Implementing Health/Fitness Programs Charles Plafcan, MA, Licensed Professional Counselor Expiration 04/30/2016 License Number 67462 Fitness Coordinator: Edgemere Retirement, Dallas, Texas 214 214-954-0777 charlesplafcan@hotmail.com Copyright ©2013 Charles Plafcan All Rights Reserved

Charles Plafcan LPC MA Professional Counseling (2010), Licensed Professional Counselor Expiration 04/30/2016 License Number 67462 MA in Human Relations and Business (1994) LPC/Fitness Coordinator Edgemere (2007 to present) Bachelor of Arts in Psychology (1992) ACE (American Council on Exercise) Group Fitness Instructor and ACE Personal Trainer Sweatshop Aerobic Studio Owner (1989) Waist Basket Aerobics Studio, Houston, Texas, Instructor Trainer Responsible for opening 5 Aerobic Studios in Dallas

Health/Fitness Programming Increases the well-being of participants through Planned health education and fitness experiences Achieve higher levels of health while preventing disease Improve the psychological atmosphere of communities Individualized health/needs assessments, Scientifically correct and safe exercise techniques

Health/Fitness Programming: continued Customized programming Support services such as health counseling and regular group exercise classes Promote fitness experiences Facilitate health/wellness behavioral change and adherence techniques

Leadership: Fitness/Wellness Program Director Promotes positive image of good health and fitness, “Role model of Fitness” Has most influence on success of program, Provides the interface between the program and participants Exercise leaders should be enthusiastic motivators with a positive attitude, persistent energy, ability to organize and lead exercise classes, use music and choreograph routines Must be an effective counselor, good listener, establishing rapport through confidence and genuine concern for the participants Organize and promote educational opportunities for residents and families.

Dimensions of Wellness Physical  Engaging in at least 30 minutes of physical activity on most days and other preventative approaches Emotional  Being happy, sharing with others, and engaging in positive actions and thoughts.   Social  Interacting with family, friends, and others in fun activities that stimulate the mind, body and spirit.   Intellectual Encouraging a cognitive mind through various fun activities such as problem-solving, critical thinking and creativity.  Spiritual  Valuing, believing and living spiritual beliefs every day, or finding inner peace through thoughtful exercises such as meditation.   Vocational  Yearning to learn new ideas, hobbies, philosophies, skills, and being well informed. 

Wellness Wheel Intellectual Personal Wellness Vocational Physical Social Physical Spiritual Emotional

Traditional Programming Health-based Fitness Aerobic Capacity Muscular Endurance Muscular Strength Flexibility Body Composition Nutrition Weight Management

Where we’re Going… The Evolution of Fitness and Wellness Behavioral Based: Seek behavior change in clients, help and encourage to persevere Experience Based: “enjoy the doing”, the “getting someplace” as much as the goal or the “arriving” Understand the evolving needs and concerns of the aging client’s fitness experience Psychological Based: Self motivation (or its absence), Life satisfaction, Happiness, Self-efficacy, peer encouragement, boost self esteem, pleasure and sociability—not effort and hard work

The Evolution of Fitness and Wellness One-dimensional Approach Shift: Multi-dimensional Approach Cognitive Emotional Physiological Physiological

Fitness Professionals Expanded Scope of Practice Now facing many special needs Metabolic (raise the metabolism) Musculoskeletal (strength training for frail and de-conditioned) Post-rehabilitation (take care of clients after physical therapy) Functional Training (training the body for the activities performed at home in daily life) Aging Obese

What we Need to Consider Personal Attributes: (Belief systems, age, experiences, etc.) Environnemental Factors: (Convenience, support, etc.) Physical Activity Factors: (Injury, tolerance, etc.) Choices: Cognitive (Thinking) Emotional Factors: (Feeling) Decisions and Choices: (Thinking)

What we Need to Consider Shift focus to create positive, engaging and memorable experiences “Promote the experience and you can virtually guarantee yourself participation and higher retention rates” -Thomas Plummer

Early Cognitive Influences: exercise adherence Improved self-efficacy with task accomplishment set challenging, yet manageable tasks Leverage any positive emotional experiences

Self-efficacy A belief in one’s own capabilities to complete a task. The more capable one feels regarding their ability to engage in activity, the more likely they are to adhere. Past performance and experiences -most influential Emotional states or responses Physiological and emotional states or responses

Rapport = Relationship based on trust & communication Engagement: emotional involvement or commitment Skillfully develop professional relationships Strategically adapt to different personality styles Successfully promote behavioral change strategies Create an overall positive experience for clients Optimize training to an individual’s unique needs, goals and characteristics

Perception is Reality Identify Readiness to Change Implement Appropriate Behavioral Strategies Build Self-Efficacy Achieve / Promote Positive Behavioral Change Utilize strategies to Prevent Lapses

Four Founding Principles Empathy Discrepancy (between current and with change) Self-efficacy Acknowledge / overcome ambivalence / resistance

Older Adults and Exercise The Top 20 fitness Industry trends for 2015: American College of Sports Medicine’s (ACSM) #8. Fitness Programs for Older Adults: create age-appropriate fitness programs to keep older adults healthy and active #9. Functional Fitness and special fitness programs taylored to the needs of older adults #10 Group Fitness “Healthy support groups will become a more popular offering in fitness settings due to peer encouragement and increased potential for success. The majority of older adults will seek group classes to stay fit.”

What is the Successful Aging? Successful aging is a lifestyle that maximizes function and productivity.   Actively seeks ways to enhance the physical, mental, social and spiritual components of our lives Promote the client’s independence  Development of a fitness/wellness plan around each resident's individual desires and goals

MacArthur Foundation: study on aging aging shattered the stereotypes of aging landmark 8-year study (1988-1996) 70% of physical aging, and about 50% of mental aging, is determined by lifestyle it's possible to live long without significant disability maintain physical and mental skills reduce our risk for disease and injury stay productive and engaged in life

Personal Wellness : All Properties contribute & benefit

All Properties contribute & benefit Maximize Profit Potential Resident focused Resident’s perceive more choices (portability) Control cost with one uniform program Ease of employee training Everyone contributes from the Residents to the Employees Fitness/Wellness Director implements through key personnel

SQLC communities: pulling it all together SQLC communities to be on the cutting edge of Fitness and Wellness Implement one Fitness/Wellness plan for all SQLC communities that is monitored by the Fitness/Wellness Director Begin with one program at a time (ex. Exercise, Nutrition) and progress the wellness plan from there Designate key personnel at each site to implement

SQLC communities: pulling it all together Training manuals Fitness/Wellness Program at each SQLC community structured so fluctuations in employment has no impact Implement Program standardization and uniformity where any new employee can step in and know what is needed to be done

SQLC communities: pulling it all together For the Fitness Instructors Conduct Instructor Training sessions to make the program uniform through all SQLC communities Talk the same Talk, Walk the same Walk Fitness Instructor evaluation by Fitness/Wellness Director Hands on approach with Fitness Instructors, have them practice doing what they are teaching

Certify and Train Staff The Top 20 fitness Industry trends for 2015: CERTIFICATIONS professionals certified through programs that are accredited by the National Commission for Certifying Agencies (NCCA) American College of Sports Medicine (ACSM) The need for Educated and Experienced Fitness Professionals

1st phase of the plan Physical Activity Why Is Physical Activity Such a Big Deal?

Big Deal? Regular exercise and physical activity Being physically active can help you continue to do the things you enjoy and stay independent as you age can produce long-term health benefits can reduce the risk of developing some diseases and disabilities that develop as people grow older an effective treatment for many chronic conditions Older adults should do exercises that maintain or improve balance if they are at risk of falling

Big Deal? Regular exercise and physical activity Older adults should determine their level of effort for physical activity relative to their level of fitness Older adults with chronic conditions should understand whether and how their conditions affect their ability to do regular physical activity safely.

Exercise Programming: Sample implementation and how it has a significant impact on wellness Needs Assessment : individual consultation, health screening questionnaires, exercise testing of cardiovascular and muscular endurance, strength, flexibility, Service Component Discuss exercise goals: present and long-term Education Component Planning: Education materials, record keeping, progress monitoring Implementation: individual counseling, teach them the equipment, regular group exercise classes, special group classes for special populations Evaluation: post exercise testing, check their record keeping, questionnaires on the program’s effectiveness

Nutrition and Weight Management 2nd phase of the plan Following a healthy eating plan and being physically active are keys to a healthy lifestyle

Older Adults: 65 years and older Achieving and sustaining appropriate body weight across the lifespan is vital to maintaining good health and quality of life Older adults should follow the food pyramid and dietary guidelines for adults. When older adults cannot meet the adult guide-lines, they should be as physically active as their abilities and conditions will allow

Basic Nutrition: Sample implementation and how it has a significant impact on wellness Needs Assessment : individual consultation, determine the resident’s current nutritional status. Observe, take body measurements, do a dietary intake Service Component Goals: Counseling to set appropriate and realistic goals, individualized guidelines of eating correctly Education Component Planning: teach creative methods for diet improvement, Group Education, encouragement, progress monitoring Implementation: each participant to keep a food diary, education of the food pyramid and dietary guidelines, encourage little changes at a time Evaluation: discuss new eating habits, reassess body composition after 3 months, Director must be positive and sympathetic

Duties and Skills: Fitness/Wellness Director Prepare preliminary departmental Operating Budget Responsibilities include: interviewing, hiring, and training employees; planning, assigning, and directing work; Appraising performance; rewarding and disciplining employees. Responds promptly to resident needs. Must demonstrate an interest in working with a senior population. Interacts with guests, residents and staff in a courteous and friendly manner

Profile of Fitness/Wellness Director These would include experience and knowledge of: Adult fitness Exercise Leadership Behavior modification Human relations Personnel management Health behavior Health/Wellness Counseling Human motivation theory Human movement theory Human anatomy Public Relations

Sample Organizational Structure: Medical Department Physicians Fitness/Wellness Director Psychologist Health Educator Nurses Exercise Specialist Nutritionist Recreation Specialist

Sample Organizational Structure: YMCA Fitness/Wellness Large YMCA Fitness/Wellness Director Health Enhancement Program Director Sports/Recreation Program Director Executive Director

Sample Organizational Structure: Private Health Care Facility Chief Executive Officer Medical Director Education Consultant Director Fitness/Wellness Director Fitness/Wellness Program Delivery

Implementing Health/Fitness Programs Charles Plafcan, MA, Licensed Professional Counselor Expiration 04/30/2016 License Number 67462 Fitness Coordinator: Edgemere Retirement, Dallas, Texas 214 214-954-0777 charlesplafcan@hotmail.com Copyright ©2013 Charles Plafcan All Rights Reserved

References Fabio Comana, MA., MS.,Exercise Physiologist – The ACE Integrated Fitness Training (IFT©) Model Director of Continuing Education, National Academy of Sports Medicine (NASM). Sara Kooperman, JD, CEO SCW Fitness Education (Dallas Mania), Our Fitness Future: Fad or Function (lecture). National Institute on Aging, National Institutes of Health, U.S. Department of Health and Human Services, Exercise & Physical Activity, Your Everyday Guide Patton, R., et al. Implementing Health/Fitness Programs: Champaign, Illinois: Human Kinetics Publishers, Inc., 1986 U.S. Department of Agriculture U.S. Department of Health and Human Services : Dietary Guidelines for Americans 2010