1. SYNERGISTIC APPROACH TO
HEALTH AND WELLNESS
SMALL CHANGES BIG IMPACT
Dolores Van Bourgondien, ARNP-BC,
RN,MSN, BA, MA

2. Bio
• Dolores Van Bourgondien is a board certified advanced registered nurse
practitioner who’s goal in life is to make a difference in the health and wellness
of all those she meets. She has worked as an emergency department and
trauma nurse at Broward
• While working in the emergency department she became more and more
concerned and frustrated with the constant visits of those patients with
complaints that could have been either avoided or treated earlier in the process
with education in diet, exercise and overall health and wellness. It was then that
she decided to return to school to obtain an advanced practice degree
concentrating on adult health, women’s health, Corportate Wellness and holistic
preventative health and wellness.
• Dolores’ focus is on Health, Wellness, Prevention and Maintenance. Her
Master’s Thesis concentrated on the development of a nursing model using
Advanced Registered Nurse Practitioners in the workplace and outpatient setting
to ensure compliance with routine preventive screening which would eventually
decrease future medical problems for employees. This model utilized other
specialties such as dieticians, personal trainers and fitness professionals,
chiropractors, and mind-body specialists who provide yoga and meditation for
stress relief and general improvements in health and wellbeing. Her thesis
demonstrates that a synergistic approach to health and wellbeing will be the
future model for healthcare and prevention.

3. What is Synergy
• Synergy is defined as working together,
combining efforts with others to enhance an
effect. So by working synergistically, we can
all benefit.
• The same is true with health and wellness. It
is obvious that up to this point we are not
doing a good job living in balance – Stress has
increased, as have health problems obesity
rates and death.

4. Synergistic Approach to Health and Wellness
Exercise
Diet
Mind/Body
Health
Wellness
Musculoskeletal

5. Health
NutritionFitness
Mind-
Body

6. Synergy &
Integration
Dr. David Katz. Katz is the
director of the Yale-Griffin
Prevention Research
Center and author of the
new book Disease Proof:
The Remarkable Truth About
What Makes Us Well. “If you
think about the issues that
prevail today, they are
related to eating too much
of all the wrong foods,
getting far too little
physical activity, toxins
we’ve invented like tobacco,
inadequate sleep and
strained social bonds,” he
says.

7. Small Changes Big Impact
• Can’t be a rock star in one area and neglect all
others so small steps in each area will add up!
• Make small simple steady changes
• Avoid all or nothing approach “its cool to be
grey”
• One small change will add up – ie give up soda
drink water instead, skip dessert
• Pay attention – park further away, take the stairs
step back and take a deep breath

8. Small Changes Big Impact
Exercise
– Try a 15 minute walk and
then build up to a class
– Try something you have never
done before yoga, pilates,
paddleboard
– Shoot for 1,2,3,5 days a week
– Encourage a friend – misery
loves company JK but friends
do motivate and encourage

9. Synergy Fitness

10. Synergy Fitness

11. Synergy Fitness

12. Small Changes Big Impact
Diet
– Keep a food journal for one
week
– Plan a healthy meal and then
meal prepare and shop form
that plan
– Skip dessert, bread, eating out
– Swap out high calorie drinks for
water
– Have oily fish three times a
week
– Snack on protein-rich food
– Avoid mayo
– Change your coffee order
– Don't skip breakfast

13. Small Changes Big Impact
What is a healthy Meal ?

14. Synergy Nutrition

15. Synergy Nutrition

16. Synergy Nutrition

17. Synergy Nutrition

18. Synergy Nutrition
• Healthy Diet
• 40/40/20
• Weight Loss
• Muscle Building

19. Diet
• You are what you eat
!
• Choose Fresh Foods
• Eat 5-6 Small Meals
throughout the day
• Hydrate
• Brown Bag Lunch

20. Diet

21. Small Changes Big Impact
Mind Body
• Mind/Body
– Try yoga
– Commit to meditate 5
minutes a day
– Keep a gratitude journal
– Write down something you
are thankful for every day and
put in a jar

22. Mind-Body

23. Small Changes Big Impact
Mind Body

24. Mind-Body

25. Small Changes Big Impact
• Health
– Get an annual
physical/Female annual exam
– Get your milestone tests done
– Practice Prevention rather
than cure
• Wellness
– Take your vitamins
– Get out in the sun into nature
– Contact a friend or join a
stimulating group
– Read

26. Small Changes Big Impact
Complimentary Modalities
• Use of complimentary
modalities
– Use of Chiropractic methods to
aid health and wellness
– Massage Therapy
– Cryo-Therapy
– Chiropractors recognize that
many factors affect your health,
including exercise, nutrition,
sleep, environment and
heredity.
– Chiropractic focuses on
maintaining your health
naturally to help your body
resist disease, rather than
simply treating the symptoms
of disease.

27. Synergy & Integration for Health and
Wellness
• Diet Alone does not work
• Exercise Alone does not work
• Mind-Body Alone does not work
• Medicine Alone does not work
• We must combine all elements into a
Synergistic Plan to create optimal health and
wellness

28. QUESTIONS?