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9/10/2013Cick to add textSLIDETITLEThe Medical Health CoachLeading the Changein Healthcare DeliveryDianne McCaughey Ph.D.SLIDEADDEXTRACOPY* Award Winning Fitness Specialist with More than 30 Years Experience inPersonal Training, Group Exercise, and Coaching* International Publisher, Speaker, Author, Consultant, Master Trainer andPresenter Who has Traveled the World Touching Lives* ACE Master Trainer* AFAA Master Trainer* ISCA Master Trainer* Developer and Producer of Fitness Facts, Televised Segments /FitnessTips for the Day* Producer /Cardio-Combative Exercise Videos* Publisher and Author “Fitness Specialists Training Guide to PersonalTraining” A Personal Training Manual* International Corporate and Private Seminar Facilitator for PersonalGrowth, Empowerment, and Team Building / Previous Clients IncludeHewlett Packard and the United Nations* Consultant for America’s Best in Class, A National Fitness Talent Contestand Educational Company* Geriatric Exercise Specialist MFA* Author / Y-U-R Your Universal RealityClickCLICK TOITADLINEADDTRAPYFaculty DisclosureDianne McCaughey Ph.D.Click to add texttoSLIDETITLECLICK TODianne McCaugheyPh.D. Concentration in Gerontology EDITHEADLINEaddCLICKO EDITEADLINEADDXTRAOPYteTITLESLIDETITLEDianne McCaughey has listed nofinancial interest/arrangementthat would be considered aconflict of interestSLIDETITLECLICKTOEDITHEADLINEThe Medical Health Coach (MHC)Someone who: Places focusHow does a Health Coachand emphasis on preventing,Expert (HCE) differ from arather than treating, diseasePersonal Trainer (PT) or a Group ADDEXTRAand illnessDianneCOPYFitness Instructor (GFI) ?McCaughey haslistednofinancialinterest/arrangCl1

9/10/2013SLIDESLIDETITLECLICK TO EDITHEADLINEWho are theADD EXTRAMedical Health CoachesCOPYSLIDETITLEMedical Health Coach* One size does not fit all* No cookie cutting* Uses individual programs* Uses personalized prescriptions* Uses an extensive referral systemCLICKTO EDITHEADLINEADDEXTRACOPYMedical Health CoachClick to add text* Integrates complete treatment* Networks with multiple medical, health,and wellness professionals* Evaluates and treats to the needs of thePMC in all aspectsSLIDETITLEMedical Health CoachMust continue education to facilitate theinteraction with other professionals on thenetwork.Example : patient is over weightPastPresentPhysician tells patient Physician networksto exercise and dietpatient to a nutritionistand fitness expertClick toaddtextClicktoaddtextClickCLICKO EDITEADNEADDXTRAOPYtoSLIDETITLEClick to add text* Understands the aging patient, member,client (PMC)* Creates optimal function and wellness* Does not memorize – analyzes and applies* Applies scientific, medical, andpsychological principals* Anyone on the Medical Health or Fitness Team(physicians, nurse practitioners, physicaltherapists, chiropractors, ex physiologists,fitness professionals etc.)* Agents of change – next breed of professionals* Evaluate clients on all aspects (mind, body, spirit)SLIDETITLECLICK TOTADLINEDDRA COPYMedical Health CoachaddCLICK TRACOPY2

9/10/2013SLIDESLIDETITLECLICKO EDITHEADLINEADDXTRACOPYTITLECLICK TOMedical Health Coach NetworkingEDITHEADLINE* Physician, Nutritionist, and Fitness Expert allADDwork together to help the patient loseEXTRAweight.COPY* Each has their own expertise, but all have anunderstanding of what each expert isprescribing* You do not need to know everything abouteach field of expertise – but you must havesome knowledge and be able to networkClick to add text“We are not short on innovation,we are short on implementation!Dr. James CoughlinFounder MIT Age Labwww.mit.edu/agelabtextaddtoClickSLIDETITLEScope of Medical Health Coach only aslimited as their networkLICK TODLINEDD EXTRAYNutritionist /DieticiansPlastic Surgeons &other AstheticSpecialistsThe MHC integrates the knowledge andexperience of other professionals in a varietyof areas of expertise, including nutrition,mental health, physical therapy, nursing, andcondition specific medicine and movement.Anti AgingMental & EmotionalPharmacistDrug interactionsPhysical TherapistRehabilitationOccupational TherapistSpeech TherapistChiropractorsPosture & AlignmentAcupuncturistsSoft tissueExercise SpecialistsSLIDETITLETITMedical Health CoachtextaddtoClickWe teach the FitnessPractitioner moremedical informationOsteopathsMedical Health CoachAnti Aging SpecialistMassage TherapistsSLIDEWe teach the MedicalPractitioner morefitness informationAll DoctorsSpecialized medicinePsychiatrists – medsPsychologistTherapistClergyAll areasLK TO EDITENEEXTRAYouFood & SupplementsCLICK TOEDITHEADLINEADDEXTRACOPYPain / EnergyHolistic DoctorsUnconventional approachExerciseisMedicine3

sture AnalysisClick toadd ostureIn 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 PYMuscles remember what you tell them and Bones followalongPoor Exercise - Poor Posture* Some exercises can make your posture worse* Too much pushing exercise and spinal flexion causeyour chest, shoulders and outer abdominal muscles topull your spine forward.* This causes your spine to resemble a C-shape ratherthan a natural S-shape.SLIDE cktoaddtextaddtextADDEXTRASLID CETITLE OPYCLICKTOEDITHEADLINECLICK TOEDITHEADLINEMuscle and Neurological MemorytextCLICKTOEDITHEADLINECLICKTOEDITHEADLIWe must restore andmaintain normal jointalignment, joint movement,muscle balance, and musclefunction, all of which arecritical for optimal healthand longevity.4

9/10/2013SLIDE TITLEWhat is ICK TO NEEDITHEADLINEADDEXTRA OEDIAT DHEDADLINEE XTADRD AEXTRCA iate or Inappropriate?LCLICKETO EDITHEADLINEADDEXTRACOPYClicktoaddtextClick to addtextAre Exercises a Fador aCorrective Tool?COPYSLIDETITLECLICKTO EDITHEADLINEADDEXTRACOPYDo youlike thesePictures?The MHC utilizes health and fitnessprograms to help prevent andmanage chronic and lifestylerelated health conditions.5

9/10/2013SLIDETITLECLICKTO EDITHEADLINEADDEXTRACOPYClick toadd textSLIDETITLECLICK TOEvaluating ExerciseEDITADDHEADLINEEXTRAIs it Safe and Effective?COPYEvaluating ExerciseClick to addtext3. Safety concerns – speed / ROM / postureand alignment / JOINTS4. Does this exercise need to be modified –easier / harder / form5. Who should do this exercise – sportspecific / fitness level / purpose1. Purpose strength / endurance /cardiovascular / flexibility / skill / stressreduction / other2. Is this effective for my purpose joint action /role of muscle / type of contraction / line ofpull / line of resistanceSLIDETITLESLIDETITLEDITDo You Really Like thisProgression?COPYClick to add textCLICKClick to add textTOTITK TO LEEADLINEEXTRAClick to add textSLIDEEDITHEADLSLIDIETITLENCLICKETraining with weights is the most common form of TO EDITtraining or strengthening one’s dysfunction.HEADLINAEADD DEXTRA DCOPYEXIf a person cannot maintain proper form and functionTthroughout the movement being performed, it shouldRnot be attempted, or should be modified until theAappropriate mechanics can be achieved.The MHC uses soundhealth-related programsand services.Patient Education From AllMedical Health Coaches* Proper nutrition* Exercise – (PMC) specific* Avoid smoking* Moderate alcohol* Weight management* Stress control* Health screenings* Proper medication and treatmentsCOPY6Click to

9/10/2013SLIDESLIDETITLECK TOEADLINED EXTRA6 Dimensions of HolismCLICK TOEDITHEADLINEADD EXTRACOPY1. Emotional (stable)2. Intellectual (stimulated)3. Physical (specifically overloaded)4. Social (engaged)5. Spiritual (evolved)6. Occupational (fulfilled)We must stay within our scope of practicebutWe can network for total careaddtoClickClick to add textSLIDETITLETotal PMC CaretextTITLESLIDETITLELICK TOtextNeutralGrowthEducationHigh level ofWellness & EnergyClickAwarenessDisease EADLINEADDEXTRACOPYStresslick to add textWellness ContinuumDLINEDD EXTRAYStudies indicate that60-90% of all physicianvisits are for stress PrematuredeathSymptomsAwarenessGrowthMind / body techniques can be usedin reducing stress, promoting positiveattitudes, decreasing symptoms ofdisease, and improving life qualityDisease &DisabilityNeutralEducationHigh level ofWellness& energyCLICKTOEDITHEADLINEADDEXTRACOPYClick to adtextThe evolution ofself-worth andconfidence arecomponents ofwell-being andpersonal happiness7

9/10/2013SLIDESLIDETITLETITLEClick toadd textGrowing old is an enrichingexperience that involves ourappreciation ofour personal significance andour coming to termswith losses and changesCLICKTO EADLINEADDEXTRACOPYSLIDESLIDETITLECLICKTO EDITHEADLINEADDEXTRACOPYClick to add textWho is thePatient, Member,Client? (PMC)Baby BoomersClick toadd textCLICKTOEDITHEADLINETITLEBorn 1946 – 1964Age 48 – 6678 million in USAADDEXTRACOPYBaby Boomers60 is the new 40expectations* Will live longer thantheir predecessors* Exercise more than anyother generationClickWant to stay fit andhealthy* Set high bartoBaby BoomersaddADDEXTRACOPYCLICKTO EDITHEADLINEDislike WrinklesADDandSocial Security Insecurity EXTRACOPYClick toadd textCLICK TOEDITHEADLINESLIDETITLEtextSLIDETITLE8

9/10/2013SLIDETITLESLIDE TITLEClick2050 – 384,000centenariansClickto addtextto2004 – 70,000centenariansCLICK TOEDITHEADLINEADDEXTRA COPYaddBaby BoomerstextCLICK HEADLINEADDEXADD TEXT RRA ACOPCYOPYTreatments May Need to beCLICKClick to addtextRiskBenefitClick to addtextTOEDITHEADSLILDETITLIECLICK TO NEEDITModifiedHEADLINEADDEXTRA COPY ADDClick to addtextBenefitSafe TreatmentEXTRARiskRisk / BenefitClick toadd textThe MHC providesprograms andservices thateffectively meet PMCneeds withoutexposing participantsto unnecessary risks.CLICKWhat will thisdo to the PMCin 20 – 30 years?COPY9

9/10/2013SLIDETITLESLIDETITLECLICK TO EDITTeach to the PMC framework instead of reps and setsTeach case specific movement and activities instead ofartificial exerciseGive them what they want – incorporate what u mustearn theprogressionADDEXTRACOPY? What Can You Do ?* Think differently / Get creative* Training / Education* Network for a different result* Think about the long termcause and effectClickClicktoaddtexttoCLICK TOEDITHEADLINEThe MHC has a systematicprocess of screening forchronic diseases, associatedrisk stratification, and theparticipant’s potential forexercise-related injury.SLIDESLIDETITLEMedical Health Coach NetworkingRe-educating thepatient, member,and client (PMC) to letthem know that theyhave choices cal Health CoachNetworking Make PMC a part of the program and process Give PMC responsibility Inspire – excite and motivate PMC withopportunities not challenges Educate / give choices / give possibilities Empower / self-efficiency / teach them toquestion and think hmmmmm .ClicktoaddtextTITLECLICKTO EDITHEADLINEADDEXTRACOPYTo prevent compensating muscle groups from doingthe work, weight training should not even beattempted until the function of the individual is readyto take on the added demand.SLIDETITLELICK TODLINEDDRA COPYAthletic performance is a result of trainingfunctionally, not sport-specifically.addSLIDETITLEExercise – patient, member,HEADLINEclientADD EXTRA(PMC) specific COPYtextCLICKTOEDITHEADLINE10