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EXERCISE
EDUCATION
Running Head: EXERCISE EDUCATION

Teach Patients the Importance of Exercise
Jacob Woodhams
Northwest Florida State College

Running Head: OUTLINE

EXERCISE EDUCATION

Abstract:
A patient is as healthy as they choose to be. Regular exercise can have
positive impacts in all areas of a patient lives. Technologies exist to promote
individuals to maintain healthy lifestyles. The facilitys doctors and nurses will
introduce their patients to plans to live healthier lives.

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As a healthcare manager, part of my job will be to have the facilitys family

doctors capable and willing to thoroughly educate their patients on the importance
of exercise in preventative medicine. A critical problem in the U.S. today is the
majority of Americans do not know that giving even an hour a day to physical
exertion could add years to their lives. I will teach them. Along with their
nutritional suggestions, the facilitys doctors will have the ability to teach patients
the health benefits of regular exercise and to explain the social benefits that will
come with healthy living. With patient checkups, the facilitys staff will be able to
update patients on ways that current technology will promote their healthy lifestyle
and build or revise their exercise regimens. Having the patients in charge of selfmaintenance, my facilitys regular goal will be empty waiting rooms.
Maintaining a schedule of daily exercise is beneficial to a bodys health in a
variety of ways. A patient gains a greater range of flexibility. Journal of Physical
Therapy Science (2015) published the results of an experiment, dividing 30 subjects
into two groups of patients with lower back pain; a trunk stability group and a
combined exercise group. The groups conducted separate exercise routines three
times a week for six weeks. Results of the experiment saw significant decreases in
pain intensity and decreases in patients sway, both groups improving greatly, with
the trunk stability groups sway distance length decreasing slightly more.
Maintaining an exercise regimen shows improvements in a persons overall
wellbeing. According to Journal of Mental Health (2013), physical activity enables
social inclusion within the community. Exercising facilitated patients inclusion
within their communities. Patients were more comfortable disclosing their mental

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health problems to their coworkers, families, and friends. This project proved the
Department of Healths claim; Physical activity alleviates isolation and promotes
social contact, thus it provides a therapeutic effect on mental ill health.
I will be the third vote promoting this claim. The inpatient recovery at
Shepherd Center I received for my traumatic brain injury was very active and very
social. Every morning as I got ready for the day, I would roll my wheelchair out of
my room, down the hall, and meet with other mentally afflicted patients to copy my
daily therapy schedule of group and individual therapies. These included
occupational therapies, physical therapies, recreational therapies, speech therapies,
and various wheelchair training with caretakers or families.
My favorites were occupational and physical therapies. I could not curl half of
the weight I had months prior, but they still had me feeling good I could still lift a
dumbbell. Exercise works hand-in-hand with psychological well-being. Running &
Fitnews (2011) claim that regular aerobic exercise change several facets on a
person: their heart, their body, their metabolism, and their spirits. Kiran Ali (2014),
a published nursing student in Karachi, recommended a regular practice of Tai Chi
or yoga to manage psychological stress - muscles are unstrained in these activities;
stress is unseen. The facilitys staff should readily maintain suggestions and
prescribe patients with exercise regimens to meet a variety of patients goals.
The right exercise regimen is beneficial to both a persons health and
existence in society. Frontiers in Public Health (2015) published a tests results,
finding that a team-based health promotion and wellness program led to improved
employee health behaviors, mood, sleep, and co-worker cohesion. Employees in the

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experiment reported both depression and work-related stress in their workplaces

were reduced with their exercise programs.
People are active life requires activity. General Practitioner (2006) reported
on an experiment with lab rats and exercise: some alone and others in groups.
These segments were separated again, dividing the individual rats and grouped rats
by giving half of each segment an exercise wheel. The grouped rats with an exercise
wheel had the most health benefits: more brain cell growth in their hippocampi, and
lower levels of the stress hormone corticosterone. This experiment proved that
physical activity is most beneficial in groups.
The exercise environment is important to keep a routine in a schedule and
does effect an activitys outcome. The results in PLoS ONEs study (2015) found that
moderately intense exercise activates endocannabinoid (eCB) rewards in their
participants: individual moods and wellbeing. The social placebo-in-exercise
account claims that in the presence of others, or cues of a group, such as team
apparel, influenced group cohesion amongst the individuals and altered their
perceptions of pain and fatigue.
So, is exercise a placebo? No. The social benefits of exercise, maybe, but the
benefits to the individual, the runners high, is the result of an exercising
individuals neurotransmitters (NTs) producing substances in bodies that can
reduce pain: endorphins, enkephalins, and Substance P. Lonbardi, D.C., (1999)
explains that endorphins bind to opiate receptors throughout the brain and raises the
individuals pain threshold. Enkephalins have the opiate-like effects, and Substance P is
an excess neurotransmitter to many of the bodys central neurons. Thus, after exercise,

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the body has its nerve cell signals actively communicating with each other and can have a
higher tolerance for pain, but should not need to due to the euphoric feelings brought in
by enkephalins.
With this feeling, going for a jog or lifting weights provides an opportune
outlet for real-world human connections to form, allows the creation of social
networks and strengthens relations with current networks. At a gym, I cross paths
and talk regularly with a variety of people I meet in different areas of life. For
example, at Bluewater Bay Fitness, I see a former GEB 1011 professor and several
former co-workers. At the campus gym, I met the colleges Society of Human
Resource Management (SHRM) Secretary, Lee Bolton, and current QMB 3250
professor, Dr. Jay Bhattacharya. I have since joined NWFSCs SHRM chapter.
Regular fitness activity is an all-natural way to boost ones self-confidence
and libido. American Fitness (2004) claims exercise causes the bodys release of the
feel-good hormone, endorphin. Exercise causes an increase in the production of
testosterone within the hour after a workout. Psychologist Howard Devore claims
testosterone to be the only true aphrodisiac. It directly benefits a patients mental
health. According to The Gale Encyclopedia of Mental Health (2012), a regular fitness
routines results are similar to an antidepressants. It causes the body to increase
the NT galanin in the brain, which causes the regulation of NTs serotonin and
norepinephrine so new environmental stimuli to have less effect on someones
emotions.

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Exercising is healthy. It does not take a health care administrator to tell you
that. Leadership does. Good leaders inspire consistent achievement from their
followers. Good leaders never stop learning.
Technology is expanding markets daily beneficial changes remain relevant.
The Internet is a major technology advancement. Since the new millennium, the
Internet has become mainstream in the public. This has allowed all markets to
expand to unbelievable boundaries. The Internet allows users to research exercises
to improve their physique and to and shop for nutritional supplements. A
bodybuilder and fitness author on the Internet, Sean Nalewanyj, has helped organize
my latest experiment: The Body Transformation Blueprint. The Transformation
Blueprint develops a workout schedule and guides nutrient my intake. Protein
supplements may also be purchased to build the targeted muscles through certain
websites; I have used Amazon.com and BodyBuilding.com. GPS services, such as
Google Maps, will help to plan routes and navigate the user for planned running or
biking paths. The Internet allows networks and communication to be built, allowing
motivation through perceptions and from colleagues.

Activity trackers are another technological innovation. Trackers can allow

users to view their daily exercise and compare it to their peers activity. Its healthy
motivation. Instead of a wristwatch, I now wear the Fitbit Charge, which will tell the
time as well as track my footsteps, approximates the calories that I have burnt, the
amount of active minutes I acquire tracks the mileage that its moved by day, the
flights of stairs climbed, and the amount of sleep I get after waking. The Charge also
informs me of my Fitbit wearing colleagues activity in a leaderboard format to

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inform and to motivate. Activity trackers are a consistent reminder to meet a days
goals. For those who aim to constantly improve, a tracker is a reminder to walk
farther yesterday. In Mens Health Advisor, Dr. Katie Lawton is quoted:
Use the fitness tracker as a guide And make sure you understand that even if
you reach 10,000 steps a day, it doesn't necessarily mean you've done any
cardiovascular exercise. You have to do at least 10 consecutive minutes of
activity that increases your heart rate to be considered cardio. In the end, it's the
effort that counts.
So, when I set a goal of 12,000 steps in a day, and by 2:00 pm, I have 7,678 steps, I
will add an hour of time on the elliptical at home to the To-do list. This will require
me to get more than 10 consecutive minutes of cardio and add a boost to my step
count, insuring I reach my 12,000 steps goal for the day.

I consider endorsing a physical fitness regimen part of my duties as a

healthcare manager because all people need the reminder that they are in command
of their health. According to Center for Disease Control and Prevention (CDC) (2015)
the most recent data collection (2014) approximated 78.6 million (34.9%) American
adults are obese (a body mass index (BMI) 30.0 or greater) and 35.2% of U.S. adults
aged 18 years and older are overweight (BMI between 25.0 and 30.0) and 28.9% are
obese. Obesity is a threat because it often leads to heart disease, stroke, type two
diabetes, and several different forms of cancer.

Obesity can be easy problem to deal with and prevent from occurring. As a

health care manager, I will ensure my staff set fitness goals with their patients. An
important tool the bachelor of applied science program has taught me is the SMART

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goal. SMART goals are easy to write and accomplish for the facilitys patients when it
comes to exercising and strength training.
A SMART goal: Specific the patient will have specific goals to accomplish for
exercising. Measureable the goal should involve numbers to reach or a different
measurable way to achieve signifying the goals achievement. Achievable these
goals must be a challenge, but reasonable to achieve. Realistic the goal must have
a possible outcome. Time-related a deadline from the start is required for an
expectation so their efforts can be rationally applied and adjusted to meet the goal
by the deadline.

An example of a doctors SMART goal for a patient to achieve: targeting

biceps brachii and the brachioradialis, at the next appointment, September 21, I
want you to sit on that table and curl 40 pound dumbbells for three sets of seven
repetitions 21 curls. After each set, you will be given 90 seconds for the muscles
to recover, and then seven more curls with each arm. The doctors prescription of
S.M.A.R.T. goals will be based on patients reasons for seeing the facility and issued
to promote the patients ability to care for themselves. The example is one of
several goals a doctor could prescribe to motivate a patient to exercise, build muscle
to increase their basal metabolic rate (BMR), and allow a patient to accomplish a
goal to stay healthy.

Doctors I manage will make folders to offering their patients individualized

workout routines to help manage their issues. The folders will contain weekly
exercise plans with spaces for the patients to insert the weight amounts and
frequencies. The folders will contain weekly exercise charts for the patients to log

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their primary activities. To improve, at least one of the patients numbers of a prior
week should be increased: time, repetitions, sets, or weight. Diabetes Forecast
(2007) broke the SMART goal concept down more than I had considered, having
patients assign themselves SMART tasks. SMART tasks are day-to-day steps to
achieve a patients SMART goal, for example, stretch muscles nightly at nine oclock
nightly. Written lists of SMART tasks allow patients to check boxes; daily or weekly
tasks to mark when they are accomplished.

Written SMART goals will be one of several tools the facilitys staff will offer.

They will be able teach patients specific exercises to build muscles and provide
detailed plans for their patients. They will remain up-to-date with technology,
learning and suggesting gadgets to their patients. The right exercise routines are
powerful tools in preventing medical issues and illnesses.

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EXERCISE EDUCATION

References
Gak, H., Chae-Woo, L., Seong-Gil, K., & Hyeon-Su, K. (2015). The effects of trunk

stability exercise and a combined exercise program on pain, flexibility, and static
balance in chronic low back pain patients. Journal Of Physical Therapy Science,
27(4), 1153-1155. doi:10.1589/jpts.27.1153
Malcolm, E., Evans-Lacko, S., Little, K., Henderson, C., & Thornicroft, G. (2013). The
impact of exercise projects to promote mental wellbeing. Journal Of Mental
Health, 22(6), 519-527. doi:10.3109/09638237.2013.841874
Watt, D. (2011). Exercise and stress: work out to work it out. Running & Fitnews, 29(4).
Ali, K. Z. (2014). Effect of exercise on psychological well being. Journal On Nursing,
4(3), 1-4.
Goldberg, L., Lockwood, C., Garg, B., & Kuehl, K. S. (2015). Team healthy u: a
prospective validation of an evidence-based worksite health promotion and
wellness platform. Frontiers in Public Health, 3. Retrieved from
http://www.frontiersin.org
Simonite, T. (2006). Behind the headlines: Is exercising alone bad for you?. GP: General
Practitioner, 34.
Davis A, Taylor J, Cohen E (2015) Social bonds and exercise: Evidence for a reciprocal
relationship. PLoS ONE, 10(8).
Lonbardi, R. M., DC, MD, CCN. (1999). Aspirin Alternatives: The Top Natural PainRelieving Analgesics. Temecula, CA: BL Publications.

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Margaret Alic, PhD. (2012). Exercise and mental health. In Key, K. (Ed.) The Gale
Encyclopedia of Mental Health. (3rd ed.) Retrieved from
http://www.galenet.galegroup.com
Mens Health Advisor. (2016). Put your body in motion with a fitness tracker. Belvoir
Media Group, LLC, 18(3), 6.
Shauna S. Roberts. (2007). Set goals the SMART way. Diabetes Forecast, 60(5), 43.

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