Exam (elaborations)
NBHWC KNOW YOUR NUMBERS
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NBHWC KNOW YOUR NUMBERS
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NBHWC KNOW YOUR NUMBERSAverage blood glucose past 2-3 months ANSWER : - Hemoglobin A1C -
Normal < 5.7,%
PRE-Diabetes 5.7% -6.4%
Diabetes 6.5%
(5) METABOLIC Risk Factors ANSWER : - 1) Lg Waist Measurement - Men > 40", Women > 35"
2) BLOOD PRESSURE - EITHER NUMBER > 130 / OR > 85
3) HIGH Triglycerides - > / OR = 150 mg/dL
4) LOW HDL - Men < OR = 40, Women < OR = 50
5) FASTING Blood Sugar - > 100
>>>> PRE-Diabetes > OR = 100 - 125
>>>> Diabetes > OR = 126+
DESIRED!!!!!! Cholesterol Levels ANSWER : - < 200 Total Cholesterol
< 150 Triglycerides
< 100 LDL
> 60 for Men AND Women
(see CVD info re DIFF #'s for men and women)
C-reactive protein (CRP) ANSWER : - - Blood test used to measure the level of inflammation in the
body;
- May indicate conditions that lead to cardiovascular disease
The lower is CRP, the lower is risk of heart attack & stroke
Some docs use meds to lower CRP
Blood Pressure - Normal, At Risk, High ANSWER : - < 120 / AND < 80, NORMAL BP
120 - 139, AT RISK BP (PRE-hypertension)
, 140+, HIGH BP (HYPERTENSION)
DOWNLOAD Coaches SCOPE of PRACTICE - AND
KNOW IT, KNOW IT, KNOW IT, KNOW IT!!!!!!!!!!!!!!!!!!!!
Know what is IN and what is OUT of the scope of practice. ANSWER : - eg. nutritional counseling
Coaches don't diagnose or prescribe.
Decipher is answer is EDUCATION OR COACHING piece?
Tell client WHEN you are wearing EDUCATOR HAT
Share the education material - ex exercise/movement guidelines,
THEN - you HAVE TO GO BACK to COACHING HAT
ex.
- Now that I shared that with you, what's your evaluation of that info?
- Is there something you would like to do with that education piece?
Application and integration of information. Coach is about coaching around LIFESTYLE CHANGE!
From Motivational Interviewing. (See scope of practice question) ***** ANSWER : - - ELICIT (ask USE
OARS - MOSTLY active listening and reflecting) (don't push client understand what they think, feel, etc
about something - be CURIOUS) (Helps client focus and move toward next step forward movement)
- PROVIDE / SHARE
- ELICIT
Review MOTIVATIONAL INTERVIEWING material ANSWER : - can look at videos ONLINE if you haven't
read the book.
Motivational Interviewing - Bottom Line Content ANSWER : - OARS
Open-Ended Questions
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