Service Learning Experience

FULLBEAUTY   BRANDS™  

P420 S a r a h S e w a l l

Notes:  Client’s  name  and  loca1on  are  blocked  out  for  privacy  reasons.  P420  is  a  class  at  IUPUI  in  the  exercise  science  program  that  focuses  on  exercise  leadership,  exercise  programs,  and  client  interac1ons.  This  presenta1on  was  given  at  the  conclusion  of  a  10  week  client  interac1on  that  began  on  February  12th  and  ended  on  April  16th,  2015.  This  was  a  workplace  wellness  ini1a1ve.          

Connie  

•  61  years  old  •  Senior  Technical  Assistant  at  FullBeauty  Brands  •  Enjoys:  Traveling,  reading,  and  NOT  exercise.  •  Sedentary  lifestyle  but  was  in  the  contempla1on  stage  of  the  Transtheore1cal  Stages  of  Change  at  the  start  of  this  experience  

•  Has  arthri1s  in  her  right  knee  

Risk  Stra1fica1on  Risk  Factors  

Age   61  years  old   1  

Family  History   None   0  

Hypertension   136/82   0  

Hyperlipidemia   Unknown   1  

Pre-­‐Diabetes/Diabetes   Glucose:  111   1  

Sedentary   Yes   1  

Current  Smoker   No   0  

BMI   >32.9   1  

TOTAL:   5   MODERATE  RISK  Fun  Fact:  Connie  never  told  me  her  actual  weight  but  that  it  was  >180lbs.  She  did  tell  me  how  much  she  lost  but  never  the  actual  weight.  

Goals  

•  Ul1mate  goal:  Lose  50  lbs  and  become  a  healthier  person  

•  Day-­‐to-­‐day  goal:  Walk  5,000  steps  per  day  

Plan  of  Ac1on  

• Most  weeks,  we  met  on  Tuesday  and  Thursday  from  1:00-­‐1:30  pm.  

• Mee1ngs  included:  – Going  over  nutri1on  informa1on  – Prac1cing  “desk-­‐ercises”  – Walking  on  treadmill  – Light  resistance  training  

Nutri1on  Informa1on  

•  Exchange  Program  informa1on  • Weight  loss:  calories-­‐in  vs.  calories-­‐out  – To  maintain  weight:  2454  cal/day  

– To  lose  1  lb  per  week:  1954  cal/day  • MyPlate  informa1on  and  por1on  control  ideas  – Handy  Por1on  Guide  

Handy  Por1on  Guide  

“Desk-­‐Ercises”  •  Created  worksheets  for  my  client  to  perform  at  her  desk  while  on  the  phone  or  computer.  

•  Examples:  

Rikli-­‐Jones  Test  Results  

Date:  

Test:  

Normal  ranges  For  60-­‐64  yr  old  

Female*  

3/5/2015   4/16/2015  

Chair  Stand   12-­‐17   13   17  

Bicep  Curl   13-­‐19   R  =  15;  L  =  16   R  =  22;  L  =  23  

2-­‐Minute  Step  Test   75-­‐107   63   91  

Chair  Sit-­‐and-­‐Reach   -­‐0.5  -­‐  +5.0  (inches)   R  =  -­‐3”;  L  =  -­‐1.8”   R  =  -­‐3”;  L  =  -­‐0.25”  

Connie  showed  improvements  in  all  but  one  category  in  7  weeks.  

*Norma1ve  values  are  from  the  following:    Jones,  C.,  &  Rikli,  R.  (2002).  Measuring  func1onal  fitness  of  older  adults.  The  Journal  of  Ac/ve  Aging.  (pp.  24-­‐30)  

Treadmill  Walking  Progression  (During  our  mee1ngs)  

0  

5  

10  

15  

20  

25  

30  

35  

1   2   3   4   5   6   7   8   9   10  

Time  (minutes)  

Speed  (mph)  

Incline  (%)  

Steps  

0  

1000  

2000  

3000  

4000  

5000  

6000  

7000  

18-­‐Feb   25-­‐Feb   4-­‐Mar   11-­‐Mar   18-­‐Mar   25-­‐Mar   1-­‐Apr   8-­‐Apr  

Steps  

Improvements  

•  At  doctor’s  appointment  in  early  March:  – Lost  3  pounds  already  – Doctor  said,  “Whatever  you  are  doing,  keep  it  up!”  – Very  pleased  with  the  direc1on  Connie  is  going  

Human  Movement  Paradigm  and  Transtheore1cal  Model  of  Change  

•  EX  (Exercise)  –  We  did  not  focus  on  exercise  very  much.  – Some  resistance  training  but  no  official  prescrip1on  

•  PA  (Physical  Ac1vity)  –  Most  of  our  1me  – Gerng  up  and  walking,  step  coun1ng,  resistance  for  lesser  used  muscles  

•  SED  (Sedentary)  –  Most  of  the  informa1on  given  – “desk-­‐ercises,”  reminders  to  get  up  and  move  throughout  the  day,  drinking  more  water  to  get  up  and  use  the  restroom  

•  Post-­‐training  –  Connie  is  now  in  the  prepara1on  phase  of  Prochaska’s  Model  of  Change  – Not  consistently  exercising  and  focused  mainly  on  PA,  not  EX  

Tes1monial  I  was  approached  by  a  member  of  our  Wellness  Commisee  to  see  if  I  would  

be  interested  in  par1cipa1ng  in  a  program  being  ini1ated,  pairing  you  with  a  fitness  student.  

Being  a  61  year  old  overweight  woman  who  is  not  very  ac1ve,  chained  to  a  desk,  recently  diagnosed  with  arthri1c  knee,  and  borderline  high  blood  pressure,  I  knew  that  I  had  to  make  some  changes  in  my  life,  so  I  commised  to  this  program.    My  goal  from  the  beginning,  which  I  shared  with  Sarah,  was  to  find  ways  that  I  could  exercise,  within  my  limits,  to  improve  joint  pain,  and  lose  weight.    Over  these  past  ten  weeks  I  have  received  Sarah’s  encouragement  on  the  importance  of  gerng  up  and  moving,  she  has  done  research  on  knee  arthri1s,  1ps  and  exercises  and    given  me  printouts  on  meal  planning  and  1ps  on  achieving  successful  weight  loss,  has  taught  me  simple  movements  that  can  be  done  while  at  my  desk,  as  well  as  working  with  weights,  to  improve  muscle  mass,  which  has  proved  to  be  greatly  beneficial.    This  has  been  a  very  posi1ve  experience,  and  I  know  anyone  could  benefit  from  this  type  of  program.  

-­‐  Connie