Corporate Fitness and Active Aging

Compression stockings are used for a variety of reasons, one of which is to reduce fluid pooling within the lower extremities; and to protect against the potential for developing phlebitis and thrombosis, which can eventually lead to the formation of life-threatening blood clots (deep vein thrombosis, or DVT). Many athletes of all abilities can even be seen wearing compression sleeves and stockings, with the idea that the compression aids in athletic performance.

Ankle Swelling Causes and Effects

The sensation of swollen ankles is often described as a burning or itching feeling, or even as having your legs feel achy or tired. If you have leakage of fluid from your capillaries and it is not resorbed back into your bloodstream, this may result in the swelling of your ankles or feet. However, if you can increase the pressure in and around the capillaries, it is far more likely that the fluid will be resorbed back into the lymph system and naturally eliminated by the body. When there is less pooling of fluid in the legs, the result is increased blood flow in the legs back up toward the heart.

Compression stockings may also be worn following surgery to lower the risk of developing a blood clot, or for any period of time when someone is less active. A doctor may actually prescribe compression stockings if you have varicose or spider veins, or if you have just had surgery for them. Both Sigvaris and Jobst (makers of graduated compression stockings) even note the health benefit of wearing them for travel. Take this into consideration: sitting for a four-hour period or longer can increase your risk for DVT by four times, regardless of your lifestyle, age, or weight. (Here are some ideas for breaking up your sitting time.)

How to Wear Compression Stockings

Listen to your doctor’s recommendations as to how to wear your compression socks and for how long. Some general guidelines are the following:

• Put your stockings on in the morning.
• Roll the stocking down and slide it onto your foot to the heel and then roll it up the rest of the leg.
• Ensure that there are no wrinkles in the stocking after placement, and smooth out any that may have developed while you were rolling it on.
• Knee-length stockings should come up to two fingers below the bend of the knee.
• DO NOT stop wearing compression stockings before consulting with your doctor first.

Always talk to your doctor about wearing compression stockings first to ensure proper use, and be sure to report any discomfort you may have while wearing them. 

Compression stockings come in a variety of strengths, ranging from light to strong pressure. Compression stockings are graduated in strength, meaning that the greatest compression is found in and around the ankle with the pressure progressively decreasing up and around the calf. The stockings also come in a variety of fun colors and styles. Trained professionals can best size and fit you based on your specific need.

For more information, talk to your healthcare professional or visit the manufacturers’ websites (Jobst and Sigvaris).

So what’s so practical about going to the gym, anyway? We can always find a million and one good reasons not to go. The dishes aren’t done, I haven’t finished reading the newspaper, the laundry is piling up, I have a headache, it’s too nice to be stuck inside, I’ve had a bad day…the list of excuses can go on and on. So why even bother?

The good news is that you don’t have to work out. But with every yin there is a yang, and the bad news is that if you choose not to exercise, you can expect to have a tougher time, especially as you get older, with simple daily tasks.

What Happens When You Can’t Perform Activities of Daily Living (ADLs)?

At this point in your life I bet you can’t imagine not being able to walk up and down a flight of stairs, or losing the ability to dress yourself or brush your own hair. These are simple activities of daily living that we tend to take for granted. I can’t imagine entrusting my 5-year-old nephew with picking out clothes and putting them on me. I would probably have on a t-shirt with dinosaurs or a front-end loader on it, a pair of warmup pants (on backward, of course), and slip-on Wellie boots on the wrong feet. So thank goodness I can manage to get myself together and pick out my own clothes at this point in my life—and walk up and down the stairs to pick out said clothes, and get myself to work, or out to dinner with my husband, or on a walk with the dogs.

So how do we lose the ability to do functional movements that seem mundane at this point in our lives? It all boils down to inactivity. Sure, there are a lot of other issues that can compound the simple act of avoiding movement and exercise. But the act of avoiding movement and exercise on its own is enough, over time, and added to the natural muscular wasting or atrophy that occurs as we age, creates a perfect storm of problems that can seem insurmountable.

We need movement, especially weight-bearing exercises, to keep our muscles healthy and vital. As we age (Newsflash: we are all getting older; by the time you get to the end of this blog, you will be 10 minutes older), our bodies are less able to both maintain and create new muscle. Once you reach age 70, this issue begins to accelerate. By age 80 the problem has moved into the fast lane, and boy does she have a lead foot. 

The Senior Fitness Solution: Keep Moving and Staying Active

This wasting process makes daily activities increasingly more difficult. And now we are back to the idea of going to the gym, because we don’t want our legs to shrivel up like a worm that sits in the sun too long. But we still have the same old excuses. So what to do? Do the things that you want to continue to maintain your ability to do.

• Going up and down stairs: You still want to walk up and down the stairs? Take 10 to 15 minutes a day and briskly walk up and down the stairs. If you don’t have a staircase, use the curb outside or buy an aerobic step riser from a sporting goods store.
• Getting in and out of chairs (or on or off the toilet): Another key exercise for leg strength is a modified squat, or what we call a sit to stand (and it’s also good for balance). Sitting on the edge of a sturdy chair, trying not to use your arms, come up to a standing position. Then sit back down. Imagine you are sitting on a lemon meringue pie. Don’t splat it out; sit on it gently. Don’t stay in the chair. Just touch it with your rear end and then push back up. Try 2 or 3 sets of 10.
• Dressing yourself and performing ADLs: Want to still be able to dress yourself and brush your own hair? Do modified pushups or wall pushups! Two sets of 10 per day will be more than adequate. Add in some weights (you can just use soup cans) and do some overhead presses and a few bicep curls and reverse flys to activate the upper body. Stick with the idea of doing the exercises until the muscles fatigue, usually after 20 to 30 repetitions. Add in a few planks for core strength. If planks are out of your league right now, just do some bent-leg lifts while on your back on the floor.

All of this is probably within your reach now. But why don’t you take a few minutes after you finish reading this blog to test out your abilities. Do all the stuff I outlined above, with not too much of a break in between, and see how you do. If it is a little or a lot tough, keep at it! It will get easier, and you will still be able to brush your hair and get off the toilet as you age! I’d say that active aging is a reward in and of itself.

Check out more great ideas like this from our staff!  Click below for more best practices from NIFS.

In my first and second blogs of the series, I went over four of my guidelines to being successful in fitness:

1. Muscle-Activation Exercises
   
2. Simplistic Exercises
3. Compound, Multi-joint, Closed-chain Movements
4. Grip Exercises

In this third blog, I discuss another guideline.  

Guideline 5: Mobility Work

Mobility is the ability to move freely, pain free, and without issue throughout the range of motion of a particular joint. For instance, a client may have an issue getting into the position to do an exercise such as the sit-to-stand. One of the issues I see is related to tight ankles, which is a very common problem. With tight ankles, if the chair is in a low position, the client won't be able to keep their heels on the ground and will shift their weight to the front of the foot, opening the door to a fall or knee injury. To fix this area, I focus on three spots: range-of-motion exercises, stretching exercises (whether it is static or dynamic), and myofascial release exercises.

While stretching is important, too much of it may lead to joint laxity, which could lead to injury. Range-of-motion exercises, such as pointing and flexing with the foot, rolling the ankle around in full circles, and even calf raises will move the joint in its full range of motion and warm up the joints and muscles, which will allow for better stretching and injury prevention. Lastly, myofascial release will help loosen up that gristly tissue, which will lead to more mobility, therefore leading to increased performance, less injury, and better results.

Obviously, many CCRC residents won't be able to do foam rolling by using a foam roller on the floor, and I certainly don’t recommend that. Therefore, I recommend two tools: a mobility stick, which allows the resident to access problem spots on their own from a comfortable position, and a tennis ball, which is small enough to target certain spots, but not so hard that it may hurt too much, as myofascial release is always a bit uncomfortable. The tennis ball can be used while lying on an elevated mat or exercise table, or even used as a tool to loosen up the upper body by placing the ball on a wall and gently pressing the ball into the problem spot, such as the chest or mid back.

While mobility is an issue that affects many areas of the body, lack of ankle mobility is a common problem that I've seen, and you can apply the same mobility principles to many different areas other than the ankles.

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In my next blog, I give you my sixth and final guideline: Changing exercise variables.

Our staff are routinely focused on how they can grow participation in the corporate fitness centers they manage. Granted, they don’t have to work that hard at it in January, and maybe into February, but beyond those first two months of the year, the remaining ten months can prove challenging for meeting their participation goals.

One of the ways they work on achieving specific participation numbers is through successful programming. It’s not rocket science, but you do have to know your members and understand what works with them in order to build effective programs. That’s why our crew is so focused on evaluating their offerings; the results help them better understand how to provide incentive and educational programs tailored to the interests and needs of the audience they’re serving.

Tapping into existing successes

One of our managers at a corporate fitness center in New York created a simple St. Patrick’s Day–themed program to help New Year’s resolution makers carry through with their newfound exercise habits into March. For this program, she set specific goals to increase fitness center visits (targeting eight or more monthly visits per member) and to increase participation in group fitness classes.

Each member who signed up for the program was given a small pot (“pot-o-gold”) into which they could place the gold coins they received for coming in to work out on their own or to take a class. She weighted the group class participation by giving two coins for each class. The participant goal was to collect as many gold coins (get as many visits) as possible for the duration of the program. Supplies for the program cost about $30.

[Related Content: 3 Ways to Improve Corporate Fitness Programming on a Small Budget]

Simplicity wins

Members provided feedback that one of the things they enjoyed about the program was its simplicity. It was both easy to understand and easy to participate. When work and personal lives are so complicated and hectic, it’s refreshing to have the corporate fitness center offer no-brainer incentives as a diversion and stress reliever. Not only was the program easy for the members, but our manager reported that she appreciated the simplicity as well; there were no detailed spreadsheets to manage, no massive uptick in 1:1 appointments to juggle, and no convoluted formulas to compute to determine program winners. In fact, even marketing the program was easy—who doesn’t want to win a pot of gold?

The NIFS manager reported that she saw several new faces engaging in group fitness who have continued taking classes long after the program concluded, and some associates who hadn’t completed their memberships hustled through their remaining steps so that they could participate in the program. Overall, she saw 72 percent of program participants workout out at least eight times during the month-long initiative, substantially higher than her typical frequent visitor percentage. Additionally, group fitness class participation increased by 15 percent.

Want to get your hands on other great program ideas that have been tested and proven in corporate fitness?  See what we've outlined as NIFS Best Practice programming.

We have all made the excuse that we don’t have the time to exercise. If you have children, this excuse is even more likely. You have to get the kids ready in the morning, you work all day, you get off work, pick up the kids, and take them to their after-school activities. After that you’re finally getting home to cook dinner and relax with the family. Upon finishing dinner, it’s time to shower and go to bed. Now, I know that may feel like an exhausting day and that you have no time for yourself, but if you really look for it there is plenty of time to fit in some exercise.

Finding Small Ways for Staying Active 

Now is time to throw the excuses out the window. Exercising does not have to be a 30 or 60-minute workout. You can easily achieve your daily recommended exercise in small bouts of 10 minutes. One of the easiest ways you can achieve this is by parking in the back row at work rather than trying to drive around and find the closest spot possible. If you are one of those individuals, it’s time to switch up your routine.

Encouraging Exercise at Work

Leaders in the workforce can be great facilitators of physical activity. If you are a leader in your workplace, try making an effort to encourage your employees to move more. One great way to get your employees up and away from their desks is by having walking meetings.

Many individuals today are using activity trackers to help them stay on top of their movements. Friendly competitions within your workgroup are a great way to promote physical activity as well as boost company morale.

Finding Workout Motivation and Accountability

The key to becoming healthier is finding the physical activities that you enjoy doing most so that you will keep doing them. Using the buddy method is a great way to keep yourself accountable. If there are days you are feeling unmotivated to exercise, your friend, family member, or co-worker can be there to help encourage you along.  Set a schedule and stick to it.

Get the Help You Need to Stay Healthy

The biggest thing to take away is that there are endless ways that you can achieve your health and exercise goals. If you are struggling to find a way to fit exercise into your day, seek the help you need. Whether it’s downloading an app, getting a health coach, or simply learning which physical activities you need to be doing, the more you can get up and move, the better health benefits you will gain. So stop using those old, worn-out excuses and become a healthier you today!

Need tips for adding exercise to your worksite?  Click below to download our whitepaper for tips from NIFS. 

In my first blog, I discussed two of my guidelines for senior fitness:

1. Muscle-Activation Exercises
2. Simplistic Exercises

In this second blog, i will discuss different movements and grip exercises.

Guideline 3: Compound, Multi-joint, Closed-chain Movements

Exercises like sit-to-stands, which are modified squats; and a vertical and horizontal pressing and pulling movement, such as seated rows and wall pushups, just to name a few, give you more bang for your buck. Movements like this burn more calories and fat, lead to greater strength and lean muscle gains, and most importantly, they work the body in unison.

These exercises work multiple muscle groups through the range of motion of multiple joints. For instance, a sit-to-stand works the quads, hamstrings, hips, calves, and even the upper back due to maintaining a neutral, upright spine. Also, this exercise uses these particular muscles through the range of motion of the hip joint, knees, ankles, and more. Isolation exercises, on the other hand, only work one muscle through the range of motion of one joint. For instance, a leg extension works the quads through the range of motion of the knee joint.

When CCRC residents, or anyone for that matter, perform daily activities such as standing up after lunch, walking down the hallway, or picking up groceries, multiple muscles are being used through the range of motion of multiple joints. That’s why the compound, multi-joint, closed-chain movements are so much more effective than isolation, single-joint, open-chain movements.

These exercises also increase neurological activation. Compound exercises allow the individual to lift heavier loads, as opposed to isolation movements. Lifting heavier loads demands an involvement of larger muscles, which places more demand on the central nervous system to activate more motor units and fire them off at a faster and higher rate.

These exercises are great for balance, as well. Strength-training exercises are extremely effective for increasing balance. One question I always like to ask residents is, “Would you say that your balance is worse than it was ten years ago?” The answer is usually a resounding yes. Then I ask, “Why do you think that is? Ten years ago, did you regularly perform balance exercises?” The answer to this question is usually a resounding no. What this tells me is that as the resident got older, they lost muscle. As the muscle atrophied, they lost the strength to appropriately balance themselves. Furthermore, if they had a fall, they'd be even more reluctant to do anything. This fear would lead to even more inactivity and muscle atrophy, leading to a steady decline in balance. My suggestion? Center most of the training on the main compound movements and add isolation exercises in for lagging, injured, or imbalanced muscle groups.

Guideline 4: Grip Exercises

Most residents have arthritis in their hands; therefore, they have poor range of motion with them. Hand strength is vital for many reasons. From being able to grab their eating utensil to being able to grab the railing when they walk the halls, grip strength is vital. Doing crushing-grip exercises, like using a hand gripper from a sports store; or rubber band forearm extensor exercises, which are vital to avoid an imbalance from the crushing-grip work; and pinching grip exercises with a dumbbell allows clients to strengthen their hands, reduce, pain and increase range of motion.

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Watch for my next blog when I introduce a fifth guideline for senior fitness—mobility work.

Interested in doing more for your residents and how you can create a culture of wellness?  Click below to see how you can do just that! 

There’s a lot of misinformation out there on what is and is not good for you. The science changes all the time; unfortunately, changes in health information can sometimes depend on who’s funding the provider. So it can be hard to trust the latest press release “proving” the next best strategy for preventing disease and living longer. Despite the confusing messaging, there are a few constants on health you can count on:

• Tobacco use is bad for you.
• Moving your body is good for you.

I don’t want to get into a discussion of which is more important to employee health; there are too many complicating and personal factors to establish such a case. Instead, I’ll focus on physical activity because I think it represents a substantial area of opportunity for employers when considering options that fit into the “doing wellness for (or even with) employees” mantra.

Plenty of employers offer some kind of option for exercise at work, whether that be with group exercise classes onsite, workouts in a full-blown corporate fitness center, or walking trails on the property. In most cases those amenities/offerings are a use-at-your-own-risk proposition. There’s very little leadership support or communication about how to get involved, so only those employees who feel most strongly about pursuing regular exercise actually have the motivation to engage. And then employers wonder why participation is so low.

So here we are at this weird crossroads where employers try a few fitness-based options at the worksite for employees, very few employees enjoy the benefits of those programs, and employers are frustrated. What’s a company to do?

To be fair, we can’t expect everyone to want to exercise. Employers should have realistic expectations about how many people they can draw into these offerings. If you’re looking for ways to tip the scales that make a work-sponsored group fitness class look a little more attractive to your workforce, consider the idea of compensated workout time. Here’s why this is worth your attention:

• It’s no secret that time, or lack of it, is a primary barrier for your employees participating in regular physical activity. Couple the lack of time with the idea that your employees spend about nine hours per day at the office, and you have yourself a significant potential audience.
• However, if the workplace culture or departmental mantra is about working harder, producing more, and keeping butts in the seats, then the convenience of a workplace fitness option is a moot point.
• Alternatively, if we can pay them for 45 minutes of working out three days per week, now we might be onto something that sends a true message about how important the employer feels it is for employees to make healthy choices. And before you read this and exclaim, “We already do that…it’s called a lunch break,” what I’m advocating is 45 minutes beyond the lunch break. For an employee making $25/hour who works out, walks, or takes a group exercise class three days per week during this compensated time, it costs the company about $2,800 a year ($25/hr x 75% of an hour x 3d/wk x 50wk/yr).

Maybe you can’t afford compensated exercise time for your employees. But before you discount it outright, do what my mom always encourages me to do with a big decision. Make a pro/con list. Consider all the health benefits of engaging in regular physical activity compared to the lost work time on your bottom line. Weigh the positive of increased employee loyalty and creativity against the straight dollar cost. Understand the value of really supporting your employees’ quest for better health versus only paying it lip service. If the tick marks in your pro column outweigh those in the con column, you just might have your answer.

Need tips to get your employees moving more?  Download our whitepaper to help you get started with adding exercise to your worksite wellness program.

What’s better than chips and guacamole? Tacos and guacamole? Fajitas and guacamole? Or guacamole and a serving of guacamole with a little dish of guacamole on the side? Point is guacamole is amazing and what better way to celebrate the awesomeness of guacamole than Cinco de Mayo. If you plan on indulging in as much guacamole as I do this Cinco de Mayo then maybe a plyometric workout beforehand will keep your conscience at bay when asking your waiter/waitress for that third serving of guac. Here are my 5 favorite plyometric exercises for Cinco de Mayo:

5 – Squat Jumps

5 – Power Push-Ups

5 – Split Lunge Jumps

5 – Heavy Med Ball Slams

5 – Burpees

*Repeat these 5 times through, if you aren’t sure of how to execute these exercises here is a rundown for you:

Squat Jumps – Start with feet shoulder width apart. Lower body into a squat by bending at hips with your back straight, pushing your glutes back while looking forward.  Allow your arms to naturally swing back and with a quick pause at the bottom, push through your feet into a jumping motion. Swing your arms to straight up in the air, fully extending over your head. When landing, squat back to the lowered position and repeat.

Power Push-Ups – Start in push-up position with arms shoulder width apart. Keeping body straight, perform a push-up. On the way up, in an explosive motion, push your body up so your hands come off the ground. Resistance can be decreased by having knees on the ground.

Split Lunge Jumps – Stand with one foot forward and other foot back with knees bent slightly. Dip body down by bending legs lowering yourself toward the ground. Immediately jump upward quickly switching legs and landing with feet in opposite positions. Keep torso upright and hips straight forward. Repeat sequence with opposite leg movement.

Heavy Med Ball Slams – Hold a medicine ball with both hands and stand with feet at shoulder width apart. Raise the ball above your head fully extending arms overhead. Reverse the motion, slamming the ball into the ground directly in front of you as hard as you can. Receive the ball with both hands on the bounce and repeat the movement.

Burpees – Start standing with feet hip width apart. Squat down placing hands shoulder width apart on the floor. Jump both feet back into a push-up position. Perform a push up and immediately jump feet back into the squat position. Jump up from the squat position extending arms straight up. Land back on the ground and repeat.  For an easier version, eliminate the push up, you can also step your feet out and back to eliminate the explosive movements.

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Weight training for women has a common concern: engaging in resistance training may lead to “bulking up” or gaining significant amounts of muscle mass. But this is simply not the case. More likely, it will lead to weight loss.

Gender Affects Muscle Mass

First, I’d like to discuss the basic physiology of women that significantly debunks this concern. Imagine a healthy adult male specimen with an ideal amount of muscle mass. Compare that to a healthy adult female specimen. I’m sure most of you are imagining that the female is overall slightly smaller and has significantly less muscle mass than the male. What other differences are there between the two specimens? They have different reproductive systems. The male reproductive system, more specifically testosterone, is completely necessary for building significant amounts of muscle mass. Testosterone is an anabolic substance; without it, the human anatomy is dramatically less efficient at building muscle mass.

Testosterone Makes the Difference

Taking this into consideration, here’s another scenario. This time, instead of adult male and female specimens, imagine prepubescent male and female children engaging in an identical resistance training program. Theoretically, both children should have similar responses and gains from their training because neither is producing significant amounts of testosterone. Now imagine those same children of similar size and health entering puberty and continuing with their training. Along with the mood swings experienced with the influx of hormones, the male specimen brings testosterone into the equation. As these children continue with their identical resistance training programs, the male should begin building significantly more muscle mass and at a much faster rate, while the female experiences a response to the resistance training similar to the response she experienced prior to puberty.

Genetics Play a Role

I’m implying that if women engage in the same resistance program as men, it is very unlikely that they will experience the exact same response as men. That being said, I am also a firm believer in genetic individuality; certain individuals’ physiology may differ slightly compared to the usual. Although men typically produce more testosterone than women, women do still produce a lesser amount of testosterone from the ovaries and adrenal glands. It’s more than reasonable to assume that a certain percentage of the female population might produce higher than average amounts of testosterone. Although this is possible, it’s also certainly not the norm.

Increased Metabolism Enables Weight Loss

In either scenario, muscle mass requires energy in order to function, whether you are exercising or just moving around the house. Our bodies get this energy from calories, so an increase in muscle mass will lead to an increased rate at which we burn calories, or metabolic rate. Now with an increased metabolic rate, it becomes easier to lose weight!

It’s also important to keep in mind that muscle mass is a dense material and weighs substantially more than fat. Taking this into consideration, the scales won’t necessarily show the results at first. Stay patient and determined, because over time you will notice a physical difference.

Here are some more reasons women need strength training, and more thoughts on why the ultimate goal of weight training isn’t always bulking up, but can instead be a boost to women's health.

Now it is time to apply what you learned in Part 1. Let’s look back on some key points:

• Only 12% of the U.S. population is health literate.
• Health and safety information should be delivered on a fifth-grade level.
• “Why” is a crucial question to ask and to answer in resident wellness.

Did you think about how you and your clients communicate and how instruction is delivered? Do you talk to your clients, or do your discuss with your clients? Let me ask you this: How often are you creative with your answers? How often do you use analogies that can be seen in the everyday world?

The Power of Analogies in Senior Fitness Education

I love using analogies. The body is an amazing machine, but also a mystery to many. I know we have all explained osteoarthritis many times over in our careers, but how well is the message getting through to the client? We can try to explain that the cartilage in the knee has slowly been worn down over time due to previous damages that may have occurred.

Now imagine that you have no idea what cartilage is, or can’t picture it. Would anything after that word mean anything to you? Probably not. So let’s put some visualization to this. Cartilage covers bones where they will meet with other bones and rub together. It is like a wet plastic sheet. Over time, damage happens because of impact from the many falls, running, and jumping that we have done. It also becomes more dry and brittle as we get older. Because of the damage and the dryness, the bones do not slide across each other smoothly anymore. The rough surfaces rubbing together will cause more damage, and the moist plastic lining is not there anymore to stop the bones from rubbing together. This explanation took a little longer, but I also know that the client now has a good picture in their mind of what is happening inside their knee.

Perspective and Visualization

One surprising statistic I learned while in my physics class in college is that if you hold a gallon of water straight out in front of you, your shoulder has about 100 pounds of pressure on it, even though a gallon of water is approximately 8 pounds. This is a statistic I am always passing on to my senior wellness clients. It can be very hard to understand why such a small weight is so difficult to lift, and maybe even painful. Some even feel embarrassed that they can’t lift a larger amount of weight. As soon as I tell them this, there is always a light bulb that goes off, along with surprise, of course. Again, the body is a machine. Machines follow the laws of physics, but how many of us can explain physics well enough for a fifth-grader to understand? Visualization is key.

Working with Plain Language: A Training Manual, written by William H. DuBay, has a great deal of information on the background of plain language, why it is necessary, and how to apply it in all manners.

One of our greatest joys as health, wellness, and fitness specialists is seeing the people we work with succeed. So let’s find that common ground where we are not just talking to our clients, but discussing with our clients about their health, wellness, and happiness.

Interested in how you can do wellness better for your residents?  Grab our quick read below to see how you can better evaluate your wellness offerings in your senior living community.