Charles Plafcan, MA, Licensed Professional Counselor Expiration 04/30/2016 License Number 67462 Fitness Coordinator: Edgemere Retirement, Dallas, Texas.

Charles Plafcan, MA, Licensed Professional CounselorExpiration 04/30/2016 License Number 67462

Fitness Coordinator: Edgemere Retirement,Dallas, Texas 214 214-954-0777

[email protected]

Copyright ©2013 Charles PlafcanAll Rights Reserved

Implementing Health/Fitness Programs

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.  

IntellectualEncouraging 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

Social

Emotional

Spiritual

Physical

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

Physiological

One-dimensional Approach Shift: Multi-dimensional Approach

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

EdgemereDallas

One uniform program

Control cost

Ease of trainingeveryone

contributes

Resident focused

Personal Wellness

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

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

For the Fitness Instructors

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

Physical Activity

Why Is Physical Activity Such a Big Deal?

1st phase of the plan

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

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

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

Medical Department

Physicians

Psychologist

Nurses

Nutritionist

Fitness/Wellness Director

Health Educator

Exercise Specialist

Recreation Specialist

Sample Organizational Structure: YMCA Fitness/Wellness

Sample Organizational Structure: Private Health Care Facility

Charles Plafcan, MA, Licensed Professional CounselorExpiration 04/30/2016 License Number 67462

Fitness Coordinator: Edgemere Retirement,Dallas, Texas 214 214-954-0777

[email protected]

Copyright ©2013 Charles PlafcanAll Rights Reserved

Implementing Health/Fitness Programs

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