Winter 2010 Volume 13, Issue 1 - McCrone Healthbeat

Winter 2010 Volume 13, Issue 1 - McCrone Healthbeat

Winter 2010Volume 13, Issue 1byTerri CormierAs I glanced over the cover of a recent issue of Silver and Gold, a magazine popularwith retirees in southern Ontario, my eye caught the headline: Retirement: Searchingfor a Sense of Community. “I’m going to take this home”, I thought. “I want to read it.”I wanted to read it because, as Marketing and Client Services Managerfor Retirement Miramichi for the past eight years, watching ourcommunity grow to near capacity with half of our tenants beingwith us for five years or more, I have come to know, with a certainamount of pride, that a great sense of community is our biggest asset.What I was curious about, however, was just howimportant is a sense of community to today’sretirees, many of whom are coming froma large impersonal world where you livebeside somebody for yearsand don’t know their name.Miramichi, New Brunswickis known far and wide forits hospitality; as a nativeMiramichier, that I alreadyknew. Our local paperregularly prints letters frompeople who have passedthrough; maybe they werelost, maybe they had a flattire, maybe they werevisiting, or maybe they moved to RetirementMiramichi. All of them are pleasantly surprisedto find that old-time friendliness, hospitality andhelpfulness are not totally obsolete in today’s rushedworld. Not here, anyway. Even the teenagers smile andsay hello when you pass them on the downtown streets.Recently, as I was showing and telling some visiting clientsfrom Ontario about our retirement community, wewere joined by a couple of tenants who were, well,being friendly. “I think the nicest thing about this place is thatthere is a real sense of community”, one tenant said.“Our community is contained, so your neighbours and the peopleon the next block are retirees too. Everybody is in the samephase of their lives, so we share similar interests and concerns. Eightypercent of us are from somewhere outside Miramichi, so we all sharethat. And now that we’re retired, we have time. Time tobe part of a community.”“Yes,” I mused, having my own thoughts validated by the tenant’scomment. “I’m becoming quite convinced of that too..” Before I couldfinish my thought, the other tenant piped up: “It’s in everybody’sinterest to look out for each other, but they’re not on your doorstepevery morning with the coffee cup. You can be as involvedor uninvolved as you like!See Miramichi page 5Canadian Publication Sales Agreement #40029443

2 Winter 2010EducationWinter 2010 - Vol. 13, Iss. 1For more information please contact:Advertising: Cheryl Leecheryl@mccronehealthbeat.comToll Free – Ph 1.800.727.0782Publisher: Jan Henry, McCrone Publicationsjan@mccronehealthbeat.comLetters & Articles: Jay Sherwoodjay@mccronehealthbeat.comGraphic Design: Jackie Vogtdesign@mccronehealthbeat.comPublished by:McCrone Publications9768 – 170 Street, #319Edmonton, AB T5T 5L4Ph: 780.413.9342 Fax: 780.413.9328Toll Free – Ph: 1.800.727.0782www.mccronehealthbeat.comOur MissionTo provide healthcare professionals with jobopportunities, continuing education, newproducts, resources, and editorials to help themsucceed in their careers.Publication PolicyHEALTHbeat is published in print and online (witha link direct to your web page) and distributed atno cost to healthcare professionals throughoutCanada in hospitals, community health centres,extended care facilities, clinics and health sciencefaculties at colleges and universities.Editorial PolicyHEALTHbeat assumes no responsibility or liabilityfor claims made for any products or servicesreported on or advertised in the publication.All contents are the property of HEALTHbeat andcannot be reproduced in any form without writtenconsent of the publisher.Articles submissions are welcome. They should beoriginal and signed by the author. HEALTHbeatreserves the right to edit all articles submitted.SubscriptionsA new low rate of $25/yr, please call McCronePublications for more information. To haveHEALTHbeat delivered to your facility contactMcCrone Publications at the numbers listed.Publications Mail Agreement No. 40029443Return Undeliverable Canadian Addresses to:McCrone Publications, 9768-170 Street #319Edmonton, AB T5T 5L4email: info@mccronehealthbeat.comThe following quote is from a nursing school’srequirements for people wishing to be accepted tothat particular school. The applicant must be “ofgood behaviour, distinguished for purity, possessedof cleverness and skill, imbued with kindness,skilled in every service a patient may require,competent to cook food, skilled in bathing andwashing the patient, rubbing and massaging thelimbs, lifting and assisting him to walk about, wellskilled in making and cleansing of beds, readying thepatient and skilful in waiting upon one that is ailingand never unwilling to do anything that may beordered.” (Charaka (Vol I, Section xv) as cited It sounded very much like the requirements fornursing schools in the 1950’s. The difference is thatthis quote comes from the world’s first documentedschool that was started in India about 250 BC. Thisschool only recruited men (very different from the1950’s) because only men were considered “pure”enough to become nurses.I cite the above because we all think that bothlicensed and registered nurses who are male arefairly recent phenomena in the profession. Today,nursing continues to be a female dominatedprofession with men making up only around 6% ofall members. According to Anthony, (2006, p.46 )there is a collective memory loss of men’s historicalcontribution to nursing. Indeed, paid nursing was anexclusively male dominated field for most of humanhistory, starting with the world’s first nursing schoolwritten about above, continuing through the middleages and lasting until the mid 1800s. On the otherhand, throughout history, unpaid nursing has beenexclusively the province of women. “Nursing” theirbabies, caring for children and partners, practicingmid wifery, and then taking care of their parents inold age, has been expected of women, and whileconsidered “nursing” it was almost all unpaid.What were the factors that provided the rightenvironment for the startling decline in the numbersof men in nursing in the mid 1800s? At that time,1800’s England was fighting in the Crimean War, andthe United States was embroiled in the Civil War. Intimes of war, men usually became nursesinvoluntarily “on to spot” in an effort to save theirfellow soldiers’ lives During the Civil War both sideshad military men serving as nurses. The ConfederateArmy identified thirty men per regiment to care forthe wounded. The Union also had men in theMen in Nursingmilitary serving as nurses. War was not the realm ofwomen. This was the case until Florence Nightingalewas allowed on the battlefield to minister to soldiersduring the Crimean War. At the time, changingperceptions of women’s roles in Victorian England.She established the idea that nursing was a woman’sprofession; it was natural for women to be nursesand unnatural for men.Nightingale was well educated and influential. Sheadvocated that nursing was an ideal occupation forgentlewomen and used nursing as a “platform foremancipation from the limitations she faced as asingle woman in Victorian England” (Anthony, 2006p.45). In her writings, she aligned nursing with thetraditional women’s roles of mothering and caring.Men she said should not be involved in nursingsuggesting that their “horny hands” weredetrimental to caring and were excluded since theydid not have a natural capacity for mothering orcaring. While Nightingale is credited as the founderof modern nursing, little is mentioned about herinfluence on the feminization of the profession.At the beginning of the 20th century only 2 UnitedStates nursing programs for men were in existence.Both of them focused on clinical areas that weredeemed suitable for men. These were: psychiatryand urology. Men who had been admitted to ageneral nursing program to qualify for registrationas a nurse, were not permitted clinical experience inobstetrics. It wasn’t until the later in the century andmost particularly the 1950s that nursing schoolsopened their doors to men who aspired to benurses. (NurseSentry of Canada, p.1)What is the status of the male nurse in today’sworld? Most of the evidence that I could find on theinternet is anecdotal and is divided on the issue ofdiscrimination based on personal experience. Forexample, one male RN asserts that he is at ease inthe workplace and that any career path he haschosen or will choose to make is open to him. Hesays that the “...perception that men are stymied innursing today is overblown..”. (Hilton, 2001 p.1) Inthe same article there are numerous stories by menabout their experiences in nursing that were criticalof their female colleagues for their attitudestowards them.In an article by Brian Brown, the notion that it is moredifficult to be a male nurse than a female ischallenged. Brown suggests that despite their fewernumbers men are more likely to earn more and beEditorial: by Jennifer (Jay) Sherwood, BScN, MEd.appointed to leadership positions more frequentlythan their female counterparts. In a literature reviewdesigned to describe the perceived or real barriers tomen seeking a career in nursing, Coleman and Roth(2008) suggest that while nursing has changed in thelast 50 years, the changes have had little effect onthe public’s perception of a nurse. As a result thereare still the gender biases that have an effect on thebarriers that still exist.With the nursing shortage in the present day there isrenewed interest expressed in recruiting men intothe nursing profession. Some writers suggest that thepersistent and outdated stereotypes of nursing as awoman’s profession have stimulated recentrecruitment efforts directed towards men. Afterall, they say to not do this is to ignore 50% ofthe population!Sometimes when I write an editorial I come acrosssomething that I have never considered before.While I do not consider myself a student of nursinghistory, I do know that anything that I ever learnedabout, read about or heard about focused onwomen’s contribution to nursing throughout theages. I have never considered men’s rich history ofcontribution to the profession. I applaud the groupsthat have formed to support their male colleaguesin nursing and the publication of historical factsthat shed new light on men’s traditional roles inthe profession.ReferencesAnthony, Ann. Tear down the barriers of genderbias. Men in Nursing. August 2006.www.meninnursingjournal.comBrown, Brian. Men in nursing: Re-evaluatingmasculinities, re-evaluating gender. ContemporaryNurse: Healthcare Across the Lifespan, Vol. 33:2 pp:12 – 129., Christopher and Jay Roth. Perceived andReal Barriers for Men Entering Nursing: Implicationsfor Gender Diversity. Journal of Cultural Diversity,2008. www.britannica/bbs/additionalcontent/Accessed 1/8/2010Hilton, Lisette. A few good men: Male nurses defystereotypes and discrimination to find satisfact in afemale dominated 1/9/2010.NurseSentry of Canada. 1/9/2010Leadership and ManagementDistance Education ProgramGRANTING BOTH UNIVERSITY CREDIT AND PROGRAM CERTIFICATE OF COMPLETIONEndorsed by CNA - All courses individually facilitated by an educational consultantC O U R S E S O F F E R E DLeadership and Management (6 units degree credit)• 9 month course completion• both theoretical and practical content important in today’s work environmentInterprofessional Teams (3 units degree credit)• 6 month course completion• study of leadership, team dynamics impacting the workplace, types of and team structure in health care organizationsConflict Management (3 units degree credit)• 6 month course completion• explore the types and processes of conflict in health care organizations and applies theory and research to conflictsituations in the current workplace.Quality Management (3 units degree credit)• 6 month course completion• theories, concepts including safety culture leadership in creating a culture of accountability• critically analyzes and applies paradigms to address quality and safety issues in workplaceAdvanced Leadership and Management (6 units degree credit)• 9 month course completion• Enhance health care skills related to leadership/management topics- including transformational and quantum leadership, emotional intelligence and organizational culture.Integrative Leadership Project (3 units degree credit)• Final course integrates theories and concepts of the Program and provide opportunities to apply theseto a real situation in the workplace• Through the use of a champion leader, the student develops an understanding of managing key organizational processesFor further information please contact: Leadership and Management ProgramMcMaster University – Phone: (905) 525-9140 ext. 22409 Fax: (905) 529-3673Email: Website: www.leadershipandmanagement.caOncology Nursing DistanceEducation CourseThis course provides a solid foundation in oncology knowledge that can be appliedto everyday nursing and allied health practice in all hospital and community settings.The course content includes:• cancer biology• oncologic emergencies• cancer epidemiology• cancer diseases• cancer treatments• symptom managementThis is a distance delivery course and students are enrolled on the first day of each monththroughout the year. Students are provided 10 months to complete the course. Uponsuccessful completion each student receives an ONDEC certificate of completion and pin.• Course Fee - $450.00 + GST• Textbook and selected readings are an additional costFor more information contact Marie Kemp at 780-577-8076or by e-mail at

Oncology NursingDistanceEducation CourseIf you are caring for patients with cancer then youmight want to consider enrolling in the OncologyNursing Distance Education Course (ONDEC).According to the Canadian Cancer Society, anestimated 171,000 new cases of cancer (excluding75,100 non-melanoma skin cancers) and 75,300deaths from cancer will occur in Canada in 2009.Based on current incidence rates, 40% of Canadianwomen and 45% of men will develop cancer duringtheir lifetimes.The Oncology Nursing Distance Education Coursewas developed in the early 1990’s by NurseEducators at the Cross Cancer Institute in Edmonton,Alberta. Current enrolment includes health careprofessionals from Canada, England, Australia, SouthAfrica, Malta, United Arab Emirates and Pakistan.The course curriculum provides a frameworkfor comprehensive oncology nursingknowledge including:• cancer biology - content includes genetics,carcinogenesis, metastasis, tumor classification &grading, diagnosis, staging, grading andtreatment planning• cancer epidemiology - content includesterminology & trends, epidemiologic research,primary & secondary prevention and cancergenetic risk assessment• cancer treatments - content includes surgery,radiotherapy, chemotherapy, biotherapy andhematopoietic cell transplantation• oncologic emergencies - content includesstructural and metabolic emergencies• cancer diseases - content includes acute &chronic leukemia, lymphoma, breast, lung,colorectal and prostate cancers• symptom management - includes pain, fatigue,dyspnea, delirium and GI symptomsEach of the six units includes learning activities andreview questions. The course manual issupplemented by a comprehensive nursingtextbook and peer reviewed journal publications.Exams are administered by a proctor at intervalsthroughout the course and students have unlimitedaccess to a full-time tutor by email or telephonethroughout the time they are enrolled in the course.The course provides a solid foundation in oncologyknowledge that can be applied to everyday nursingpractice in all hospital and community settings.ONDEC graduates come from Canada and aroundthe world, and include novice and expert nurses,nurse educators, undergraduate nursing students,nurses preparing for a career change and alliedhealth professionals.Students are enrolled on the first day of each monththroughout the year and are provided 10 months tocomplete the course. If students are unable tocomplete the course in the 10 months provided, theyhave the option of purchasing extensions. It isrecommended that students enrolled in ONDECplan to dedicate 6 to 8 hours per week to courseactivities. Upon successful completion, students willreceive a certificate of completion and a pin.Students may use the hours for this course towardstheir continuing education credits which may berequired by provincial associations. SeveralCanadian Universities provide credit for ONDEC asa 3-credit, undergraduate elective. ONDEC isconsistent with the Canadian Association of Nursesin Oncology (CANO) standards for oncology nursingcare and will support the ongoing education andprofessional development of nurses working withcancer patients.The course fees are $450 plus the cost of thetextbook, supplementary readings and GST. Forfurther information about this course please callMarie Kemp, Course Tutor at 780-577-8076 or 2010 3Canada Careers and ResourcesMedflight Air Ambulanceis accepting resumes forFlight Nursesfor its base in Cambridge BayQualifications: BCLS, BTLS, ACLS, PALS• Minimum two years EOR/ICU experience• Must have or be able toobtain NWTRNA registration• Previous flight/northern experience an assetPlease send resumes to:Pat O’ConnorBox 862, Yellowknife, NT X1A 2N6Phone (867) 444-0180Fax (867) 873-2093email:

4 Winter 2010EducationHow To Get 6-Pack AbsWithout Doing A SingleCrunch or Sit-upOK, lets face it – most if not all people want a flat, leanmidsection. But for the majority no amount ofcrunches or sit-ups seem to get the job done. Haveyou ever heard this or asked this yourself?“I do hundreds of crunches and sit-ups a day and Istill have a flabby midsection. What gives?”Well, before I reveal your six-pack abs blueprint, let’sfirst debunk some very important myths about howto get six-pack abs:Myth#1 - Weight loss is thekey to seeing your absWRONG!The key to seeing your abs is fat loss, not weight loss.Seems like semantics but hear me out. Your bodyconsists of fat mass and lean body mass (water,muscle, bone, organs, etc.). You want to minimizeyour fat mass and maximize your lean body mass tobuild a roaring metabolism: one that eats away atyour fat stores and builds muscle like clockwork. Byimproving body composition you will put yourselfin the best position to obtain that desired six-pack.So if you lose 17 lbs on the scale at the expense oflosing some lean muscle mass in the process, youwill end up slowing your metabolism, decreasingperformance, and losing that good looking muscletone. But if you lose 17 lbs on the scale and youmanage to keep or gain lean muscle mass you willincrease performance, see more visible definitionthroughout your body, and lose primarily body fat.The scale can be misleading as there are a numberof variables to account for that lead to frequentfluctuations such as hydration levels, sodium intake,and for women the menstrual cycle. If you are goingto keep a scale at home DO NOT get on it everyday,every other day or even every week. It is such ananchor, particularly for women. Get off the scale andget over the numbers. The true goal is fat loss, notweight loss. Focus on clothing size reduction, digitalbefore and after pictures, and of course the mirrorfor the most accurate progress tracking. Don’t get mewrong the scale has its place and is important but itshould not be the thing you put all your faith in.St. Amant: Interesting,Challenging and RewardingSt. Amant’s River Road Place, located in Winnipeg,Manitoba plays a unique role within theWinnipeg Regional Health Authorities’ array ofspecialized services.“Our care team staff are energetic, innovative andpassionate about what they do,” said Wayne Reimer,Director of River Road Place. “We’re currentlyrecruiting Registered Nurses, Licensed PracticalNurses and Respiratory Therapists and we’re lookingfor people who fit this description and want to bepart of something special.”St. Amant’s River Road Place is home toapproximately 200 individuals with profoundintellectual and physical disabilities, most of whomalso have chronic and complex health care needsthat require 24 hour medical care. River Road Placealso supports an additional 40 to 50 ManitobaMyth#2 - Do lots of abs work topreferentially burn off stomach fatWRONG!Spot reduction doesn’t work. You can’t just work themuscles of a certain area of your body and expect tohave the fat in that region go away. Think about it:almost everyone does crunches but proportionatelyvery few people perform total body workouts. So,with all of these crunches, we’d expect to see nothingbut people with flat tummies and fat depotseverywhere else on their body (arms, legs, etc.). Butthink of how many people you know and see on aregular basis whom have more than a few inches tolose in their midsection. See what I mean - spotreduction doesn’t work!The thing is, your body loses fat in a genetically predeterminedway when there is the appropriatecaloric deficit AND hormonal environment createdby proper eating and training. So your best approachwould be: burn as many calories during yourworkouts as possible by engaging your whole bodyeach and every training session (not just your abs)so you charge up your metabolism and continueburning an elevated amount of calories AFTER yourworkout. Compound, multi-joint movements likesquats, push-ups, lunges, etc. (or better yet, totalbody exercises like squat to presses) burn a lot morecalories than isolation movements like crunches andsit-ups. So be sure to focus on these movements firstand then if you have time, you can do some extracore work.Myth#3 - Crunches and Sit-ups are thebest exercises for your absWRONG!The scientific term for your six-pack muscles areyour rectus abdominis. For years now, we have beenconditioned to think that the best way to work yourrectus abdominis is by doing endless crunches andsit-ups since these trunk flexion exercises make themuscles you want to see in the mirror “burn.”However, the true function of the rectus abdominisis to prevent hyperextension (excessive backSee 6-Pack Abs page 6families each year by providing out-of-home respitecare for a family member. From small children toolder adults, each client has a highly individualizedsupport plan in order to enjoy an active lifestyle andthe best possible quality of life.Rita O’Rourke is a Registered Nurse who came towork at St. Amant because other nurses told herwhat a great place it is to work.“I was recruited by some friends of mine. But I alsoused to see clients come to the hospital when theyneeded emergency care and could tell that theywere very well cared for, so I knew that the level ofcare was really good,” said O’Rourke.Lisa Tao is a Respiratory Therapist that recentlymade the move from Toronto to Winnipeg to workat River Road Place.See St. Amant page 5

As we bid the tenants good day, my clients and Imoved on to the next house of interest, my clientsnoted the uniqueness of the community and thesimilarity of the residents. “Yes,” I responded, “Itappeals to people who wish to live independentlyin their own home without the headache of owningit, amongst people like themselves. We’re veryproud of the community they’ve built overthe years.”As I finished reading the article, I was struck bysense of community as defined by SeymourSarason in his book The Psychological Sense ofCommunity. Prospects for a Community Psychology:“A sense of community is the perceptionof similarity to others, an acknowledgedinterdependence with others, a willingness tomaintain this interdependence by giving to or doingfor others what one expects from them, and thefeeling that one is part of a larger dependable andstable structure.” That’s it, I thought. That’s exactlywhat we have here. Quite simply, a great senseof community.Located on the northeast coast of Canada’s PictureProvince in Miramichi, New Brunswick. RetirementMiramichi offers rental housing to active retireesSee Miramichi from front coverfrom across Canada who make their home therewhile contributing to the local economy. A nonprofiteconomic development initiative, it evolvedfrom the residential units at the former CFBChatham. Since its inception in 1997, the communityhas grown to 90 percent full occupancy, over 350residents, and almost half the tenants have beenthere for over five years. There are 17 home styles,both detached and semi-detached, ranging fromtwo-bedroom bungalows to four-bedroom, twostoreyhomes with fireplace, den, 1.5 baths and agarage. Rent ranges from $502 to $698 per monthand all homes have hardwood floors, fullbasements, paved driveways, two clotheslines, andgenerous properties. Lawn mowing and drivewaysnow removal is included in the rent and tenantsmay have gardens and pets.Retirement Miramichi is within walking distance of ashopping district and only yards from Miramichi’sindoor swimming pool, gymnasium andwalking trails and the Atlantic Ocean is just a30-minute drive.Miramichi offers peaceful rural living with thecomforts, services and amenities of city life: 911emergency services, an ultra-modern regionalhospital with state-of-the-art health services,restaurants, shopping, churches, a communitycollege and university, two libraries andmarinas,and exercise facilities area within 2.5kilometres. Miramichi also has a new public transitsystem and is well connected to points beyond by agood highway network, train and bus service, andan international airport 1.5 hours away.Mike Sharp, a resident since 2004, calls Miramichi“Canada’s best-kept secret”. Michael and his wife Jillmoved from Port Perry, Ontario, and have becometwo of its best ambassadors. “We fell in love with itwithin 10 minutes” , says Michael. “The scenery hereis breath-taking and the people are ever so friendly.I simply can’t say enough good things about it.”The Sharps settled into Retirement Miramichi in2004 and have never looked back. They have beeninvolved in the preservation of heritage buildings,volunteer at the visitor information centre and canbe found regularly enjoying the tasty treats andgood company at the unique German bakerydowntown. They are “Miramichiers” in the truestsense of the word, at home and in community inmore ways than one!For more information on Retirement Miramichi, calltoll-free at 1-888-844-2001 or visit the website 2010 5Manitoba Careers and Resources“I wanted to work with really professional staff andin a challenging and rewarding environment,”said Tao. “The other staff are really great, I really likeit here.”The Nurses and Respiratory Therapists at RiverRoad Place are the leaders of the care teams and aresupported by a set of Resident Assistants whoprovide the majority of the direct care. Nurses andR.T.s work in close collaboration with other on-sitespecialists including: Occupational Therapy,Physiotherapy, Speech Language Pathology,Dietary, Social Work, Psychology, Pharmacy,Education and Recreation.Ashleigh Verstraete, a new grad from the BNprogram at the University of Manitoba decided towork at St.Amant after checking out other healthcare facilities during her rotations and practicums.“You have a more intimate relationship with theSt. Amant from page 4clients and there’s a lot more teamwork at St. Amantthan I’ve seen at other places,” she said. “It’s a greatplace to work and you get to use the majority of yourskills here. On a daily basis I do inhalations,respiratory care, catheterizations, wound care, andof course assessment.”One of the things O’Rourke worried about in makingthe transition from her 8 year stint in the EmergencyRoom over to St. Amant was whether she would beable to keep up her nursing skills.“Nursing at St. Amant is way more than you think itis. It’s interesting, challenging and way morerewarding than anything I ever did in acute care,”said O’Rourke.Interested in learning more about a career innursing at St. Amant? Check out their website

6 Winter 2010Saskatchewan Careers and Classifiedsbending of the spine), not to flex forward over andover again. Anytime you brace your abs (think slightcrunch before you get punched in the gut) and pullyour navel into your spine you effectively stabilizeyour spine into a safe, neutral position. And themoment you relax your abs and lose that braced absposition, your back will begin to hyperextendputting you at greater risk for injury.To create the best looking and strong midsectionfocus on stabilization exercises in all three planes ofmovement (saggital - front to back, frontal - side toside, and transverse - rotational) by using pillarexercise variations (also know as planks). Besidestraining the true “anti-extension” function of yourrectus abdominis or “six-pack” ab muscles, thesebridging/stabilization exercises also activate the keytransverse abdominus muscle, or your deepabdominal stabilizer, that wraps around your spineand supports your internal organs. Wanting toreduce back pain? Then strengthen these inner abmuscles as it’s key to optimal posture andperformance in addition to injury prevention. Justanother benefit to performing pillars over primitive6-Pack Abs from page 4crunches and sit-ups that often cause unwantedneck and back pain.Myth#4 - Do lots of long-durationcardio to burn the fat covering your absWRONG!Both scientific research and real world case studiesshow that aerobic training for fat loss alone doesn’twork. Total body resistance training is the truefoundation of any solid fat loss plan. In addition,interval training, where you alternate between boutsof maximum effort and active recovery, isscientifically proven to burn more fat AFTER theworkout than ordinary exercise. However why notperform both resistance interval training and cardiointerval training to combine the best of both worlds?More on this to come!The Anti-Crunch Six-PackAbs Blueprint:Step#1 - Lose the fat that is covering your abs so thatyou can see themA.) Eat to lose fat and elevate metabolism• Drink at least 2-4 cups of water immediately uponwaking and then drink at least 1-2 cups of waterevery 2 hours you are awake. Drink 1-2 cups ofwater for every 15 minutes of vigorous activity.• Eat immediately upon waking and then every 2-4hours after that for a total of 5-7 feedings per day(i.e. 3 meals, 2 snacks {half the size of your mealsand workout nutrition})• Focus on a wide range of organic lean proteins,natural fats, and fruit and veggiesSample One-Day Menu:Breakfast - Scrambled Eggs, Greens, and TurkeySausage or BaconMid-Morning Snack - Mixed Nuts andFruit/Veggie of ChoiceLunch - Chicken, Salmon, or Shrimp Caesar SaladMid-Afternoon Snack - Cheese and Fruit/Veggieof ChoiceDinner - Turkey or Beef Meatballs andSpaghetti SquashPre-Bed Snack - Protein and Flax Shake• Take a daily multi-vitamin for your gender, anessential fatty acid (EFA) supplement, a probiotic(good bacteria) supplements, and a vitamin D3supplement.Use The Carb Reduction Blueprint:Use the following step by step process in the exactorder listed to breakthrough any plateaus in yoursix-pack abs quest.Step#1 - Replace all white carbs with 100% wholegrain carbs and all refined sugars with natural sugarsStep#2 - Limit all whole grain starch and naturalsugar consumption to within 1-2 hours post-workoutor immediately upon waking for breakfastStep#3 - Replace all starches and sugars with fruitsand veggiesStep#4 - Replace all fruits with green veggiesStep#5 - Use strategic carb and calorie cycling to takeyour body to the next level (This is beyond the scopeof this article but the success you can achieve fromthis strategy is powerful)B.) Train to lose fat and elevate metabolism• Monday, Wednesday, and Friday - Perform TotalBody Circuit Strength TrainingSample Total Body Circuit Strength Workout - 20Minutes (not including five minute warm-up andcool-down)50-10 Interval Five Exercise Total Body Circuit -You will alternate between 50 seconds of work and10 secs of rest for each exercise in the following fiveexercisecircuit. Perform this 5-minute circuit up tofour times for a 20-minute total body workout:Exercise#1: Double-Leg: Bilateral Hip-Dominant;Variation: Hip ExtensionsExercise#2: Push: Horizontal Push;Variation: Push-up VariationExercise#3: Single-Leg: Unilateral Knee-Dominant ;Variation: Single-Leg Wall SitMD! MD! MD! MD!Ontario, Alberta & PrairiesUSA - UK - AustraliaAlso RN! RN! LPN! LPN!1-866-776-8773nurses@mri-international.comExercise#4: Pull: Horizontal Pull;Variation: Body Weight RowsExercise#5:Core: Linear Stabilization or Trunk-Dominant; Variation: Upper Body Twist Variation• Tuesday, Thursday, and Saturday - Perform CardioInterval TrainingSample Cardio Interval Training Workout – 20Minutes (not including five minute warm-up andcool-down)30-30s - You will alternate between 30 seconds ofmaximum effort and 30 seconds of active recovery.You will perform this 1-minute round up to 20x for20 total minutes. You can perform this workout onyour cardio machine of choice (airdyne or spin bike,running, etc.) or by alternating between the followingbody weight cardio exercises for the ultimate inhomeworkout:Exercise#1: Linear Locomotion Emphasis;Variation: Stationary RunningExercise#2: Lateral/Rotational LocomotionEmphasis; Variation: Jumping Jacks VariationStep#2 - Train your abs based on their truefunction: STABILIZATIONBelow is a core workout that would appear in myboot camp. It involves no crunches or sit-ups byusing all pillar stabilization exercises. Once youmaster these moves and follow everything else Ipreviously listed above, you will have a sweet pair ofrock hard abs to show for it… just wait and see!The Power to the Pillar Workout -Tabata StyleThis 20-minute total body core workout focusesentirely on pillar stabilization. The pillar collectivelyconsists of your shoulders, hips, and core. It is yourbody’s powerhouse, foundational to all movement.For each exercise below you will alternate between20 seconds of work and 10 seconds of rest. You willrepeat this 30-second sequence eight times for fourtotal minutes followed by a one minute restand transition before moving on to the nextexercise listed.For maximum benefits, you must seek to maintain atight pillar position during all movements by activelypulling your navel to your spine, engaging yourglutes, and maintaining a straight line from the heelsthrough the shoulders. The following coaching cueswork really well:“suck in your gut”“tuck your butt under”“round your lower back”“give yourself a wedgie”“be flat like a diving board.”Exercise#1 - Front Pillar Variation(static or dynamic)Exercise#2 - Left Side Pillar Variation(static or dynamic)Exercise#3 - Right Side Pillar Variation(static or dynamic)Exercise#4 - Back Pillar Variation(static or dynamic)Today is the dawn of a new age in core training andit is my sincere hope that you take this powerfulinformation and run with it.Until next time…Resurrect your body back to life!About the Author:Tyron Piteau, B.H.K., is a real world fat loss expert andowner of The Maker’s Body Personal Training andResurrect Your Body Boot Camp. For your FREERapid Fat Loss Starter Kit and a FREE fitnessconsultation visit (604) 626-2342 or

February and March 2010 ObservancesThese are February and March 2010 calendars of annualhealth observances and recognition dates for healthcare.Health observances are days, weeks, or months devotedto promoting particular health concerns. This informationwill come in handy for community relations programs aswell as employee appreciation events. Healthprofessionals, teachers, hospital staff and communitygroups can use these special times to sponsor healthpromotion events, stimulate awareness of health risks orfocus on disease prevention.The year long 2010 calendar specific to Canada can beobtained from www.charityvillage.comFebruary ObservancesMonth Long ObservancesBlack History Month; National;Heart & Stroke Month; National ;I Love to Read Month; Manitoba;Junior Achievement Month; National;Week Long Observances (1st Wk)Eating Disorder Awareness Week; National;International Development Week; National;National Therapeutic Recreation Week; National;White Cane Week; National;(2nd Wk)World Orphan Week; International;(3rd Wk) Scout-Guide Week; National;(3rd Wk) Brotherhood/Sisterhood Week; National;(4th Wk) Freedom to Read Week; National;Daily ObservancesSafer Internet Day; International; (9th)Sexual and Reproductive Health Awareness Day;National; (12th)Congenital Heart Defect Awareness Day;National; (14th)International Childhood Cancer Day; International;(15th)National Flag of Canada Day; National; (15th)Family Day; AB,ON,SK; (15th)Heritage Day; National; (15th)World Day of Social Justice; International; (20th)Thinking Day; National; (22nd)March ObservancesMonth Long ObservancesNational Colorectal Cancer Awareness Month; National;National Epilepsy Month; National;Easter Seals Month; Ontario;Fraud Prevention Month; International;Juvenile Arthritis Awareness Month; National;Kidney Month; National;Help Fight Liver Disease Month; National;National Nutrition Month; National;Polio Awareness Month; National;Red Cross Month; National;Youth Science Festival Month; National;Week Long Observances(1st Wk) National Pharmacy Awareness Week; National;(2nd Wk) Canadian Agricultural Safety Week; National;(2nd Wk) National Social Work Week ; National;(3rd Wk) Crisis Line Awareness Week; British Columbia;(3rd Wk) National Francophonic Week; National;Daily ObservancesSelf-Injury Awareness Day; International (1st)National Lymphedema Awareness “D” Day;National; (6th)International Women’s Day and United Nations Day forWomen’s Rights and International Peace;International; (8th)International Francophonic Day; International; (20th)International Day for the Elimination of RacialDiscrimination; International; (21st)World Water Day; International; (22nd)World Tuberculosis Day; International; (24th)World Theatre Day; International; (27th)Consumer Awareness Week; Ontario; (28 - April 4)Winter 2010 7Education and Resources

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