2015 Power Mag Issue - Reh
Transcription
2015 Power Mag Issue - Reh
REH - FI T M AGA ZINE WHAT IS THE BIGGEST RISK TO YOUR HEALTH? TAKING THE FIRST STEPS 4 EATING FOR ENERGY 10 GETTING ACTIVE WITH DIABETES 12 MOVING FORWARD AFTER CANCER 19 What is the biggest risk to your health? | 3 WHAT IS THE BIGGEST RISK TO YOUR HEALTH? You might be surprised to learn that it’s inactivity. Our jobs and our lives are becoming increasingly sedentary and the consequences of that are showing up in our health. Heart disease, cancer, diabetes, and mental health problems occur at much higher rates than they would if most people led physically active lives. Research shows regular exercise can play a significant role in treating and preventing virtually every disease. So why aren’t more of us getting physically active when the goal of getting 150 minutes of moderate exercise every week is attainable for most people? The reasons are common: Too busy, too tired, too old, too out of shape, too many health issues. Sound familiar? The Reh-Fit Centre is here to help you change that. As Canada’s first certified medical fitness facility, we take a unique approach in helping adults learn the strategies to overcome life’s challenges and stay committed to a healthier, more active life. Our university-degreed and credentialed staff is here to guide and support you along the way. Our approach includes a thorough assessment so that you can start exercising safely and comfortably, education to help you make long-term behaviour changes, and an incredible variety of fitness options to keep you motivated, engaged, and seeing results. And, while we’re well-known for our Cardiac Rehabilitation program, our services and physician-referred programs extend far beyond it, helping those with many other chronic diseases. You’ll find out more about these life-changing programs within the pages of this magazine. To find out more about the Reh-Fit Centre’s programs and services, visit www.reh-fit.com Of course the Reh-Fit Centre is also about prevention. Our programs and services are ideal for those who want to minimize their risk of health issues and simply feel their best at any age. So if you’re ready to explore the options and want to lead a more active life, stop by and talk to us about how to get started. We’ve helped more than 10,000 people this past year alone and we know we can help you too! Sue Boreskie CEO, Reh-Fit Centre 4 | REH-FIT POWER TAKING THE FIRST STEP CHANGES EVERYTHING “I don’t particularly enjoy exercise and it’s never been part of my lifestyle,” says Rona Yuthasastrakosol. But that changed when she was diagnosed with Graves disease – an autoimmune disease that is often accompanied by a variety of symptoms, including insomnia, fatigue, and anxiety. Physical activity guidelines encourage “I was diagnosed last year in August and all adults to engage in at least 150 minutes it was my doctor who suggested that it would be a good time to start exercising. of moderate-to-vigorous physical activity each week. That may not sound like a lot I had looked at programs at the Reh-Fit but most aren’t doing it, says Siemens. Centre before, but when I saw the “First “Some people don’t know how to get Steps to Active Living” program, I knew started or they start and can’t stick with that was the right choice for me.” it. Others think they are too busy. But First Steps to Active Living is a 12-week the First Steps to Active Living program program designed to help people provides new ideas and strategies on how incorporate physical activity into their to overcome these and other challenges.” routines by providing them with the For Rona, the program and its classroom information, skills, and step-by-step environment proved to be a turning point process to change their behaviour. in her health and lifestyle. “We talked Suzy Siemens, Chronic Disease about goals and also how to think about Program Manager at the Reh-Fit Centre, activity and that clicked for me. In the past, says the First Steps to Active Living whenever I started exercising, I’d miss program is increasingly popular as a few days and think I’d failed. This class people understand the importance helped me realize that if I couldn’t work out of learning how to be more physically this week then I could continue next week.” active. “So many health issues are Equipped with her new knowledge and associated with, and can be helped by, approach, Rona began working out at physical activity. Heart disease, cancer, the gym in her workplace. “I’m now up diabetes, and mental health problems to working out six or seven days a week. occur at much higher rates than they I set goals for myself, which really helps, would if most people led physically and typically do resistance training and active lives.” a 10-kilometre walking program.” Her activity is making a difference. “I feel really good and working out has been effective in managing my symptoms. My doctor is happy with my results and pleased that I’ve decided to get active. Now if I take a day off from the gym, I feel like I’m missing something. This is the first time in my life I’ve ever felt like that!” With the First Steps to Active Living program starting every few weeks, more people are joining as a way to get the support and knowledge they need to make lasting changes. Rona adds, “The Reh-Fit is such a welcoming place and not intimidating at all. I have already recommended the First Steps program to other people. I think sometimes people need a good place to start and for me, this was it!” Great-West Life, London Life and Canada Life are generous supporters of the First Steps to Active Living program. Taking the first step changes everything | 5 RONA YUTHASASTRAKOSOL A NEW PRESCRIPTION FOR HEALTH In Manitoba, over half the adult population lives with a chronic condition such as arthritis, diabetes, or asthma. Depending on the illness, those who live with these conditions use anywhere from 2.6 to 8.2 times more health care dollars than those without a health condition. As our population ages, the demand on our health care system continues to grow and places an ever-increasing burden on government budgets. The good news is that research shows exercise can play a significant role in preventing diseases and chronic conditions, enhancing brain function and independence in the aged, and in combination with sensible nutrition, could save billions in health care costs. At the Reh-Fit Centre, we know that this proven approach represents an improved prescription for health as it reduces the cost of health care and individual reliance on prescription medication. Every day we see examples of people who no longer require surgery, have reduced or eliminated their prescription medication, require less medical care, and enjoy greater mobility and independence as a result of their participation at the Reh-Fit Centre. To ensure the Reh-Fit is as effective and responsive to the needs of the community as possible, the Centre has created a Medical Advisory Committee of physicians to generate feedback on our programs and services, identify gaps in community health and fitness programs, and determine opportunities to partner with other health agencies and organizations. The Centre also has a Medical Advisor on staff for advice and guidance. We also make a direct connection with your own physician, providing them with your assessment results and regular updates on your progress. Together we ensure a seamless circle of care. 6 | REH-FIT POWER TAKING THE ACHES OUT OF AGING If you think aches and pain are just a normal part of aging, think again. While our body does experience some wear and tear as we grow older, there are steps you can take to minimize and eliminate back pain, stiff joints, and other body aches. When Heather Gies injured her rotator cuff and underwent hip replacement surgery, she was feeling the aches and pains associated with both. “I had shoulder stiffness and a limited range of motion and, at the same time, was still recovering from my hip surgery.” Heather had participated in programs at the Reh-Fit previously but with her new injuries, she talked to her husband about joining the Centre. “What I like about this place is that there is no judgment here. The staff encourages you, but you can work at your own pace. It’s clean and there’s so much to do.” HEATHER GIES With a membership in hand, Heather began incorporating her workouts into her daily routine. “I started spending more time on the bike and added the ‘hill climb’ program. I’m building up my time on the elliptical machine and using a machine for my arm that is helping build up my mobility and strength.” Taking the aches out of aging | 7 PROGRAMS & EDUCATION TO LIVE A HEALTHIER LIFE However, with stiffness plaguing her shoulder joint, staff arranged for Heather to meet with the Reh-Fit’s physiotherapist for some tips and guidance on how to exercise safely. Reh-Fit physiotherapist Amandev Dhesi says there are many types of joint problems such as Heather’s that affect our soft tissues like muscles, tendons, and ligaments as we age. “Many people have joint pain related to aging or to conditions such as arthritis or bursitis. Whatever the cause, this pain can seriously diminish quality of life. What we do know is that regular exercise can help keep your joints flexible, muscles strong, and blood circulation healthy.” Heather took the advice she received from the physiotherapist and put it into practice. “I try to come here three or four times a week because I just generally feel better. If I do my exercises, then my shoulder feels good. If I don’t, it tightens up. I also have more energy and sleep better now that I’m more active.” Heather’s flexibility has also returned. “I had always been a flexible person but had lost some of that with my surgery. Now I find it is coming back. And, when I go up and down the stairs at home, I’m not as winded as I used to be. My doctor is really pleased I’m working out!” Of course for many people who have not exercised in the past, it can be difficult to know where to start. Heather has some advice: “Just come here for a tour. There are lots of programs to help you get started and the staff is always here to answer questions – they are really great!” More education, training, and support are required for the growing number of people in our community challenged with obesity, diabetes, cancer, heart disease, and other health concerns. This past year, more than 10,000 community members accessed the Reh-Fit Centre’s programs and services. With a goal of creating a healthier, more active community, the Reh-Fit hosts a variety of educational events to bring you the latest information on fitness and health. Most of the health screening clinics and educational events are free and open to everyone. Visit www.reh-fit.com for current and upcoming events, including: EDUCATION SEMINARS Want to know more about health, fitness, and nutrition? Sign up for our monthly education seminars, which address current health care issues and offer down-to-earth guidelines for healthy living. HEALTH SCREENING CLINICS From testing your blood pressure and determining your Body Mass Index (BMI), to assessing your lung function and knowing the risks of stroke, you’ll find a variety of health screening clinics throughout the year to help identify and control your risk factors. LIVE HEALTHY SPEAKER SERIES If you want the latest cutting-edge research and facts on how to prevent and manage chronic health conditions, then you’ll want to join us to hear from our Live Healthy guest experts. Throughout the year, the Reh-Fit features the industry’s top specialists who answer your questions and bring you the most up-to-date information on healthy living. EXERCISE IS MEDICINE™ MONTH Did you know that Exercise is Medicine™? Based on the finding that physical activity, in the right doses, is unparalleled in its ability to prevent and treat chronic disease, Exercise is Medicine™ month provides you with opportunities to learn more about the benefits of exercise and participate in weekly fitness challenges that emphasize the importance of 150 minutes of moderate intensity physical activity a week for health benefits. ACTIVE AGING WEEK It is possible to age with energy and strength! Find out how during Active Aging Week in September. You’ll discover how to get active, stay active, and access resources in our community. SMART FOR YOUR HEART Find out more about the world’s leading killer and how you can prevent and manage cardiovascular disease during Smart for Your Heart month in February. You can also take the “heart challenge” – a cardiovascular assessment that measures your blood pressure, body mass index, and heart age. 8 | REH-FIT POWER KELLY KLUGER A Reh-Fit assessment | 9 “WITHOUT THAT ASSESSMENT, I’M NOT SURE WHERE I’D BE NOW” In 2010, Kelly Kluger was juggling the needs of two children and an aging parent; she was stretched thin and knew she wasn’t looking after herself. Kelly decided to join the Reh-Fit Centre as a way to feel better, but even she wasn’t expecting what happened next. “The Reh-Fit offers a comprehensive health assessment that includes a cardiac risk test and blood work. The results of that assessment revealed a health issue I had been completely unaware of – extremely low hemoglobin. I was sent to Emergency at the hospital where they referred me to a specialist and did a CT scan. Those tests also revealed another issue – I had a tumour that needed to be removed,” says Kelly. The results caught her by surprise. “I don’t think I realized how lousy I felt until I started feeling better. With low hemoglobin, my doctor said my body just adapted because it happened gradually. I felt tired, but I didn’t have a lot of symptoms.” The assessment is a critical component of the many services the Reh-Fit offers says Dr. Thang Nguyen, Medical Advisor – Cardiac Rehabilitation. “The assessment flags potential issues, provides baseline results, and is the foundation for creating an effective health and fitness plan.” The Reh-Fit Centre also shares the results of each assessment with the individual’s physician. For Kelly, the assessment changed everything. “I’m so lucky that I landed here at a medical fitness facility and not just a gym. Without that assessment I’m not sure where I’d be now. Finding out about these issues also motivated me to keep coming to the Centre. I started working out three times a week and find it’s a great stress-reliever.” Fast forward five years and Kelly continues to carve out time to look after herself at the Reh-Fit. “My health is great and I feel as good as I did in high school. I love coming here as often as I can and really enjoy the group fitness classes like Power Sculpt and Ride. These classes are motivating and I like that I can just follow the instructions and get a great workout.” Her commitment to health extends beyond working out. “I make more of an effort to be active all of the time so I’ll do small things like park my car farther from the door so I have to walk and I’ve incorporated more whole foods into my diet. My entire family is into it now and my husband has joined the Reh-Fit too.” While she still finds it a challenge to balance the demands of a busy personal and work life, Kelly says it’s definitely worth the effort. “My advice to people my age is to put yourself first – it’s okay to do that. If you don’t, then you can’t look after anything or anyone else. People think it’s a chore to come to a gym but this is my happy place – I love coming here. It’s what I do for me.” A REH-FIT ASSESSMENT CAN HELP YOU! You want to get more active, but don’t know what kind of exercise, how often, or how intensely you should be working out. Where do you start? At the Reh-Fit Centre, we start by finding out more about your current condition with our comprehensive Health and Fitness Assessment. Our degreed professionals conduct a series of baseline analyses, such as: • resting heart rate and blood pressure • cardiovascular fitness • blood analysis including lipid profile, fasting blood sugar, and hemoglobin • muscular strength and endurance •flexibility • cardiac risk assessment • functional movement • waist circumference and body mass index Using this baseline, we recommend a plan that includes a combination of physical activity and exercise class options, nutrition counselling, and educational programs that suit your needs. Plus our staff is always on hand to answer your questions, provide alternative suggestions, help you vary your routine, and keep you motivated. We also share your assessment results with your physician and continue to keep him or her updated on your progress. 10 | REH-FIT POWER EATING FOR ENERGY “Last year I had open heart surgery to replace one of my valves. My doctor recommended the Cardiac Rehabilitation program at the Reh-Fit Centre and I can tell you that this place saved my life.” Eating for energy | 1 1 Louise Geddes was in poor shape after surgery when she arrived at the doors of the Reh-Fit. “I went for an assessment and couldn’t even stay on the treadmill for one minute,” she says, shaking her head in disbelief. Hard to believe that this is the same woman who now does 30 minutes on the treadmill followed by 30 minutes on the bike and Nu-step machine. Louise has come a long way. “I always used to have to start with my inhaler – but now I haven’t used it in weeks and I’m not out of breath. I’ve lost 39 pounds and my family doctor is amazed at how different I look – I’ve got colour back in my face.” BOB & LOUISE GEDDES Her husband Bob also suffered from atrial fibrillation and credits the Reh-Fit with getting them both moving. “We feel comfortable here because of the trained staff. Everything and everyone is available to you – the dietitian, the nurses, the physiotherapist, the fitness professionals. They’re here to help you.” While exercise proved to be good medicine for Bob and Louise, they also realized they needed to modify their eating habits. They set up an appointment with a dietitian. “The things we learned were phenomenal and have really helped put us on the right track to eating. We’ve adjusted our portion size, don’t eat as many prepared foods out of boxes and bags anymore, and have increased the amount of fruits and vegetables we eat every day,” says Louise. Tenille Sonnichsen, Reh-Fit’s dietitian, adds that Bob and Louise had already made some positive changes to their diet but that there was still room for improvement. “I talked to them about the importance of vegetables that contain Vitamin K. Vitamin K affects how your blood coagulates and because they were taking a particular medication, the Geddes had to pay attention to Vitamin K vegetables for their heart health.” Bob says that learning how to read labels when they grocery shop has also made a difference. “I couldn’t believe it when I looked at the label on the back of that little yogurt container I always bought and realized there were seven teaspoons of sugar in there! Now we try to eat as much fresh food as we can.” The nutrition and exercise choices they are making are paying off. “When the doctor first told me I needed to start exercising, my reaction was ‘Oh no – I don’t exercise’. But it’s never too late to start. A few weeks ago we went to the Zoo and walked for 2.5 hours. I could have never done that before,” says Louise. Bob nods in agreement. “I’m 33 pounds lighter and can’t believe how much more energy we both have now. This place is unbelievable and it’s really changed our lives.” LEARN MORE ABOUT NUTRITION Our culinary and nutrition education programs offered throughout the year provide you with hands-on experience preparing a variety of healthy meal options and learning how to make the right choices to feel your best. See our website at www.reh-fit.com for a complete program schedule that includes these great classes: • What Can I Eat? Healthy Meal Planning for People with Diabetes • Grocery Store Tour • Gluten: Taking a Look From a Naturopathic Perspective • Food and Mood – Eating to be Happy and Energetic • Got Questions About Your Blood Sugar? • DASH Diet Eating Plan 12 | REH-FIT POWER GETTING ACTIVE WITH DIABETES Ken Liwiski had a decision to make when his doctor told him the news. “He told me I was pre-diabetic and that I needed to lose weight or he was going to put me on medication,” recalls Ken. With a family history of diabetes, Ken knew it was time to take action. “I didn’t want to diet. I wanted to change. I had heard about the Get Active with Diabetes program at the Reh-Fit Centre so I told my doctor about it and he encouraged me to sign up.” Get Active with Diabetes is a 10-week program of exercise and education that helps reduce the risks associated with diabetes. Led by the Reh-Fit’s inter-professional health team, participants learn more about how to overcome barriers to physical activity, how to plan meals, set goals, and manage complications and medications. For Ken, the program provided the motivation he needed to introduce changes to his lifestyle. “I learned a lot from the dietitian and now understand more about what to eat and how to read the labels when I go grocery shopping.” The program also provides a prescription for exercise that helps participants determine how much exercise is required, how to make progress in their workouts, and how to monitor their activity. Suzy Siemens, Chronic Disease Program Manager at the Reh-Fit, says that this program has been very effective in helping people reduce or eliminate the need for diabetes medication. “For most people, exercise is a great way to reduce the risk of getting diabetes, but for those who have it, it can be equally effective in keeping the disease in check.” With a goal of getting the recommended 150 minutes a week at his target heart rate, Ken set out to learn more about the machines and fitness options available. “I use the track and treadmill and have learned how to use a variety of machines, which is helping me strengthen my upper body and lose some of my belly. The staff was excellent in helping me figure out what to do.” motivated by the program, that I attended the Reh-Fit Centre an hour in advance of each session to get in a good workout beforehand, then joined the group sessions to achieve my goals.” The last time Ken returned to see his doctor, the response was much more positive. “I’ve lost 15 pounds and my blood pressure, which had been inching towards the high range, is normal. And of course my blood sugar is now in the normal range. There’ll be no need to take any medication and my doctor said he was proud of me!” Of course not all benefits are measured in the doctor’s office. “I feel great and sleep great and my wife says I’m easier to get along with,” says Ken with a smile. “I have a lot of reasons to stay healthy – my wife, Each class within the Get Active with my family, my charitable foundation, and a business that relies on me. Diabetes program consists of a half I’d recommend this program and hour of education, a half hour of individual exercise, and a half hour of this facility to anyone!” group exercise. “For me, the timing of this program was just right. It’s made a difference in terms of pursuing my goals and learning what it takes to mentally achieve them. I was so Getting active with diabetes | 1 3 IMPROVE YOUR QUALITY OF LIFE Get Active with Diabetes helps reduce the risks associated with diabetes such as cardiovascular disease, kidney disease, poor blood sugar control, high blood pressure, and high cholesterol. Group sessions are held twice a week to support you as you adopt a healthy lifestyle. With the guidance and support of Reh-Fit staff, you will learn more about: • the benefits of exercise • overcoming barriers to physical activity and healthy eating • self-monitoring of activity (log book and pedometer provided) • self-monitoring of blood sugar levels (pre- and post-exercise) • diabetes meal planning and food labels • exercise prescription for diabetes – how much, how hard? • foot care • goal setting and building confidence • managing stress and time • diabetes complications and medications • progressing your fitness program • nutrition – blood glucose control Visit www.reh-fit.com for program start dates or call our Chronic Disease Program Manager at 204-488-5859. KEN LIWISKI 14 | REH-FIT POWER “THE ARTERY THEY CALL THE ‘WIDOWMAKER’ WAS 100% BLOCKED” After the experience Roger King recently went through, it’s no wonder he sings the praises of the Reh-Fit Centre. “I woke up from a sound sleep feeling nauseous, sweaty, and with pain in my elbow. I asked my wife to call an ambulance. It turned out that the artery they call the ‘widowmaker’ was 100% blocked,” says Roger. In addition to the blocked artery, Roger’s heart had sustained significant damage requiring that he spend nearly three weeks in the hospital undergoing surgery followed by three days of total sedation and then recovering in intensive care. The event came as a surprise for a man who was reasonably healthy with no history of heart disease, but what came as an even bigger shock was how quickly his body had deteriorated during his hospital stay. “I couldn’t walk out of the hospital – I had completely lost my muscle strength. When I got home I had to use a walker.” Roger’s doctor recommended the Reh-Fit’s Cardiac Rehabilitation program as a way to regain his health. “Within a week of getting home, I got a call from the Reh-Fit Centre and I registered for the four-month program.” Cardiac Rehabilitation program | 1 5 ROGER KING But Roger had a long way to go. “When I started the program I was still bandaged from the surgery and very nervous. The staff had me do a fitness test on the treadmill and I couldn’t even last two minutes.” He realized he wasn’t alone on his road to recovery as others in the class shared their stories. “I found the program very beneficial because everyone was in a similar situation. But the staff is so encouraging and provided such great personal attention that we all started to slowly show signs of improvement.” Roger completed the program and he, along with his wife, decided to join the Reh-Fit as members. The change in his fitness level in a matter of months has been extraordinary. “Now I do everything – including all of the high intensity classes – although I’m usually a beat behind,” he adds with a laugh. “I’ve also started running and I really enjoy the group fitness classes. For me, classes like Indo-Row and Cross Training are very motivating plus I’ve been able to meet a lot of new people along the way.” His health issues also motivated him to make some other lifestyle changes. “I’ve adjusted my eating habits and am now semi-retired. I think that job stress may have been a contributing factor to my heart health.” While he continues to re-build his strength, Roger says he’s enjoying the results of his commitment to good health. “I feel fantastic but know my limitations. I’ve lost about 20 pounds since my surgery and my doctor is amazed at my progress. I couldn’t have done this without the help of the Reh-Fit. I appreciate that this is a safe environment for someone like me and that gives both me and my wife peace-of-mind.” When Roger reflects on the past year, he’s pleased with the progress he’s made. “If I can do it anybody can. I don’t think I really appreciated how far I had to come. I’m motivated to continue because I want to live to see grandkids and travel with my wife and enjoy life – things we’ve worked so hard for.” Now with a trip to Italy booked in his calendar, he’s well on his way to doing just that. MORE ABOUT THE CARDIAC REHABILITATION PROGRAM If you have recurrent angina, peripheral artery disease, recently suffered a heart attack, or undergone heart surgery or coronary angioplasty, the Reh-Fit Centre’s Cardiac Rehabilitation program can help. As one of Canada’s foremost cardiac rehabilitation programs, it includes a combination of exercise and education and involves a team of dedicated professionals including physicians, nurses, exercise specialists, dietitians, and a psychologist. More than 15,000 Manitobans with heart disease have accessed the Reh-Fit’s program to regain their quality of life. Cardiac rehabilitation helps you: • understand the level of activity you can handle safely • restore your health and strength • improve your diet and lifestyle • reduce cardiac symptoms • develop a sense of well-being and confidence • reduce depression and anxiety, which often develop during recovery • decrease your risk of subsequent heart attacks. Participants pay a modest fee, with the rest of the cost covered by the Winnipeg Regional Health Authority. Financial assistance may be provided based on individual need. 16 | REH-FIT POWER IMPROVING YOUR HEALTH STARTS TODAY On a cold winter day, Barb Smith struggled as she climbed the stairs to her second floor office. More than just winded and out of breath, she realized she was running out of excuses and needed to make a change for the better. BARB SMITH “I sent an email to my boss and took a half day off. I drove straight to the Reh-Fit Centre to find out more about a program called ‘Healthier Weigh’ that I had seen on their website. I knew if I waited until 4:30 pm, it would be dark and cold and I wouldn’t come. I was tired of hibernating and promising myself I would start a diet and get more active. I knew if I didn’t do it then, I wasn’t going to,” says Barb. Faced with a series of life challenges over the past seven years, including the loss of her husband and providing care for her father, Barb knew it was time to focus on her own health. “I arrived at the Centre and the staff person at the front desk assured me I was in the right place. They made me feel comfortable right away,” recalls Barb. The staff also confirmed that the Healthier Weigh program, an awardwinning program aimed at people with a Body Mass Index (BMI) of 30 or greater who are looking to lose a significant amount of weight, was the right choice. “I knew I’d be comfortable because everyone in the class was all in the same situation. There was so much support with a dietitian and guest speakers plus I met with a sports medicine doctor and a physiotherapist to talk about the arthritis in my knee.” For Barb, the program and the connections she made within the class marked a turning point in her life. “I lost 6.8% of my body weight and since I’ve joined, I’m down 27 pounds. I’ve got more to lose but Healthier Weigh taught me how Improving your health starts today | 1 7 WHICH WEIGHT MANAGEMENT PROGRAM IS RIGHT FOR YOU? Establish and reinforce your weight goals for a lifetime with programs that offer hands-on education, physical activity, coaching, and nutritional consultation. HEALTHIER WEIGH This award-winning program is ideal if you have a Body Mass Index (BMI) of 30 or greater and are looking to lose a significant amount of weight. Our team of professionals works with you to make sustainable lifestyle changes. Participants meet twice weekly, once for education and group discussion and once for group-workouts. KICK START TO WEIGHT LOSS Have a BMI of 25-29.9 and are looking for help to lose those extra pounds? Kick your fitness up a notch and learn how to maximize weight loss. INDIVIDUALIZED NUTRITIONAL COUNSELLING Book a one-on-one meeting with a dietitian to target specific nutrition needs. WEEKLY WEIGH-IN A Reh-Fit dietitian will be available to weigh you and offer practical tips to help manage your weight more efficiently. to set goals in a way that feels manageable and achievable. I learned that I’ve got to be ready and have the desire and now I’m seeing results.” Barb continues to stay in touch with the people she met in her Healthier Weigh class and shared a personal training session with one of the other women in the group. Now a year after starting the Healthier Weigh program, Barb continues to make the Reh-Fit a priority in her week. “I pencil in the Reh-Fit on my calendar and work at planning meals ahead of time.” In addition to her ongoing weight loss, she recognizes that her commitment to a healthier lifestyle is paying off in ways she hadn’t anticipated. “I’ve been able to reduce my blood pressure medication, and my ultimate “My experience at the Reh-Fit has been goal is to come off of it completely. a 10 out of 10! Everyone here has a story, But it’s also helped with my mental so you don’t have to feel intimidated attitude. My co-workers have really by anything. I feel like this is somewhere noticed a positive difference because I can go where I don’t have to compete they see me every day and they’ve seen with anyone else. Plus the staff is me struggle over the last few years with fantastic and there are so many the loss of my husband. Coming here resources I can benefit from.” helps with the loneliness and the changes that you go through when this happens to you. It gives you a sense that life goes on and that you can be as happy as you can be considering the situation. Overall, I’ve got a much more positive outlook.” Catch up with Barb today and you’ll find her still hard at work and able to enjoy life more fully. “The absolute best thing that has happened since joining the Reh-Fit is now I have the energy and stamina to enjoy playing with my new granddaughter. That is so rewarding!” 18 | REH-FIT POWER LINDA KISILOWSKY In addition to the Moving Forward with Cancer program, the Reh-Fit offers a wide range of programs aimed at preventing and managing chronic disease. MANAGING CHRONIC DISEASE Mindfulness Based Stress Reduction Lean, Keen, Kidney Machines an approach to self-care that can assist offers education and exercise for those managing all stages of chronic kidney disease. in managing stress, pain, and illness. Improve Your Balance and Mobility: Falls Prevention for those looking to improve their balance and prevent falls. Pathway to Fitness: Exercise for Stroke and Other Neurological Conditions improves your quality of life through an exercise program that deals with the challenges of neurological conditions. PACE: People with Arthritis Can Exercise keeps your joints flexible, muscles strong, and reduces the pain and stiffness associated with arthritis. Hip and Knee Prehabilitation Exercise ideal if you’re scheduled for a hip or knee replacement or know that you will need one in the future. The stronger you are going into surgery, the better the outcome. Young Onset Parkinson’s Exercise Program an exercise program to manage the symptoms of this chronic disease. Happy Back is designed for those with chronic back pain. Get Better Together allows you to better manage pain, increase your energy level, and deal with fatigue and frustration. First Steps to Active Living is designed to help people incorporate physical activity into their routines by providing them with the skills to change their behaviour. Mind/Body programs include Yoga, Pilates, and Tai Chi. Moving forward after cancer | 1 9 MOVING FORWARD AFTER CANCER Linda Kisilowsky has been in the fight of her life for the past 12 years. That’s when she was first diagnosed with stage 4, Non-Hodgkins Lymphoma. “I had eight weeks of chemotherapy and radiation but rallied, and ultimately went back to work.” Just 16 months later, she was diagnosed with lung cancer and had one-third of her lung removed. Lung cancer was followed by yet another dire diagnosis – her lymphoma had returned, requiring a bone marrow transplant. And, when her lymphoma came back a third time, Linda received another bone marrow transplant. That was four years ago, but the stress and uncertainty of living with this insidious disease for many years had taken a physical and emotional toll. “I was struggling with anxiety and depression. My doctor prescribed a mild anti-depressant but it wasn’t really helping, so I went to see my CancerCare social worker for advice. She recommended the Moving Forward After Cancer program at the Reh-Fit Centre.” The eight-week program focuses on addressing common post-treatment stressors and health concerns and also provides guidance on how to foster healthy eating and an exercise lifestyle. Moving Forward After Cancer is offered in partnership with CancerCare Manitoba with the support of the CancerCare Manitoba Foundation. For Linda, it was a lifeline to the tools she needed to feel better and more in control of her life. “It was the combination of activity, nutrition, and overall wellness that has really helped me. This is an amazing program that has allowed me to deal with the anxiety and depression.” The social aspect of the program was a bonus for Linda who benefitted from talking to other people who were facing similar challenges. “This has been the nicest place because you see people of every age and every ability.” Keeping a regular routine and incorporating activity into her daily life has been helpful in alleviating her stress. “I’d arrive here in the morning for the program and we would do aerobic activity one day and then resistance training. Once a week we’d walk and use the elliptical machines. The staff would show us what to do and help us adapt our workouts to our physical ability.” Modifying her diet has also helped to improve her sense of well-being. “I feel better when I eat better. Now I’m more aware of everything I’m eating and try to incorporate better choices. It’s not a diet, but more of a way of life.” Participating in the program has encouraged Linda to adopt a more positive way of thinking. “I didn’t think I would make it as long as I did but every time I was hit by something new, I survived. I feel very fortunate and my focus is on trying to stay well.” Now that Linda has completed the program, she continues to connect with other participants. “I’ve stayed in touch with everyone and we meet once a month. I’m happy I came to this program – it’s done exactly what it promised to do – help me move forward with my life.” 20 | REH-FIT POWER TERRY PARSONAGE Giving back to the community | 2 1 GIVING BACK TO THE COMMUNITY For the thousands of people who rely on the Reh-Fit, their journey to the Centre is often about what they receive – the resources they need to improve their health. That’s the way it started for Terry Parsonage over 20 years ago but along the way he decided it was time to give back. “I started coming to the Reh-Fit in my 40s as a way to stay fit. However, I discovered that I had a heart issue – atrial fibrillation. I had surgery that was successful, but now I feel more than ever that at age 62 the Centre is where I’m supposed to be.” In fact, while membership fees cover much of the day-to-day operations of the Centre, the cost of replacing major assets such as equipment and making repairs to the building are significant. These costs are partially covered by the Reh-Fit Foundation but will increase over time. As a chartered accountant and chartered financial analyst, Terry decided to volunteer his services as a member of the Reh-Fit Foundation’s Finance and Investment Committee. “I really support the mission of the Reh-Fit and the work they do in improving the health of the community. I also hold the belief that it’s important to give back to your community and, in my case, I’m giving back to a place that has given me a lot.” With this in mind, Terry contributes annually to the Reh-Fit Foundation. “I see how many people rely on the Centre and I feel it’s important to keep it at its current high standard. To do that means that donations are required, so I am happy to do my part.” In his role as committee member, he’s discovered even more about the Centre. “What many don’t realize is that there are more than 355,000 visits to the Reh-Fit each year and those visits result in a lot of wear-and-tear. As the building ages, the cost to maintain, replace, and repair the Centre and its amenities continues to grow.” Mike Sampson, Chair of the Reh-Fit Foundation Board of Directors, says that more people who understand that the Centre represents a prescription for better health are realizing that they can make a difference by donating. “The Foundation is a registered charitable organization that provides financial support to the Centre. Through donations, we are able to repair and replace equipment, introduce new chronic disease programs, host important research to improve community health, and even ensure that those who cannot afford our services still have access.” Greater demand for services and increasing membership are also adding to overall costs. Mike adds, “This year the Centre needs to raise $1,100,000 to keep things at a safe and acceptable level.” For Mike, it’s easy to get behind the work done at the Centre. “Every day we see that donations are being used to change and save lives. Both the Centre and the Foundation have also achieved accreditation from Imagine Canada’s Standards Program. This means that our donors and the public can have complete confidence that we are operating in an ethical, accountable, and transparent manner.” Terry nods in agreement. “We are adhering to the highest possible standards and I think that the services the Reh-Fit provides are likely the services that virtually everyone will need at some point in their lives. We want to make sure that it continues to operate as a well-managed community asset so that it’s still here when you need it.” Gifts can be made online at www.reh-fit.com or by calling the Fund Development Officer at 204-488-9023. 22 | REH-FIT POWER RESEARCH DELIVERS INNOVATION There are few fields where needs are changing more quickly than they are in disease prevention and management. As a result, creative and effective solutions are always being sought. This is why the Reh-Fit Centre is developing its capacity to host and participate in scientifically sound research studies. Applications are reviewed to ensure that the studies are consistent with the Centre’s mission and vision. Applications are also evaluated for ethics approval, compliance with the Personal Health Information Act, adequate funding, and equipment and staff requirements. WORKING IN PARTNERSHIP The Reh-Fit Centre works with other health care providers and partners so that we can offer specialized healthy living programs more efficiently and cost-effectively than we could on our own. We are grateful to our partners who include: Canadian Mental Association, Winnipeg Branch Multiple Sclerosis Society of Canada, Manitoba Division CancerCare Manitoba Osteoporosis Canada, Manitoba Chapter CancerCare Manitoba Foundation College of Medicine, Faculty of Health Sciences, University of Manitoba Corydon Primary Care Clinic Here are the studies that are currently in progress at the Reh-Fit: The Kidney Foundation of Canada, Manitoba Branch • Walking speed to determine optimal aerobic exercise intensity for patients at risk of cardiovascular disease Manitoba Falls Prevention Network • The Prehab Study – pre-operative rehabilitation for reducing hospitalization following coronary bypass and valvular surgery • The impact of a pre-operative exercise program on fitness outcomes following bariatric surgery • The effect of a dual-task exercise program for improving balance, mobility, and cognition in older adults. Manitoba Renal Program Movement Disorder Clinic Parkinson Society Manitoba Alzheimer Society Manitoba The Arthritis Society The Heart Failure Clinic and Cardiac Sciences at St. Boniface Hospital The Mature Women’s Centre and Bariatric Surgical Program at Victoria General Hospital Winnipeg Regional Health Authority JOIN THE REH-FIT ENERGY TEAM! Do you like to meet new people, get involved in special events, or share your knowledge? We are looking for people like you to be ambassadors for our chronic disease programs, to help others feel comfortable at the Reh-Fit, assist our Membership Services team, or be involved in organizing our special events. Volunteering on the Energy Team is a great way to meet new friends and give back to an organization that has made a difference in your life. To find out more, send us an email at [email protected] REH-FIT CENTRE BOARD OF DIRECTORS 2014/15 REH-FIT FOUNDATION BOARD OF DIRECTORS 2014/15 David Thompson, CA Chair Mike Sampson Chair Albert Krahn Past-Chair Audrey Vandewater Vice-Chair Scott Bailey, CMA Vice-Chair Catherine Kloepfer, CGA, FCA Treasurer Pat Kloepfer, CA Treasurer David Horne Secretary Matthew Guberman Secretary Susan Boulter Rossana Buonpensiere Barry Brown Tim Burt, CFA Tim Burt, CFA Scott Cale Liz Findlay Gordon Greaves, CA David Horne Mike Hicks Janeen Junson Cliff Lazareck Albert Krahn Linda Vincent Kaitlyn Lewis Dr. Bruce Roe Gary Pachal, CA Sue Boreskie Chief Executive Officer Ron Pradinuk Charitable Registration Number 10765 9765 RR0001 David Thompson, CA Sue Boreskie Chief Executive Officer Charitable Registration Number 87046 0540 RR0001 EXECUTIVE MANAGEMENT TEAM MEDICAL ADVISORY COMMITTEE Sue Boreskie Chief Executive Officer Dr. Amarjit Arneja Patrick Harrington Director of Finance Dr. David Hochman Janet Cranston Director of Support Services Dr. Pravinsagar Mehta Dr. Thang Nguyen Medical Director Dr. Grant Goldberg Dr. Neal Lerner Dr. Thang Nguyen Dr. Florin T. Padeanu Dr. Sepideh Pooyania Dr. Mike Routledge Dr. Stephen G. M. Wong VISION To be the best health and fitness centre in Canada in building the health of the community, for optimum quality of life. MISSION The Reh-Fit Centre is a not-for-profit organization with a mission to enhance the health and well-being of its members and the community by providing innovative health and fitness services through assessment, education, and exercise in a supportive environment. 1390 Taylor Avenue Winnipeg, Manitoba R3M 3V8 Phone: 204.488.8023 www.reh-fit.com April 2015