Integrating Exercise into Patient Care

Natalie A Nevins DO MSHPE

Director of Medical Education

Downey Regional Medical Center

Family Medicine Residency Program

Program Director NMMOMM Residency

Medical Director

Amrit Davaa Wellness Center

Golden Bridge Yoga Center

OBJECTIVES

bull Understand the barriers to exercise

bull Become familiar with several types of exercise

bull Dispel exercise myths

bull Learn how to motivate your patients to exercise

bull Learn how to motivate yourself to exercise

bull Gain basic knowledge of how to prescribe a home exercise program for all ages needs and levels

What is the Role of Exercise in

Osteopathic Medicine

bull It empowers the individual to take an

active role in their health

bull It teaches integration of the mind body

and spirit

bull It decreases stress anxiety BP weight

blood sugar cortisol etc

bull It increases endorphins sleep and

patience

Flexibility Balance

Strength Endurance

Types of Exercise

THE ROLE OF EXERCISE

bull What is good for the heart is good for

the head

THE ROLE OF EXERCISE

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

What is the Role of Exercise in

Osteopathic Medicine

bull It empowers the individual to take an

active role in their health

bull It teaches integration of the mind body

and spirit

bull It decreases stress anxiety BP weight

blood sugar cortisol etc

bull It increases endorphins sleep and

patience

Flexibility Balance

Strength Endurance

Types of Exercise

THE ROLE OF EXERCISE

bull What is good for the heart is good for

the head

THE ROLE OF EXERCISE

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

Flexibility Balance

Strength Endurance

Types of Exercise

THE ROLE OF EXERCISE

bull What is good for the heart is good for

the head

THE ROLE OF EXERCISE

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

THE ROLE OF EXERCISE

bull What is good for the heart is good for

the head

THE ROLE OF EXERCISE

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

THE ROLE OF EXERCISE

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

MYTHS OF EXERCISE

bull ldquoIt takes too much timerdquo

MYTHS OF EXERCISE

bull I am not flexible so I canrsquot do thatrdquo

MYTHS OF EXERCISE bull I have chronic pain exercise will make

me worserdquo

MYTHS OF EXERCISE

bull ldquoI donrsquot want to look like Governor Arnie

MYTHS OF EXERCISE

bull ldquoI donrsquot want to look like Governor Arnie

MOTIVATION

MOTIVATION

MOTIVATION

MOTIVATION

MOTIVATION TOOLS

TOOLS

MOTIVATION TOOLS

MOTIVATION

MOTIVATION

MOTIVATION TOOLS

TOOLS

MOTIVATION TOOLS

MOTIVATION

MOTIVATION TOOLS

TOOLS

MOTIVATION TOOLS

MOTIVATION TOOLS

TOOLS

MOTIVATION TOOLS

TOOLS

MOTIVATION TOOLS

MOTIVATION TOOLS

TOOLS

The types of exercise are only

limited by your imagination

Be Creative

The types of exercise are only

limited by your imagination

Be Creative

HOW DO YOU CHOOSE THE RIGHT

TYPE OF EXERCISE

bull Take into consideration the patientrsquos current state of health

bull Previous experiences with exercise both positive and negative (what do they like)

bull Know what types of exercise programs are out there (try them for yourself)

GERIATRICS

GERIATRICS

EXERCISES

ADULTS

Basic Exercise Set

PEDIATRICS

ADULTS

Basic Exercise Set

PEDIATRICS

Basic Exercise Set

PEDIATRICS

PEDIATRICS

PREGNANCY

Basic Exercise Set

SPECIAL NEEDS

SPECIAL NEEDS

Basic Water Exercise Set

How To Start a

Home Exercise Program

Common Types of Exercise

bull Pilates

bull Yoga

bull Aerobics

bull P90X DVD

bull TTAP DVD

bull Insanity DVD

bull Martial arts

bull Swimming

bull Belly dancing

bull Zumba (class and

DVD)

bull Ballroom dance

bull Running

bull Walking

bull Sports

bull Bike

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify the level of fitness

bull Assess the level of willingness to start or modify and exercise program

bull Adjust the level of intensity and time commitment depending upon the above two principles

STRETCHING

bull How to Stretch

Over the years you have probably been told that if you donrsquot push your exercise to the point of pain you will never improve

Unfortunately that kind of advice will only lead you to more pain and the probability that you will stop exercising

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

How To Start a

Home Exercise Program

Common Types of Exercise

bull Pilates

bull Yoga

bull Aerobics

bull P90X DVD

bull TTAP DVD

bull Insanity DVD

bull Martial arts

bull Swimming

bull Belly dancing

bull Zumba (class and

DVD)

bull Ballroom dance

bull Running

bull Walking

bull Sports

bull Bike

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify the level of fitness

bull Assess the level of willingness to start or modify and exercise program

bull Adjust the level of intensity and time commitment depending upon the above two principles

STRETCHING

bull How to Stretch

Over the years you have probably been told that if you donrsquot push your exercise to the point of pain you will never improve

Unfortunately that kind of advice will only lead you to more pain and the probability that you will stop exercising

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

Common Types of Exercise

bull Pilates

bull Yoga

bull Aerobics

bull P90X DVD

bull TTAP DVD

bull Insanity DVD

bull Martial arts

bull Swimming

bull Belly dancing

bull Zumba (class and

DVD)

bull Ballroom dance

bull Running

bull Walking

bull Sports

bull Bike

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify the level of fitness

bull Assess the level of willingness to start or modify and exercise program

bull Adjust the level of intensity and time commitment depending upon the above two principles

STRETCHING

bull How to Stretch

Over the years you have probably been told that if you donrsquot push your exercise to the point of pain you will never improve

Unfortunately that kind of advice will only lead you to more pain and the probability that you will stop exercising

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify the level of fitness

bull Assess the level of willingness to start or modify and exercise program

bull Adjust the level of intensity and time commitment depending upon the above two principles

STRETCHING

bull How to Stretch

Over the years you have probably been told that if you donrsquot push your exercise to the point of pain you will never improve

Unfortunately that kind of advice will only lead you to more pain and the probability that you will stop exercising

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

STRETCHING

bull How to Stretch

Over the years you have probably been told that if you donrsquot push your exercise to the point of pain you will never improve

Unfortunately that kind of advice will only lead you to more pain and the probability that you will stop exercising

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

STRETCHING

bull PAIN IS NO GAIN

This is your new motto

bull The proper way to stretch is slow controlled and to the point where you feel the stretch but not pain

bull MOVE EVERY PART EVERY WAY EVERY DAY

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

STRENGTH TRAINING

bull Start low and slow Either low weight or no weight at all Isometric exercises are a great way to begin

bull There should be no pain while doing the exercises The patient should be able to feel the stress of the muscle contracting only

bull Start off with doing strengthening exercises every other day

bull Home or gym weight band soup can book pet

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

AEROBIC ACTIVITY

bull Teach patients how to take their pulse and

know their targetrange heart rate

bull Takes oxygen should be able to carry on a

conversation (not breathless)

MOUTH CLOSED

bull Goal is 30 min a day but encourage patients

to do anything rather than nothing

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

Check Heart Rate

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Start low and slow

bull Encourage weight bearing exercise when possible Water exercises when needed for joint problems

bull Aerobic exercise for cardiovascular fitness

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

Balance

bull Good balance is the difference between

a healthy functional person and

one who is not

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Donrsquot give too many exercises (handout)

bull Start with one page (6-12)

bull Start with exercises done in bed or a chair if unable to get updown from the floor easily

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

HOW TO PRESCRIBE AN EXERCISE

PROGRAM

bull Identify patientrsquos ldquolikesrdquo and ldquodislikesrdquo regarding exercise

bull Involve a Physical Therapist or Fitness Trainer if needed for expertise or motivation

bull BE AN EXAMPLE

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

Conclusion

bull Our patients spend far more time with their bodies than we do In order to have a complete treatment we must empower our patients to participate in the treatment and healing process

bull Exercise bridges the gap between physician healing and patient self healing

bull Everyone knows they SHOULD exercise Our job is to help the patient make it happen

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online

Physician Heal Thyself

Knowledge becomes wisdom when it

becomes your personal experience

Resources

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Resources

bull Exercise software vhikitscom

bull YMCAnet youth senior and special

needs exercise classes throughout the

US

bull Livestrongcom exercise resources for

all needs

bull Eldergymcom free exercise videos

online