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Let's reset diversity training.

At this point, its clear that traditional diversity training programs are a source of controversy. This is probably both a cause and an effect of the September 2020 Executive Order on Combating Race and Sex Stereotyping. The order states that, training that promotes race or sex stereotyping or scapegoatingpromote[s] divisiveness in the workplace and distract[s] from the pursuit of excellence and collaborative achievements in public administration.

The executive order raises real questions. Is diversity training divisive, as charged? If so, is the executive order the right way to solve the problem? And more fundamentally: Do diversity training programs as they are currently designed work? If not, why not? In a two-part post, well take a deep dive into diversity training and think through these challenges.

Is diversity training divisive?

If the only goal of diversity training programs were to get people to stop using racial epithets and slurs, no one would object. After all, nearly everyone recognizes that an environment where people run roughshod over the feelings and sensitivities of their colleagues isnt good for anyone.

The parts of traditional diversity training that some people find objectionable stem from critical race theory. Critical race theory, a term that used to be only encountered on college campuses, has broken through to the mainstream and is now being invoked by the White House. But, what does it mean? As it happens, a few years ago, I asked a colleague who teaches critical race theory to explain it in laypersons terms. He generously complied and wrote the following in an email:

It is a theoretical perspective which sees race and racism to be always tied together. That is, the construction of race is very much tied to racism and racist structures. Race, per Critical Race Theory is always about inequality and domination. As a theory it also argues that race cannot be simply understood as a "variable" or in colorblind perspectives, rather it is a construction meant to preserve white dominance over people of color (institutional racism, lack of access to resources, micro aggressions, etc..) while making it seem like life is about meritocracy.

So, if I had to sum it up, I would say that critical race theory argues that the construction of the concept of race must be always understood as a tool of domination, as opposed to reflecting "diversity" of people. So it really distinguishes between ethnicity and race and advances a social justice perspective.

Objections to this theoretical perspective usually come in two forms. The first is an objection to the implication that social problems like disadvantage and access to opportunity should be understood primarily or exclusively through the lens of race, as opposed to through factors such as socioeconomic status, which is sometimes, but not always, correlated with race. The second objection is more subtle. In order to see racism as ever-present in the way the theory posits, the presence of racism has to be decoupled from racist intent. Taking this position means arguing that intent is irrelevant and only outcomes matter. Both of these assertions are taken as given in many traditional diversity programs.

So, is the programming divisive? The answer is: It can be. Consider the following example:

A friend was recently describing a diversity training he attended at his former job. He said the facilitator handed out a sheet of paper. On the paper were statements similar to those in Peggy McIntoshs piece White Privilege: Unpacking the Invisible Knapsack. These included assertions like, I can if I wish arrange to be in the company of people of my race most of the time, I can be pretty sure that my neighbors in such a location will be neutral or pleasant to me, and Whether I use checks, credit cards, or cash, I can count on my skin color not to work against the appearance of financial reliability. Participants in the training were asked to rate how much they felt the statement applied to them, where 1 was the least and 4 was the greatest. They were then told to add up their points.

Once they had done so, participants were instructed to line up in ascending order of point totals. Each participants point value corresponded to their level of privilege more points meant more privilege. After lining people up based on their points, the facilitator then told people to return to their seats. He instructed all the white participants to pull out their paper again and change any score where theyd put less than a 4, to a 4, explaining that anyone who had initially provided a number lower than 4 wasnt recognizing their privilege. And the facilitator instructed all non-white participants to change any answer where theyd put higher than a 1 to a 1 on the grounds that a score higher than one meant that they were denying their oppression. He again asked people to separate themselves into groups based on their points. Now, of course, there were only two groups in the room: those with privilege and those without, divided based on race.

Many people find this type of exercise distasteful, and for good reason. In addition to the objections listed above, the first part of the exercise made assumptions about which types of adversity matter (in this exercise, race did and other forms did not), and reduced it to a point system. The second part of the exercise took whatever variation in point totals existed and flattened it into a binary, race-based set of haves and have-nots.

Its difficult to argue that such an exercise is not divisive when there are literally two groups standing on opposite sides of the room. Of course, this doesnt mean that all diversity training sessions are this divisive, either literally or figuratively. And while this particular exercise certainly isnt included in all trainings, many trainings do involve exercises based on assumptions about identity, adversity, opportunity, and power that not everyone agrees with.

Is the executive order the right way to solve the problem?

No, its not. Mandated solutions arent the answer. They have the predictable and understandable consequences of resentment and backlash. In a recent book with UCLA professor John Villasenor, we made a similar argument against mandating viewpoint diversity on campuses. We wrote:

attempting to mandate viewpoint diversity treats the symptom and not the problemAdministrative mandates in relation to viewpoint diversity likely have the unintended consequence of increasing faculty skepticism on this issue, and would therefore be counterproductive. [emphasis added]

The same logic applies here. In the case of the executive order, the attempt to control diversity training falls into the same trap of treating the symptom and not the problem. The skepticism (and resentment) will come in this case from the people who feel the order isnt warranted and its effect will be similarly unproductive. The way forward is to shift the framework in how we think about diversity training, from one that has fallen victim to the assumptions outlined earlier to one that explicitly recognizes the range of perspectives people bring to sensitive and controversial issues.

See more here:
Its Time To Fix Diversity Training, Part 1 - Forbes

A recent five-year randomized study suggests that the intensity of physical activity has little impact on mortality risk, but that being active is better for quality of life.

High Intensity Exercise

Physical activity is one of the most important public health measures for maintaining good health. Its many benefits are immeasurable. Among other things, it helps to improve body composition and reduce chronic diseases, to adopt other healthy lifestyles, and to influence the expression of certain genes. All these interactions lead to the consensus that physical activity is the cornerstone of good health at any age and reduces the risk of death. A recent randomized study has just been published in the British Medical Journal. It was conducted over a period of five years by Norwegian and Australian researchers on older people and aimed to answer this question: besides the frequency of sport, does its intensity also play a role in increasing life expectancy?

Read Also: Study Establishes the Relationship Between Exercise and a Longer Life Span

In 2012, scientists launched an appeal to people between 70 and 77 years of age in the old Norwegian city of Trondheim, which was founded in 997 by Viking King Olaf Tryggvason. To be included in the study, one did not have to suffer:

Over 6,966 people volunteered. Of course, not all of them were admitted to the study. Exactly 285 people did not meet the criteria, and 5,114 finally decided not to participate. So only 1,567 people participated in the study. They were randomly divided into three groups:

Read Also: Exercise Can Prevent Macular Degeneration and Diabetic Retinopathy According to University of Virginia Researchers

Participants in the study were monitored every six weeks, and after one, three, and five years, key data and exercise compliance were collected. The researchers first wanted to know how these different types of training programs influence the mortality rate. This was their main goal. Secondly, they decided to record and measure changes in cardiorespiratory health and self-reported quality of life. They considered these two factors as important indicators for predicting longevity.

Finally, a comparison of the three groups at the end of the study showed that the effect on mortality between the groups is not significant. This suggests that intensity is not a decisive factor for longevity. In contrast, the respiratory condition was significantly better and the differences in the HIIT and MICT groups were statistically significant compared to the control group for this endpoint. Similarly, individuals in the HIIT group reported improved quality of life at the end of the study.

However, the study has major shortcomings that it does not hide. First, participants in the control group had a higher frequency of physical activity throughout the study and often performed their tasks by doing HIIT-type exercises. It is possible that this makes some of the differences insignificant if they could have been between groups. In addition, more than half of the people in the HIIT group were unable to follow the program requirements strictly and rigorously. There is also a suspicion of bias in the selection, as the recruited participants were all much healthier than those excluded from the protocol. Finally, the authors suggest that future physical activity guidelines, at least for older adults, should be more specific by requiring that at least part of the exercise be performed with high intensity.

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Effect of exercise training for five years on all cause mortality in older adultsthe Generation 100 study: randomised controlled trial

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Does High-Intensity Training Improve the Quality of Life in Older People? - Gilmore Health News

Toronto, Oct. 15, 2020 (GLOBE NEWSWIRE) -- Precision Nutrition, the worlds largest online nutrition and healthy lifestyle coaching and certification company, announced the launch of Precision Nutrition Enterprise Coaching, a personal remote coaching solution for organizations worldwide to offer their employees a scientifically-proven transformation program that helps people lose weight, improve their cognitive performance, and function at their highest potential. The all-new Enterprise Coaching offering is based on the sought-after Precision Nutrition Coaching program, which has helped over 100,000 people improve their nutrition and fitness to lead healthier, more productive lives.

Designed as a wellness benefit for employees, Enterprise Coaching from Precision Nutrition teaches individuals how to adopt highly effective healthy eating and lifestyle habits that can lead to improved physical and cognitive health. The program includes one-on-one nutrition and behavior-change coaching delivered remotely by a Precision Nutrition-certified coach. Topics covered include nutrition, stress management, sleep, and emotional and mental health. Through personalized coaching, accountability, and daily lessons, employees can enhance their well-being, time management, focus, and productivity.

Employee burnout and performance dissolution are top concerns for many organizations, particularly as many of us are working remotely. Based on the latest nutrition science, we know poor dietary habits can negatively affect cognitive functioning and impair memory performance, said Jason Crowe, VP, Partnerships &Business Development for Precision Nutrition. By combining 15 years of remote coaching experience, a peer reviewed system of delivering material health improvements, and a global network of Precision Nutrition certified Master Coaches, we are able to work with people around the world to make significant and lasting changes to employee engagement, productivity and of course, health.

Twic, a discretionary benefits management platform that helps design and deliver benefits programs is among the first to offer Enterprise Coaching by Precision Nutrition. Their organization partners will reach a total of 60,000 employees by January 2021 and include top tech and start-up companies such as Zoom, Square, Twitch, and Allbirds.

We have found that many of the people who use our platform are feeling stressed out, worried, and generally not as healthy as they would like to be. Employee healthboth physical and mentalis a key focus area for our clients, as it is one of the highest contributing factors to employee happiness and productivity, said Jason Fan, CEO of Twic. That is why we chose to partner with Precision Nutrition and its new Enterprise Coaching program to help individuals better navigate the new normal brought on by COVID-19 with individualized remote coaching and support. Together with Precision Nutrition, we are defining the future of corporate wellness programs.

For additional information about this program, visit Precision Nutrition Enterprise Coaching.

About Precision Nutrition

Precision Nutrition offers a sustainable, practice-based approach to losing fat, building strength, and getting healthy. As a global leader in providing health and fitness professionals the education, tools, and coaching they need, nearly 100,000 coaches in over 140 countries use the Precision Nutrition Level 1 Certificationalong with ProCoach, the companys proprietary coaching softwareto improve client results, increase operational efficiency, and drive business growth. Recognized as the number one recommended nutrition coaching certification by health, nutrition, and fitness professionals and the leader in customer satisfaction, Precision Nutrition offers the only nutrition certification endorsed by CrossFit, the National Academy of Sports Medicine (NASM), and the American College of Sports Medicine (ACSM). The American Council on Exercise (ACE) and The National Board for Health and Wellness Coaching (NBHWC) also approve Precision Nutrition for its professionals continuing education credits.

In addition, Precision Nutrition Coaching for Men and Women is a personalized, evidence-based healthy nutrition and lifestyle program, which has been validated in multiple peer-reviewed studies and helped over 100,000 people improve their nutrition, fitness, and lifestyle. For more information, visit http://www.precisionnutrition.com.

Engage with Precision Nutrition on Social Media

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About Twic

Twic operates a modern-day benefits platform that gives employees freedom to choose personalized health and wellness programs and gives employers flexibility to customize benefits strategy with defined contributions. Learn more at twic.ai.

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Precision Nutrition Debuts Enterprise Coachinga Corporate Wellness Program Based On Its Proven Personal Coaching Methodfor Improved Job Performance,...

Reggie Grovey| Contributing writer

Exercise and proper nutrition are only good for you when you do it! Equally so, is the fact we must deal with many distractions that deter us from completing our much-needed exercise too. Thats why it is so important to identify and utilize strategies that will help keep you motivated to begin and maintain your exercise program for the rest of your life. Hopefully this weeks tips will be beneficial in that manner, and help bring you improved health and fitness results!

It has been my experience that most successful fitness programs have been incorporated smoothly into a persons weekly agenda as a way of life. This usually requires instituting change. And of course, change is never easy. However, the stress of this process can be minimized if you are aware and prepared to handle it effectively.

The first stage of change is usually precontemplation: This is where there is no apparent intention to actually make a change within the next 6 months, and there may not even be an awareness of the need to change. Here is where your family support system becomes so important and effective. Many times, the encouragement from a loved one can motivate us towards achieving a much-needed healthier lifestyle. This could develop into a neat situation where the family begins exercising together. I love the idea and it is a great way to spend quality time with your entire family, or significant other. A relaxing low impact walk on a pleasant evening is a nice way to get some exercise and great conversation with the one you love.

The next phase is Contemplation: Here you begin to weigh the time, effort, and cost necessary to make lifestyle changes. This is a very important step and I encourage everyone to put a little thought and focus into this one. For example, reviewing your family schedules, or budgeting your finances, and your considering all your options, etc.

Thirdly comes Preparation: You fall in this category if you are demonstrating efforts and plans to initiate changes. Youre getting closer now, if you can just get yourself to this stage! Deciding the gym or trainer of your choice etc.… would be examples.

Next comes Action: This is where you are actually in the process of making changes. When you get to this stage, you are well on your way to improved health and fitness habits as a way of life, and you can absolutely do this! Like training with weights and completing cardiothree to four timesa week, or eating sensible healthy meals that include a nice combination of healthy fluids, protein, moderate good carbohydrates, and healthy fat choices, etc...

Finally, after successfully completing these stages for change you must prepare for maintenance. Here you have demonstrated the ability to achieve your goals and are in the process of establishing methods to monitor and control your new behavior of exercise as a way of life. I am taking a wild guess here, but I bet you fall in this category, right? If you are in this category,keep up the good work! If you do not fall in this category, I have faith in you, and you should have faith in yourself, because with a little planning and change you will be on your way towards achieving your first realistic fitness goals in no time. It is never too late to start your exercise program.

Here are a few essential keys to successful change:

Develop a true desire to confront and face any fears about a healthy life style. Your better health is worth the effort.

Believe in yourself, you can be in the best shape of your life.

Gather knowledge that will help you achieve a healthy lifestyle change logically.

Write down your fitness goals, review them daily, and take action to achieve them. Set realistic short term and long-term goals.

Be prepared for setbacks because you will have them. Simply view them as learning experiences for continued success. Never give up!

Monitor, evaluate, and reward your progress.

As you identify and incorporate realistic changes towards your healthy lifestyle, I encourage you to keep a positive attitude. Dont allow anything to stand between you and your goal of feeling better, looking better, and performing better. Improving individual health benefits like lowering your blood pressure or cholesterol are great motivators that will help fuel your exercise program as a way of life.

Until next week, keep up the good work and please go out and make it anutritious and healthyday! To get started on healthy weight loss and nutrition call Reggies Personal Training& Nutrition, 104 E. Main, Downtown, Shawnee, (405) 613-0237, or message me on Facebook at Reggies personal training and nutrition. Ask about the 24-day challenge that jumpstarts weight loss, tones you up, and improves health!

Reggie Grovey is a local 21-year fitness professional and nationally certified personal trainer and Advocare Nutrition independent distributor.

Original post:
Helpful insight for starting your exercise and wellness program - Shawnee News Star

Dear Editor,

This robust study adds to a lacking literature base regarding prescribed training techniques in an elderly population. Exercise represents a challenge for the elderly population for number of reasons, but the potential benefits are considerable [1]. Despite this, the study population examined appeared to be highly motivated, particularly in the control group. This likely contributed somewhat to the non-significant findings.

On the subject of evaluating adherence, Ormel et al. performed a large-scale systematic review of prescribed exercise in cancer patients. The important relevant factors that improved adherence included high motivation, regular feedback from trainers and a good level of baseline physical fitness [2]. This shows highly motivated elderly people will engage in prescribed exercise programs. However, the question is how do we engage those who are perhaps lacking motivation, have lower baseline fitness levels and may need more active expert input. An important consideration is how the demographics of the population can determine health outcomes. It would be interesting to see the outcomes in less motivated, co-morbid individuals, and in different socioeconomic circumstances. As shown by Costello et al., motivating factors for inactive and active individuals are similar; health concerns, socialisation and tailored exercise programs [3]. However, inactive individuals had more perceived barriers and lower fitness expectations of an older adult.

Another important question is whether the type of exercise affects adherence. In the present study, drop out rates are relatively higher for high-intensity interval training (HIIT) and moderate-intensity interval training (MICT), than for the control group. HIIT is well established as an effective form of exercise, which promotes cardiovascular health [4]. Studies comparing HIIT to traditional high-volume training (HVT), tend to find comparable effects in VO2max [5], VO2 kinetics and lactate threshold [6]. Therefore, HIIT is potentially as affective but more time-efficient. In this study there was a significant reduction in all-cause mortality in the HIIT versus control group. However, all groups did have a reduction in comparison to the general population. Thus, involvement in an exercise program of some form leads to beneficial outcomes though future studies should investigate the effects of time input for outcomes of HIIT vs. HVT, and determine whether this has any effect on adherence.

1 Benjamin E, Virani S, Callaway C, et al. Heart Disease and Stroke Statistics2018 Update: A Report From the American Heart Association. Circulation. 2018;137(12).2 Ormel H, van der Schoot G, Sluiter W, et al. Predictors of adherence to exercise interventions during and after cancer treatment: A systematic review. Psycho-Oncology. 2018;27(3):713-724.3 Costello E, Kafchinski M, Vrazel J, et al. Motivators, Barriers, and Beliefs Regarding Physical Activity in an Older Adult Population. Journal of Geriatric Physical Therapy. 2011;34(3):138-147.4 Weston K, Wislff U, Coombes J. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. 2020.5 Gibala M, Little J, Van Essen M, et al. Short-term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. The Journal of Physiology. 2006;575(3):901-911.6 McKay B, Paterson D, Kowalchuk J. Effect of short-term high-intensity interval training vs. continuous training on O2 uptake kinetics, muscle deoxygenation, and exercise performance. Journal of Applied Physiology. 2009;107(1):128-138.

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Re: Effect of exercise training for five years on all cause mortality in older adultsthe Generation 100 study: randomised controlled trial - The BMJ

Putnam Seniors were thrilled to be able get together when the Putnam County Office for Senior Resources hosted 2 live outdoors events during this past Fall Prevention Week. These events were aimed to educate and inform Seniors on the risks and dangers of falls and to develop fall prevention skills and awareness. They also served to bring seniors together after many months of isolation due to the corona virus.

Over 60 seniors attended the events Putnam County Veterans Memorial Park on Tuesday, September 22ndand Wednesday, September 23rdat Putnam Valley Town Park. The events were supported by the Putnam County Department of Health, Nuvance Health Putnam Hospital Center and New York-Presbyterian Hudson Valley Hospital. Events featured balance and tai chi exercises by instructors Naomi Cohen and Kim Cercena, and lectures and fall risk assessments by hospital physical therapists Kirsi Vera of Putnam Hospital and Jaclyn Cameron of Hudson Valley Hospital. Discussions on the impact of nutrition, medications, and home environment obstacles were led by OSRs nurse, Michael Lambe. Lunch was provided and served by OSRs nutrition staff.

This was the first in-person event hosted by OSR since March and it was blessed with sunny weather. Safe practices were readily adopted by the participating seniors all wore face masks and readily maintained social distancing throughout the event. Originally planned as a virtual program, Michael Cunningham, OSR Director, saw an opportunity to promote live programs with the prospect of more comfortable weather and the availability of large covered pavilions. The idea was also adopted by neighboring Dutchess, Rockland and Orange Counties.

Putnam County asked for and received a Proclamation from New York States Office for the Aging and the Governors Office which highlighted:

The prevention of 1 fall could result in cost savings of hundreds of thousands of dollars in emergency medical treatment, hospitalizations, in-patient rehabilitation and convalescent care, and subsequent home assistance. Multiply that by the numbers of seniors who participated in these 2 events and others statewide and the payback on the investment of time and effort in organizing these Fall Prevention Expos could be staggering.

The rest is here:
Stand With Us Putnam County's Fall Prevention Expo for Seniors - HamletHub

Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, its the only thing that ever has.

These words by Margaret Mead could easily apply to a small group of Sterling citizens who helped change our community in the late 1960s. Many older adults in our community were gathering at what is now the Sterling Foursquare Church to play cards and share in social and recreational time together. From that group the Senior Citizens Club was organized and chartered Oct. 6, 1969, with their mission being To add Life to Years, Not Years to Life. Over time the group ran out of room and decided that they needed a space of their own. In partnership with the Logan County Recreation Commission they were able to move activities to the Christ United Methodist Church annex three times a week.

This organization was the driving force in establishing the Logan County Heritage Center, they petitioned the City of Sterling for a space they could call their own. On Aug. 15, 1975, the Heritage Center opened its doors, at its current location of 821 N. Division Avenue; 255 members attending daily for pool, cards, games, music and dancing. At that time the Heritage Center was operated and financed through City of Sterling Recreation. In November of 1989, in an agreement between the City and the County the Heritage Centers operations and maintenance became the responsibility of Logan County.

The Logan County Council on Aging which started the 55 Plus Bus and offered in-home services to help keep our older adults safely at home, took care of the daily management of the building. Over time, due to how funding sources were distributed, the Area Agency on Aging absorbed these programs and continues to offer these services to Logan County citizens. The Council on Aging still calls the Heritage Center its home, and continues to help serve older adults needing assistance and continues to guide the Heritage Center as it grows and expands.

The Area Agency on Aging has a Senior Citizens Coordinator office on location to provide information, referrals, and senior health insurance counseling, in addition to other in-home services. The Area Agency on Aging also funds and manages the nutrition program, Meet & Eat. Once hosted at the Episcopal Church it has been at the Heritage Center since 1988. The Meet & Eat program provides meals at the center (when not closed due to COVID-19 restrictions) for those who want to share a meal and conversation with their peers, or you can have the meal delivered if you are 60 years of age and older.

In the fall of 2008 Tivity SilverSneakers exercise program was added to the lineup of the many activities and programs hosted at the Heritage Center. SilverSneakers Yoga led by certified instructor Kathy Graham is on Mondays and Wednesdays at 10:00 a.m. offering yoga and on Tuesdays and Thursdays, at 10:00 a.m., the center offers SilverSneakers Classic led by certified instructor, Cynthia Mills. Most recently one of their very own exercise patrons, Dorothy Hood was recognized as a finalist for the prestigious SilverSneakers Swanson Award.

Many of the Heritage Centers programs operate with the help of volunteers. They are blessed by many who are willing to share of their time and energy. They are tremendously grateful to their volunteers who have kept the centers meals going and to those who help the centers higher-risk adults with grocery shopping/errands during these unprecedented times.

The Heritage Center is staffed by a full-time coordinator, Cynthia Mills, part-time assistant staff members Mary Ann Berg, Jane Mullanix, and Joni Thompson, and custodian Julie Boren. They enjoy working with their Area Agency on Aging partners Tiffany Cady, Tracy Miracle, Karen Ness and Brenda Nelson. They want to thank those officers and board members serving on the Council on Aging and the Senior CitizensClub that have kept that 1969 spirit alive, To Add Life to Years, Not Years to Life. Please call the Logan County Heritage Center if you are interested in volunteering with them or if you would like more information at (970) 522-1237 or email us at heritagecenter @kci.net.

Please join the Logan County Chamber of Commerce in congratulating the Logan County Heritage Center as this weeks Business of the Week and for their efforts in tying our community together!

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Business of the Week: Logan County Heritage Center - South Platte Sentinel

Banner Payson Medical Center is excited to share its newest health care program for the Rim Country community. Banner now offers cardiopulmonary rehabilitation services in Payson. Qualified rehab staff is available to complete assessments and treatment and are accepting new patients.

They are also joined by a mental health professional to help those who may struggle with anxiety or depression because of their health issues. It can be difficult to follow through with treatment when a patients emotional wellness is also challenged. Seeking to remedy this, the cardiopulmonary rehab treatment uses a holistic approach to manage ongoing health concerns.

Physical fitness is also a big part of the overall treatment. The programs goal is to get patients exercising in a closely monitored environment. Through the benefits of exercise patients feel better and improve chronic health conditions. We hope that the positive experience will lead patients to a lifelong relationship with exercise outside of their cardiac treatment and a higher quality of life, explains Lance Porter, Banner Chief Executive Officer.

According to the American Heart Association, cardiac rehabilitation can greatly improve the health and recovery of those who suffer from cardiovascular disease. Benefits include a 47% reduction in all-causes of mortality in patients who participated in cardiac rehab compared to non-participants.

In a recent study conducted by the University of Tennessee School of Nursing, it was found that Enrollment into a pulmonary rehab program after COPD exacerbation results in decreased dyspnea (shortness of breath) at six-month follow up and quicker recovery time as compared to patients who are referred to pulmonary rehab longer than six months after exacerbation. The facts are in and rehabilitation programs like this one deliver truly excellent patient results.

Potential patients

The cardiac rehabilitation program is designed to help patients who have recently experienced a cardiac event. This program helps patients regain strength and energy, speed recovery, and prevent heart issues in the future. This program uses exercise conditioning, strength training, nutritional counseling, education and emotional support. Candidates include those who have experienced:

A heart attack or heart failure

Angioplasty or coronary artery bypass grafting for coronary heart disease

A heart valve repair or replacement

Any other recent cardiac event

The pulmonary or respiratory rehabilitation programs are designed to help patients breathe easier, despite any lung condition. This program uses exercise conditioning, strength training, nutritional counseling, education and emotional support. Candidates include those who have experienced chronic obstructive and pulmonary diseases such as:

Interstitial lung disease

Course of treatment

After an initial evaluation, patients will receive an individualized treatment plan designed around his or her specific needs. The plan is developed jointly with the patient and their health care provider(s). Most patients complete their treatment within 8 to 12 weeks. Benefits from the program can include:

Reduced symptoms of shortness of breath, chest pain and fatigue

Reduced emotional stress, depression and anxiety

Improved flexibility and muscle tone

Improved energy level and mood

Quicker return to work or other activities

Reduced medication costs

Meet the experts

Banner has brought on experts to lead the program: Judy Lee, MSW, LCSW, is the program director and counselor; David Gorr, CRT Respiratory Therapist, oversees treatment.

A person gets referred either by calling us directly or through their physician, says Lee, We the program staff take things from there. We will check insurance, contact the primary care physician, and get the patient scheduled for an evaluation/assessment. Thereafter, the respiratory therapist and other clinical staff communicate with the patient, physicians, and even family on a regular basis. All reports get sent to the patients doctor.

Lee is an experienced leader and has worked with similar programs in the past. She recognizes how crucial the conversation is with both the patient and their doctor.

Once we begin working with a patient, we maintain communication with the physician, as this is a vital part in tracking a patients progress, says Lee.

Her passion for this program is contagious and her concern and care for her patients is apparent in all she does. Looking to the future Lee also plans to bring a behavioral health program for older adults to Banner Payson Medical Center. I have seen so many people whose lives have been transformed by programs like this one. Its pretty amazing and I am honored to be a part of that.

The new Cardiopulmonary Rehabilitation Center is on the hospital campus and open for new patients. Please call 928-596-4577 for more information.

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Cardiopulmonary Rehabilitation at Banner Payson | Health - Payson Roundup

Generations Healthcare announces the opening of their new memory care center in Temecula, California.

TREMECULA, Calif. (PRWEB) October 13, 2020

Temecula Memory Care Center, a 64-bed memory care facility belonging to Generations Healthcare of Santa Ana, Calif., is now open and accepting residents. Located at 44320 Campanula Way in Temecula, the facility serves patients with Alzheimers, dementia and other mental health diagnoses. As part of the 80,000-square-foot Temecula Healthcare Center campus, Temecula Memory Care Center offers patients unique access to all of the services of a skilled nursing facility in addition to memory care services.

The staff at Temecula Memory Care Center is committed to providing a secure environment in which residents can enjoy a fulfilling life and participate in activities that help delay cognitive decline. Activities and social programs are designed to improve self-sufficiency, self-confidence and cognition, intending to help those with dementia maintain their independence for a longer period of time. Other services include the following:

The level of services an individual patient needs can vary greatly depending on each individuals health and circumstances. The facility takes a personal approach to memory care and customizes programs to engage each resident in memory care activities, with the goal of ensuring an uplifting experience for all.

The interest list for new residents with a desire to move into this beautiful, newly constructed facility is filling up quickly, said Jim Geddie, administrator of Temecula Memory Care Center. I am proud of our incredible team of professionals and the proven outcomes that we are able to offer our residents.

In addition to the services the facility offers, the following amenities and features are also available:

To watch this facility take shape and finally come to this point has been an incredible experience, Geddie said. We are honored to have the opportunity to welcome memory care patients into our facility and help them feel at home.

Temecula Memory Care Center is now accepting patients. For more information, call the main line at (866) 345-4636 or the facility cell at (714) 873-5203.

About Generations HealthcareGenerations Healthcare began operations in January 1998 with a single, 89-bed skilled nursing facility. Since that time, Generations has grown to 30 facilities comprising over 3,200 beds. Generations Healthcare was founded upon the belief that caring for the sick, the elderly and the infirm is a special and sacred stewardship. Guided by the values of kindness, competence and compassion, Generations operates these skilled nursing facilities throughout California, along with one newly built facility in Henderson, Nevada. Since its inception, Generations has established an excellent reputation in the communities served by its facilities because of its focus on quality, service and regard for the changes facing older adults in todays world. For more information about Generations Healthcare, visit http://www.lifegen.net.

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If you bought a stability ball to use at your pandemic home work station, or dusted off the unused one in the basement, you might want to sit down for this reality check on a traditional chair. Claims that stability balls will strengthen your core have little backing in research. In fact, sitting on a stability ball, also known as a balance ball, exercise ball or Swiss ball, could have detrimental effects.

Manufacturers often promote stability balls as both workout equipment and furniture. Advertisements assert that although the products can be used to make exercises more challenging by doing sit-ups atop the balls, for example, or propping your feet on them to do pushups simply using them as desk chairs improves posture and facilitates a core-strengthening workout.

The hype seems to have worked. Sales of balance balls grew 67% from January through July 2020, compared with the previous year, according to figures gathered by the NPD Group, a market research company. An NPD spokeswoman said sales grew the fastest in March, April and May, corresponding to the time when many gyms were closed and Americans were starting to work from home.

Balancing on an unstable surface does require engagement of your core your abdominal, lower back and pelvic muscles. And engaging your core helps it grow stronger, which should improve posture and lessen back pain. Thats why people do exercises on top of stability balls. Thus, the idea that office workers could gain similar benefits by using balance balls as desk chairs doesnt seem that far-fetched.

But its not a theory backed by science, according to Brian Lowe, a research industrial engineer at the Centers for Disease Control and Preventions National Institute for Occupational Safety and Health. He and his colleagues were concerned when they saw workplace wellness campaigns bearing images of employees sitting on stability balls because they werent sure sitting on a free-rolling stability ball was an appropriate general workplace recommendation, Lowe wrote via email.

After examining the issue, they published a commentary in the American Journal of Health Promotion in March 2016 that ended, Although the existing body of literature is small, and the studies have limitations . . . the literature to date does not suggest significant health benefits to justify unstable sitting as a health promotion practice. Until studies showed more conclusive benefits, they added, workplace recommendations involving stability balls should be viewed skeptically.

Diane Gregory, an associate professor in the Department of Kinesiology and Physical Education at Wilfrid Laurier University in Waterloo, Ontario, was an author of one of the studies cited in the commentary. That paper, which compared balls with office chairs, concluded that prolonged sitting on a stability ball does not greatly alter the manner in which an individual sits, yet it appears to increase the level of discomfort. She also was a co-author on a 2013 study, which found that gradually acclimating to sitting on a stability ball might ease the lower back discomfort caused by the balls, but again did not see an improvement in trunk strength or posture.

The amount of movement that these unstable surfaces allow for really is not so much more so that the benefits outweigh the potential consequences, Gregory said in a telephone interview.

Discomfort is not the only potential problem. Another negative found in one of the studies cited by Lowe is spinal shrinkage, a decrease in spine height due to flattening of the discs between the vertebrae. Increased movement of the spine, if beneficial, should reduce disk shrinkage because the beneficial movement would increase fluid exchange within the intervertebral disc, Lowe said. The loss in spinal height due to intervertebral disc shrinkage calls into question any benefits on the spine.

Lowe also notes anecdotal evidence among ergonomics professionals of people falling from the free-rolling stability balls; balls that are set on a base with a backrest should lower that risk.

And what about the idea that balancing on a stability ball will help you burn extra calories, which is sometimes cited as a benefit? Two studies that measured the difference between sitting on a regular chair and on a stability ball concluded that the difference was approximately 4 calories per hour, Lowe wrote, which works out to only about 30 calories over an eight-hour work day.

None of this is to say that stability balls dont belong in fitness routines (the question of stability balls as a solution for hyperactive students is also a separate issue). Physical therapists often incorporate these devices in dedicated exercise programs and that may be appropriate particularly in a supervised exercise program, Lowe said. But, as Gregory points out, no one is expected to participate in any workout that requires core activation all day. We dont want to have a muscle activated and then stay activated for a period of time, she said.

Tessa Elliott, a physical therapist who works for Emory Healthcare in Atlanta and did research on balance balls as a doctoral candidate, says the balls can help patients build endurance in their deep abdominal muscles. Using an unstable surface allows those muscles to be turned on, she said.

Elliott was part of a team at Armstrong State University in Savannah, Ga., that compared stability balls with desk chairs. The 2016 study, published after she graduated, concluded that sitting on a stability ball did not reduce lower back pain, though it did improve endurance in the muscles that control forward and backward movement. Still, Elliott said, sitting on a ball all day isnt something she would recommend as a strategy to specifically target core endurance.

The bigger picture is that a healthier way to sit is varying what we sit on, she said. So, she suggested, an at-home worker could switch between, say, a traditional chair, a stability ball, a backless stool and standing (standing all day, however, is also detrimental to the body, she pointed out). Its also important to pay attention to posture and get up and move as often as possible, even if it is just for a few seconds, she added in an email.

Gregory isnt averse to people using the balls for short periods of time, if theyre really interested in doing so. I would say, maybe work up to an hour, she said, but at the end of the day, I dont think anyone should be sitting longer than an hour, even in a fancy office chair.

Get up and move around often, she added. Thats going to be so much more beneficial than anything youre sitting on to begin with.

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You might want to rethink using a stability ball as your desk chair - Longview News-Journal

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