new directions service group presentation molly's
TRANSCRIPT
New Directions Wellness CenterAn Unique Approach to
Health Promotion
Molly Blair, Clinical Exercise Specialist
Program Coordinator
New Directions Wellness Center
Worked for New Directions for over Four Years
The Problem
• People with disability & chronic illness report People with disability & chronic illness report experiencing 14 different secondary experiencing 14 different secondary conditions annually that limit their conditions annually that limit their participation in daily activities.participation in daily activities.
• The impact of the most commonly reported The impact of the most commonly reported conditions (e.g. weight/regulation, problems conditions (e.g. weight/regulation, problems with physical conditioning, fatigue, pain and with physical conditioning, fatigue, pain and depression) can be reduced for most people depression) can be reduced for most people by incorporating a regular exercise routine by incorporating a regular exercise routine into their daily livesinto their daily lives.
The Problem
• There are not services to help people reduce There are not services to help people reduce secondary conditions after rehabilitation secondary conditions after rehabilitation services are completed.services are completed.
• Many people limited by chronic illness & Many people limited by chronic illness & disability become isolated, depressed and disability become isolated, depressed and hopeless.hopeless.
• When people lose hope that their lives can be When people lose hope that their lives can be better, physical and emotional health are better, physical and emotional health are constantly in jeopardy which creates additional constantly in jeopardy which creates additional limitation.limitation.
Health Promotion and Disability
Most health promotion is intended for the “healthy”
People with chronic illness & disabilities can improve health status with substantial benefits to the individuals and society
Activities of Daily Living
(Occupational and Leisure)
Require an underlying constitution of: Muscular strength Muscular endurance Cardiopulmonary endurance
Why the Interest in Exercise?
ADL– Home– Work– Leisure
Quality of life– Community engagement
General health– Prevention of secondary chronic conditions
Most Common Barriers to Initiating an Exercise Program
Pain Fatigue Lack of energy, endurance, strength Weight control Depression Isolation Financial Transportation Accessibility Time
•Increased Physical Capacity• Reductions in reported pain and fatigueReductions in reported pain and fatigue• Increased strength and cardiovascular Increased strength and cardiovascular
conditioningconditioning•Changes in Daily Activities
• Transportation solutions for community Transportation solutions for community accessaccess
• Changes in living arrangementsChanges in living arrangements• New jobsNew jobs• Changes in social/recreation activitiesChanges in social/recreation activities
The Benefits of a Regular Exercise Routine at New Directions Wellness Center
Get on a Positive Cycle.
“New Directions gives me a place where I can work out and feel good about myself. Staying fit means I can continue to do the things that are important to me.”
New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.
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The Benefits of Participation in a Regular Exercise Routine
•Adaptation to Disability & Chronic Illness• Learning about technological and social Learning about technological and social
supportssupports• Pursuing meaningful goals despite Pursuing meaningful goals despite
limitationslimitations•Possibility Thinking• Improvements in OutlookImprovements in Outlook• General Psychological Well-beingGeneral Psychological Well-being
Give Yourself a Lift.
“Exercising at New Directionsmakes me feel more positiveand gives me the energy Ineed to keep up with mygrandkids.”
New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, an accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.
New Directions Wellness Center
Skaggs Building 025, The University of Montana
Missoula, MT 59812 (406) 243-4016Advertisement made possible by the Christopher Reeve Paralysis Foundation
•Friendship and a sense of belonging•Participants share common experiencesParticipants share common experiences•Participation to the end of lifeParticipation to the end of life
•Other health benefits•Undiagnosed conditions discovered Undiagnosed conditions discovered (e.g. hypothyroid)(e.g. hypothyroid)•Risk factors for additional chronic illness Risk factors for additional chronic illness reduced (e.g. heart disease from reduced (e.g. heart disease from sedentary lifestyle)sedentary lifestyle)
The Benefits of Participation in a Regular Exercise Routine
New Directions
Wellness Center
Providing Fitness & Wellness Programs for People with Physical Limitations, Disabilities, and Chronic Illnesses
New Directions Wellness Center
Mission
To provide people with physical limitations & chronic illness the resources they need to develop healthy life styles and to improve their overall quality of life and engagement in the community.
New Directions Wellness Center
Who are our potential clients?
How do we define a physical limitation?
New Directions Wellness Center Skaggs Building 025, The University of Montana Missoula, MT 59812 (406) 243-4016
Strong Medicine.
“I look forward tocoming to New Directions. The peersupport means asmuch to me as thephysical benefitsI receive.”
New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.
Advertisement made possible by the Christopher Reeve Paralysis Foundation
New Directions Wellness Center
•Supervised accessible fitness facilitySupervised accessible fitness facility•Pneumex body-support assisted standing and Pneumex body-support assisted standing and walking programwalking program
•Physical Therapy (orthopedic & neurological)Physical Therapy (orthopedic & neurological)•Living Well with a Disability WorkshopLiving Well with a Disability Workshop•Counseling (chronic pain, depression, & living Counseling (chronic pain, depression, & living with disability)with disability)•Drug InformationDrug Information
New Directions Wellness Center
A program of the Applied Exercise Physiology Laboratory – School of Physical Therapy
Exercise programs designed & supervised by a physical therapist and clinical exercise specialist
An accessible supervised fitness center Full spectrum of exercise equipment suited to the
needs of all abilities Fully equipped Physical Therapy clinic State-of-the-art physiological assessment facility
New Directions Wellness Center
Clients– Average 100 individual clients per month
Average 600 visits per month From a cohort of approximately 200
– Average of 8-14 new referrals per month– Average 18-24 individual PT clients
Fees– Gym fees
Independent: $32/month on a sliding scale to $11/month Assistance: $45/month on a sliding scale to $15/month
– Physical Therapy: (market)– LWD: $40 (+ $20 for manual)– Counseling: $8/session (group)
New Directions Wellness Center
The Process– Referral– In-take– Physical Therapy Evaluation
Treatment Exercise Program
– Independent Exercise Program– Living Well, Nutrition, Drug Information,
Counseling
New Directions Wellness Center
Current Projects– Nutrition & Disability– Body-support (able-bodied)– Pain Study– Special Olympics Year-Round Fitness– ADAPTS – LW and academic performance– Sub-maximal testing (reliability)
HR, VO2, RPE, METs