture and alignment / JOINTS 4. Does this exercise need to be modified – easier / harder / form 5. Who should do this exercise – sport specific / fitness level / purpose
Evaluating Exercise
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Do You Really Like this Progression?
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The MHC uses sound health-related programs and services.
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If a person cannot maintain proper form and function throughout the movement being performed, it should
not be attempted, or should be modified until the appropriate mechanics can be achieved.
Training with weights is the most common form of training or strengthening one’s dysfunction.
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Patient Education From All Medical Health Coaches
* Proper nutrition * Exercise – (PMC) specific * Avoid smoking * Moderate alcohol * Weight management * Stress control * Health screenings * Proper medication and treatments
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6 Dimensions of Holism
1. Emotional (stable) 2. Intellectual (stimulated) 3. Physical (specifically overloaded) 4. Social (engaged) 5. Spiritual (evolved) 6. Occupational (fulfilled)
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Total PMC Care
We must stay within our scope of practice but
We can network for total care
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Premature Death Symptoms Awareness Growth
Disease & Neutral Education Disability High level of Wellness & Energy
Wellness Continuum
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Click to add text Stress
Studies indicate that 60-90% of all physician
visits are for stress related complaints
Wellness Continuum Premature
death Symptoms Awareness Growth
Disease & Neutral Education High level of
Disability Wellness
& energy
Stress
Mind / body techniques can be used in reducing stress, promoting positive attitudes, decreasing symptoms of disease, and improving life quality
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The evolution of self-worth and confidence are components of well-being and personal happiness
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Growing old is an enriching experience that involves our
appreciation of our personal significance and
our coming to terms with losses and changes
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Who is the Patient, Member,
Client? (PMC)
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Baby Boomers
Born 1946 – 1964 Age 48 – 66
78 million in USA
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Dislike Wrinkles and
Social Security Insecurity
Want to stay fit and healthy
60 is the new 40
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Baby Boomers
* Set high bar
expectations * Will live longer than their predecessors * Exercise more than any other generation
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2004 – 70,000 centenarians
2050 – 384,000
centenarians
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The MHC provides programs and services that
effectively meet PMC needs without
exposing participants to unnecessary risks.
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Safe Treatment
Risk
Benefit
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Treatments May Need to be Modified
Benefit Risk
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Risk / Benefit
What will this do to the PMC in 20 – 30 years?
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Exercise – patient, member, client (PMC) specific
Teach to the PMC framework instead of reps and sets Teach case specific movement and activities instead of artificial exercise Give them what they want – incorporate what they need
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You must earn the
progression
To prevent compensating muscle groups from doing the work, weight training should not even be
attempted until the function of the individual is ready to take on the added demand.
Athletic performance is a result of training functionally, not sport-specifically.
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The MHC has a systematic process of screening for
chronic diseases, associated risk stratification, and the participant’s potential for
exercise-related injury.
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* Think differently / Get creative * Training / Education * Network for a different result * Think about the long term cause and effect
? What Can You Do ?
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Medical Health Coach Networking
Re-educating the patient, member, and client (PMC) to let them know that they have choices !
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• Make PMC a part of the program and process • Give PMC responsibility • Inspire – excite and motivate PMC with opportunities not challenges • Educate / give choices / give possibilities
• Empower / self-efficiency / teach them to question and think hmmmmm….
Medical Health Coach
Networking
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Many professionals focus on the biological aspects, but with new research, it is evident that the mental and social are just as important and affect the physical as well.
(Mitchell, 2000)
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SUMMARY
GOAL: Total Wellness of the PMC * Living both longer and stronger * Treatment programming must evolve! * Professionals (fitness / medical etc.) need to step-up knowledge base in this area * Assess - Customize – Monitor - Modify
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Networking
* It does not matter which professional starts with the PMC…………. * All health areas should be addressed * Communication between professionals is imperative * PMC must take responsibility in treatment * Complete healing is the goal
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Our objective is to improve the PMC’s movement to efficiently perform daily activities.
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Total Networking
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The MHC is committed to have a positive impact on the health and quality of life of everyone they
serve.
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Fitness Becomes a
Necessity not a Luxury
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The ACE Integrated Fitness Training Model
PHASE 1
AEROBIC-BASE
PHASE 2
AEROBIC-EFFICIENCY
PHASE 3
ANAEROBIC-ENDURANCE
PHASE 4
ANAEROBIC-POWER
PHASE 1
STABILITY & MOBILITY
PHASE 2
MOVEMENT PHASE 3
LOAD
PHASE 4
PERFORMANCE
Functional Movement & Resistance Training Phases
Cardiorespiratory Training Phases
HEALTH FITNESS PERFORMANCE
Rapport
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ACE Integrated Fitness Training Phase I – Stability and Mobility Emphasizes core-activation exercises and isolated stabilization under minimal spinal loading
Phase II – Movement Emphasizes sectional and whole-body (integrated) stabilization under a fixed base of support with basic movements of life (bend and lift, push, pull, single leg, and rotation)
Phase III -Loading Emphasizes whole-body (integrated) stabilization under a dynamic base of support with loading. This is where most trainers start ! Phase IV -Performance Emphasizes functional movement patterns which highlight: speed, power, agility, coordination, reaction-time, and balance. Works on skills and athleticism
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Phase I – Core function
ACE Health Coach Certification
Intended for fitness, wellness, health care, human resources and allied health professionals who want to make a resounding difference in the way people live. As the only certification of its kind accredited by the National Commission for Certifying Agencies (NCCA), ACE Health Coach helps professionals connect with people in a way that makes them not only want to change, but believe they can do it long term.
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Phase I – Core function
An ACE Health Coach
helps people with strategies and
systems to change the fitness, nutrition,
and lifestyle behaviors that may
be holding them back.
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An ACE-Certified Health Coach isn’t just a fitness professional
It can be a nurse, an occupational therapist, or even a corporate wellness representative who helps change the behaviors that have kept their clients and employees from losing weight, changing the way they eat, incorporating physical activity into their lives, and improving their overall health and well-being.
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Phase I – Core function
AHFS
ACE Advanced Health and
Fitness Specialist
ACE AHFS have the expertise to work with clients who have multiple health issues, and develop post-rehabilitative fitness programming for people recovering from cardiovascular, pulmonary, metabolic, and musculoskeletal issues. They can identify imbalances that cause postural, movement, balance, and other related issues, and implement exercise programs that train the body to overcome, and in some cases, prevent them from occurring.
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Phase I – Core function
In addition to being accredited by the National Commission for Certifying Agencies (NCCA), the AHFS Certification is unparalleled in the fitness industry. Opportunities for advanced professionals qualified to bridge the gap from structured medical treatment to fitness continue to grow, especially as the number of people suffering from one or more health conditions increases. To take the AHFS exam, you must either already hold an NCCA-accredited certification or a bachelor’s degree in exercise science or a related field, and submit proof of 300 hours of relevant work experience, as documented by a qualified professional.
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Phase I – Core function
An AHFS is a valuable member of the Health
Care Team who can pick up where other medical professionals leave off.
ACE Advanced Health and Fitness Specialist Certification
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• Devoted to helping others • Enjoys the health field • Networked with other medical, health, and wellness professionals • Holds Advanced Certifications • Committed to learning
Medical Health Coach
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Medical Health Coach
* Apply the New Science * Network
* Get Advanced Certifications (ACE Health Coach & ACE Advanced Health
and Fitness Specialist )
and become
A Medical Health Coach
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Thank You!
ACE on: Facebook.com/ACEFitness
Youtube.com/ACEFitness
Twitter.com/ACEFitness