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Exercise for Frail Elders Online CE Course-2nd Edition

Exercise for Frail Elders Online CE Course-2nd Edition


Available As

    Online Course

    Course components can be delivered as printed products or online: Learning Objectives
    After completing this course, you should be able to do the following:
    • Recognize characteristics and exercise and safety tips for 15 common medical disorders and special needs in the frail elderly as well as all adults,
    • Implement tips and strategies for participants dealing with sensory, cognitive, and communication issues; and
    • Define balance, core, and agility and integrate them into the exercise program.
    • Implement a safe exercise session, class, or program that incorporates one or more exercise components—warm-up, resistance training, aerobics, and cool-down
    Exercise for Frail Elders, Second Edition CE Course provides information and tools for promoting functional movement and abilities in frail elderly clients with special medical conditions and needs. The course covers resistance training, aerobic training, dynamic balance, stretching, relaxation, and the planning and implementation of successful exercise programs. It also features teaching aids and educational handouts.

    Specific guidelines, precautions, and safety recommendations are given for the following conditions: Alzheimer’s disease and related dementia, arthritis, cerebrovascular accident, COPD, coronary artery disease, depression, diabetes, hip fracture and replacement and knee replacement, hypertension, multiple sclerosis, osteoporosis, Parkinson’s disease, sensory losses, and traumatic head injury.

    The accompanying text, Exercise for Frail Elders, Second Edition, includes reproducible appraisals, questionnaires, checklists, and updated guidelines and safety precautions for range of motion, resistance training, aerobic exercise, and stretching for those with chronic disease conditions. Students also gain access to more than 150 photos that feature specific exercise instructions, variations, and progressions to interest and challenge participants.


    A continuing education course for health, wellness, and recreation professionals and physical and occupational therapists and instructors working with frail elders and older adults in community, recreational, or assisted living facilities.

    Table of Contents

    List of Figures, Tables, and Checklists
    List of Important Topics
    Part I. Planning a Successful Exercise Program for Frail Elders and Adults With Special Needs
    Chapter 1. The Participants: Know Their Individual Needs
    Frailty and Special Needs in Older Adults
    Common Medical Disorders and Special Needs
    Review Questions
    Chapter 2. The Exercise Program: Make It Motivating, Safe, and Effective
    Wellness and the Wellness Model as a Tree
    Make It Motivating
    Make It Safe
    Make It Effective
    Review Questions
    Chapter 3. The Leader: Tips and Strategies for Success
    Creating a Sense of Fun and Community
    How to Set Up a Group Exercise Class
    Opening Your Exercise Class
    Leading Your Exercise Class
    Closing Your Exercise Class
    Review Questions
    Part II. Implementing an Exercise Program for Frail Elders and Adults With Special Needs
    Chapter 4. Warm-Up: Posture, Breathing, Range-of-Motion, and Stretching Exercises
    Safety Precautions
    Basic Seated Warm-Up Exercises
    Basic Standing Warm-Up Exercises
    Variations and Progression
    Review Questions
    Illustrated Range-of-Motion Instruction
    Chapter 5. Resistance Training
    Safety Precautions
    Basic Seated Resistance Training Exercises
    Basic Standing Resistance and Balance Exercises
    Variations and Progression
    Review Questions
    Illustrated Instruction
    Chapter 6. Aerobic Training and Dynamic Balance Activities
    Safety Precautions
    Basic Seated Aerobic Exercises
    Basic Standing Aerobic Exercises
    Variations and Progression
    Review Questions
    Illustrated Instruction
    Chapter 7. Cool-Down: Stretching and Relaxation Exercises
    Safety Precautions
    Basic Seated Cool-Down Exercises
    Basic Standing Cool-Down Exercises
    Variations and Progression
    Review Questions
    Illustrated Stretching Instruction
    Chapter 8. Putting Your Exercise Program Together
    Designing Your Exercise Program
    Scheduling Your Exercise Classes
    Modifying the Exercises
    Progressing Your Exercise Class
    Maintaining Fitness Results
    Monitoring Attendance and Progress
    Review Questions

    Appendix A. Health and Fitness Appraisal
    A1 PAR-Q & You
    A2 Statement of Medical Clearance for Exercise
    A3 Cover Letter to Physician
    A4 Medical History and Risk Factor Questionnaire
    A5 Exercise Program Informed Consent
    A6 Fitness Leader's Log
    Appendix B. Teaching Aids and Educational Handouts
    B1 Benefits of Physical Activity for Older Persons
    B2 Muscles of the Human Body
    B3 Cueing for Safe and Constructive Biomechanics During Exercise and Activities of Daily Living
    B4 Exercise Equipment
    B5 Fitness Training Log
    Appendix C. Professional Development
    C1 Professional Ethics for Group Fitness Trainers
    C2 Answers to Review Questions
    Suggested Resources
    About the Authors

    About the Author

    Elizabeth (Betsy) Best-Martini, MS, CTRS, is a certified recreational therapist in the field of fitness, aging, wellness, and long-term care. Best-Martini is the owner of Recreation Consultation, a firm that provides training and recreational therapy consultation to retirement communities, skilled nursing settings, subacute settings, and residential and assisted care facilities in northern California. Her practice includes Fit For Life one-to-one personal training for adults and older adults.

    Best-Martini specializes in working with adults with special needs and brings more than 30 years of experience as a rehabilitation therapist to this work. In addition to consulting, she lectures and provides training throughout the United States and Canada. She also teaches a weekly seated strength training class in an assisted living setting.

    Best-Martini is an instructor at the College of Marin in Kentfield, California, where she teaches courses in strength, flexibility, and balance for adults and older adults. She trains new fitness instructors in the Exercise for Adults with Special Needs Fitness Instructor Training and Certification course through the American Senior Fitness Association. In addition, she facilitates the Activity Coordinator Training course, which certifies students through the Department of Public Health to become activity coordinators working with older adults and frail elders.

    She has authored two other texts: the sixth edition of Long-Term Care for Activity Professionals, Social Services Professionals, and Recreational Therapists and Quality Assurance for Activity Programs. Best-Martini also writes a column focusing on fitness and wellness programs for older adults in Creative Forecasting, a national newsletter for activity professionals and recreational therapists.

    In 2006 and 2008, Best-Martini received the American Therapeutic Recreation Association (ATRA) Member of the Year Award. She was awarded the 1998 Distinguished Merit Award from the Northern California Council of Activity Coordinators (NCCAC) and the Pete Croughan Award for her volunteer efforts with the nonprofit organization Love Is The Answer (LITA). She also served on the Visionary Advisory Board for the International Council on Active Aging (ICAA).

    In her free time, Best-Martini can be found gardening, hiking, exercising, and spending time with her husband, family, and many pets. She lives in Fairfax, California.

    Kim A. Jones-DiGenova, MA, received her master’s degree in physical education (exercise physiology) and the Distinguished Achievement in a Major Field Award from San Francisco State University. She is a physical education instructor at the College of Marin in Kentfield, California, where she teaches courses on strength and fitness training for older adults. She also is a health and fitness consultant and personal trainer in the San Francisco and San Rafael metropolitan areas.

    Jones-DiGenova has been working in the fitness field since 1971. She is an ACSM-certified health fitness specialist; SFA-certified senior personal trainer, senior fitness instructor, and long-term care fitness leader; Arthritis Foundation exercise program instructor; and YMCA strength training instructor trainer. She is the Northern California academic administrator for the American Senior Fitness Association and has developed and implemented resistance training pprograms in several convalescent, retirement, and senior facilities throughout California. Jones-DiGenova has also assisted handicapable adults with weight training, aerobic exercise, and stress reduction at the Recreation Center for the Handicapped in San Francisco. In addition to her work on Exercise for Frail Elders, Jones-DiGenova is a regular contributor to national and local newsletters.

    Jones-DiGenova resides in Novato, California. She enjoys spending time with family and friends and reading. She stays active by walking, hiking, swimming, weight training, and practicing yoga. She has swum from the Golden Gate Bridge to the San Francisco–Oakland Bay Bridge and has escaped from Alcatraz many times.