September 29th, 2009 — Uncategorized
Open Inquiry
Do ask about tribal, ethnic, or background differences that are obvious or are made obvious by information provided by the client.
Don’t insist on a more thorough exploration of these differences than is offered.
Do realize that acculturation and cultural identity are ?uid and developmental.
Don’t assume all members of a given family group or couple have the same levels of cultural identity or the same experiences interfacing with the dominant culture.
Family
Do recognize that for many or most nondominant cultures in the United States, the role of family is central. The concept of family is often broader, more inclusive, and more de?nitive in a given individual’s sense of identity. Therefore, be attuned to matters of family with heightened awareness and sensitivity.
Don’t impose either your own de?nition of family or the de?nition of family you’ve read about with regard to the client’s culture. Simply be open to the client’s sense of family.
Do graciously allow family members to attend some part of an initial interview if they so request.
Don’t de?ne family strictly along biological lines.
Communication Styles
Do remember that patterns of eye contact, direct verbalization of problem areas, storytelling, and note taking all have culturally determined norms that vary widely.
Don’t assume a chatty or overly familiar style, even if that is your predominant style. Strive to demonstrate respect.
Do ask for clari?cation if something is not clear.
Don’t ask for clari?cation in a manner that suggests your lack of clarity is the client’s problem.
September 29th, 2009 — Uncategorized
Therefore, for many in the group visual cues will dominate as the motor skill learning mode. In order to engage participants whose hearing is compromised,186 Exercise Leadership in Cardiac Rehabilitation larger, exaggerated gestures should be used to accentuate required exercise manoeuvres. Commands and gestures by the leader should be the same, so as to help the exerciser obtain maximal information for performing the exercises properly. It is important to position yourself to be seen by the class, frequently turning to let the group observe a speci?c detail of an exercise. For example, turn to face away from the group or side on in order to let them see how to perform a calf stretch: I am going to turn round. Can you see how my back foot is straight and that there is a space between my feet to help my balance? As most motor skill learning results from visual cues, demonstration by the exercise leader must be accurate, as the participants are virtually copying the leader’s performance.
Mirror image When facing the group there is a mirror image: the leader can confuse the group with direction changes of left and right. If you ?nd using left and right dif?cult, give direction instructions using objects or room features: We are going to move towards the door orWe are going to take four steps towards the window.
Similarly, when moving the group forward the leader should move backwards, i.e. same direction as the group. Otherwise, the group will not see the leader: I want you to move forward for three beats and clap on four. Ready, and come forward two, three…. .
DEMEANOUR OF LEADER The demeanour of the leader is a signi?cant factor in the success of CR, and is regarded by the American College of Sports Medicine as a major factor in enhancing exercise adherence .
September 29th, 2009 — Uncategorized
Vongvanich, P., Paul Labrador, M.J., Merz, C. Safety of medically supervised exercise in a cardiac rehabilitation centre. American Journal of Cardiology, 77, 1383
September 29th, 2009 — Uncategorized
Free Aerobic
This type of training involves the exercise leader performing the exercise at the same time as the group and teaching the group at the same time.The class follows the exercise leader’s commands and demonstrations. This type of activity is often used in the warm up part of the class. Free aerobics can provide a large variety of exercises and require very little equipment. A disadvantage is that monitoring and maintaining subjects in their training zones are more dif?cult.
RESISTANCE TRAINING Muscle strength, endurance and aerobic function are required for a fully active lifestyle . Muscle strength is de?ned as the ability of a muscle or muscle group to produce maximal force at a given velocity of movement.Muscle endurance is the ability of a muscle or muscle group to perform repeated muscle actions against a sub maximal resistance .
00:00:00 00:10:00 00:20:00 00:30:00 00:40: Time in minutes Heart Rate Figure 4.2. Heart rate pattern in an interval circuit exercise. Training heart rate zones between dotted lines.110 Exercise Leadership in Cardiac Rehabilitation Resistance exercise incorporates all types of strength and weight training and will lead to improvements in both muscle strength and endurance.RE has many proven health bene?ts, including increases in lean muscular mass, and it has been shown to complement aerobic exercise in the maintenance of basal metabolic rate, important for weight management .
In addition, RE can reduce the risk of falling by improving muscular strength and balance . Favourable effects on bone density are associated with resistance exercise .Many women in CR, if they are older, will be post menopausal, and for this group prevention and treatment of osteoporosis are added bene?ts.
September 27th, 2009 — Uncategorized
Afterwards I decided to go to the library for a couple of hours to read up before my first discussion group. Each week we study the case with our tutor group (consisting of about 12
September 27th, 2009 — Uncategorized
Dr. Flapan’s article presents a challenge to each one of us: to value ourselves, to pursue meaningful interests and goals, and to develop as people. Think about all we can still accomplish if we set realistic standards for ourselves. Think about undertaking a hobby, whether it is mushroom hunting, ham radio, or amateur astronomy. Think about helping to better the world: join Amnesty International’s letter writers and write to governments on behalf of unfairly imprisoned or tortured individuals. Lend your weight to an environmental group that is trying to curb pollutants and toxic chemicals. Tutor a youngster who needs help with reading, or just offer to let him or her read to you once or twice a week. Set up an international student exchange plan in your local high school. Join a Parkinson’s support group to help (and be helped by) other people with Parkinson’s and to share activities. The possibilities are endless.
I want to end with an excerpt from a piece titled “Mirror, Mirror on the Wall,” by Ellen Levin, the eighteen year old granddaughter of someone who has Parkinson’s (it was published by Parkinson’s Educational Program [PEP USA] in Newport Beach, California): I want you to move closer to the mirror, until all you look at are your eyes. I want all of you with Parkinson’s to look at your eyes and realize that your eyes have helped you to see life and happiness, and no matter how your outer body appears to others, you’ve got an inner body. An inner soul that no affliction could ever cause to tremble, a soul that can store all the happiness you want out of life. And it is a soul, your soul, that won’t give in to depression.
