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Creating Wellness Assessment System




                              Be Fit. Eat Right. Think Well.
CWAS Installation Key Points
     No wireless or satellite internet connection

     Required: High speed internet connection, (512 kbs band width
       Upload/Download) minimum.
     VPN port (1723 TCP) on router/modem must be open both
       inbound and outbound
     Do not place the CWAS system directly under glaring light.
       Ambient light interferes with the infra-red futrex wand.
     Do not have both the CWAS and the INSIGHT systems connected
       on the same computer at the same time.
     Do not delete or add programs (except microsoft office) unless you
       check with the CW tech team.




                                                        Be Fit. Eat Right. Think Well.
Launching the software




                         Be Fit. Eat Right. Think Well.
Adding a New Member




                      Be Fit. Eat Right. Think Well.
Activating The Account


                    Access Code

                               You will receive an email from
                               webadmnin@CreatingWellness

                               The link you receive in the
                               email must be clicked to
                               activate your account.
                   Important: Account
                   Requires Activation




                                         Be Fit. Eat Right. Think Well.
Reviewing Member Information




                         Be Fit. Eat Right. Think Well.
Questionnaire

•   Completed on-line at
    MyCreatingWellnesssSpace




                               Be Fit. Eat Right. Think Well.
Opening Screen when starting Assessment




                                 Be Fit. Eat Right. Think Well.
Items to Collect




                   Be Fit. Eat Right. Think Well.
Capture any patient Notes




                        Be Fit. Eat Right. Think Well.
Nervous System Multiplier


      This number is produced
      from your INSIGHT and
      can be found in the
      software.

      You can skip this if the
      number is not available.




                                 Be Fit. Eat Right. Think Well.
BMI (Body Mass Index)
     • Tool for indicating weight status in adults
         – A measure of weight for height
         – BMI =        Weight in Kilograms
                 (Height in Meters) x (Height in Meters)



     • For adults over 20 years old, BMI falls into the following
       categories:
         – BMI                Weight Status
           Below 18.5         Underweight
           18.5 – 24.9        Normal
           25.0 – 29.9        Overweight
           30.0 and Above     Obese



                                               Be Fit. Eat Right. Think Well.
Client’s Weight




                  Be Fit. Eat Right. Think Well.
Client’s Girth




                 Be Fit. Eat Right. Think Well.
Futrex Body Comp Analyzer
   • Uses light absorption to measure body fat
      – Direct correlation with the body’s overall fat level

   • Sensor is placed at the center of the biceps of the
     dominant arm
      – Sends Near-Infrared light
                 beam at specific wavelengths
                                         that fat absorbs
        and lean                                  mass
        reflects




                                          Be Fit. Eat Right. Think Well.
Body Comp. Summary




                     Be Fit. Eat Right. Think Well.
Cardiovascular & Respiratory Performance


         • Blood Pressure
         • Heart rate
         • Vital Lung Capacity




                                 Be Fit. Eat Right. Think Well.
Blood Pressure & Heart Rate




                        Be Fit. Eat Right. Think Well.
Vital Lung Capacity

  • The maximum amount of air that can be
    exhaled after a maximum inhalation
     – Used to determine the condition of lung
       tissue
     – Also known as “Vital Capacity”
  • Typical normal range is 3000-5000 Liters
     – Normal value is gender, age, and
       height dependant




                                    Be Fit. Eat Right. Think Well.
Vital Lung Capacity




                      Be Fit. Eat Right. Think Well.
Cardio Summary




                 Be Fit. Eat Right. Think Well.
Stress Profiling
    • Dealing productively with stress is
      an important aspect of wellness

    • CWAS provides an objective
                         assessment of
      stress reactivity
       – Understanding our stress
         responses
                     is a vital first step to
         taking control
                         and creating
         wellness


                                                Be Fit. Eat Right. Think Well.
Measuring Stress
    •   CWAS measures the physiologic
        responses that are most reactive to
        stress
         –  Galvanic Skin Response (GSR)
         –  Heartrate
         –  Peripheral Blood Flow
         –  Skin Temperature
    •   Scientific validity of all measurements
        is well-established
         – Extensive literature in polygraphy
            and psychophysiology




                                                  Be Fit. Eat Right. Think Well.
How Stress Profiling Works
    •   Easily performed
         – All measurements are
           conveniently (and non-
           threateningly) made from one
           hand
         – Synchronized protocol will direct
           client while software acquires
           physiologic data
    •   Three-minute protocol
         – Resting Baseline
         – Response to Stressor and
           Recovery




                                               Be Fit. Eat Right. Think Well.
Stress Profiling Protocol



         Resting Baseline   Response to Stressors

                            Physical Stress & Recovery


                            Cognitive Stress & Recovery




                                         Be Fit. Eat Right. Think Well.
Resting Baseline




                   Be Fit. Eat Right. Think Well.
Physical Stress & Recovery




                             Be Fit. Eat Right. Think Well.
Physical Stress & Recovery




                             Be Fit. Eat Right. Think Well.
Cognitive Stress & Recovery




                              Be Fit. Eat Right. Think Well.
Cognitive Stress Summary




                       Be Fit. Eat Right. Think Well.
Stress Profiling Results

    • Analysis is based primarily on
      recovery from stress
       – A “hot” reactor has
         elevated responses that do
         not return to baseline
         levels quickly
       – Identify sources of stress
         and develop coping
         strategies




                                       Be Fit. Eat Right. Think Well.
Strength

    • Dynamometer
       – Arm
       – Torso
       – Leg




                    Be Fit. Eat Right. Think Well.
Arm Strength
   •   The client should be
       standing upright, with
       shoulders back and
       knees slightly bent.
   •   The client should grip
       the handles with palms
       up.
   •   The elbows should be
       bent at approximately
       45 degrees.
   •   Instruct the client to
       “perform a brief bicep
       curl”.



                                Be Fit. Eat Right. Think Well.
Torso Strength

   •   The client should be
       seated with straight
       back, shoulders back,
       and knees slightly
       bent.
   •   The client should grip
       the handles with palms
       up.
   •   The elbows should be
       bent at approximately
       90 degrees.
   •   Instruct the client
       “From an upright
       position, lean back and
       pull with your back”.


                                 Be Fit. Eat Right. Think Well.
Leg Strength

     •   The client should be
         standing upright,
         shoulders back with
         knees slightly bent.
     •   The client should grip
         the handles with palms
         down.
     •   The elbows should be
         slightly bent.
     •   Instruct the client to
         attempt to “stand from
         this position without
         leaning forward ”.
                                  Be Fit. Eat Right. Think Well.
Strength: Evaluation




                       Be Fit. Eat Right. Think Well.
Visit Notes




              Be Fit. Eat Right. Think Well.
Process Data




               Be Fit. Eat Right. Think Well.
Personal Assessment Report (PAR)




                              Be Fit. Eat Right. Think Well.

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CWAS Training

  • 1. Creating Wellness Assessment System Be Fit. Eat Right. Think Well.
  • 2. CWAS Installation Key Points  No wireless or satellite internet connection  Required: High speed internet connection, (512 kbs band width Upload/Download) minimum.  VPN port (1723 TCP) on router/modem must be open both inbound and outbound  Do not place the CWAS system directly under glaring light. Ambient light interferes with the infra-red futrex wand.  Do not have both the CWAS and the INSIGHT systems connected on the same computer at the same time.  Do not delete or add programs (except microsoft office) unless you check with the CW tech team. Be Fit. Eat Right. Think Well.
  • 3. Launching the software Be Fit. Eat Right. Think Well.
  • 4. Adding a New Member Be Fit. Eat Right. Think Well.
  • 5. Activating The Account Access Code You will receive an email from webadmnin@CreatingWellness The link you receive in the email must be clicked to activate your account. Important: Account Requires Activation Be Fit. Eat Right. Think Well.
  • 6. Reviewing Member Information Be Fit. Eat Right. Think Well.
  • 7. Questionnaire • Completed on-line at MyCreatingWellnesssSpace Be Fit. Eat Right. Think Well.
  • 8. Opening Screen when starting Assessment Be Fit. Eat Right. Think Well.
  • 9. Items to Collect Be Fit. Eat Right. Think Well.
  • 10. Capture any patient Notes Be Fit. Eat Right. Think Well.
  • 11. Nervous System Multiplier This number is produced from your INSIGHT and can be found in the software. You can skip this if the number is not available. Be Fit. Eat Right. Think Well.
  • 12. BMI (Body Mass Index) • Tool for indicating weight status in adults – A measure of weight for height – BMI = Weight in Kilograms (Height in Meters) x (Height in Meters) • For adults over 20 years old, BMI falls into the following categories: – BMI Weight Status Below 18.5 Underweight 18.5 – 24.9 Normal 25.0 – 29.9 Overweight 30.0 and Above Obese Be Fit. Eat Right. Think Well.
  • 13. Client’s Weight Be Fit. Eat Right. Think Well.
  • 14. Client’s Girth Be Fit. Eat Right. Think Well.
  • 15. Futrex Body Comp Analyzer • Uses light absorption to measure body fat – Direct correlation with the body’s overall fat level • Sensor is placed at the center of the biceps of the dominant arm – Sends Near-Infrared light beam at specific wavelengths that fat absorbs and lean mass reflects Be Fit. Eat Right. Think Well.
  • 16. Body Comp. Summary Be Fit. Eat Right. Think Well.
  • 17. Cardiovascular & Respiratory Performance • Blood Pressure • Heart rate • Vital Lung Capacity Be Fit. Eat Right. Think Well.
  • 18. Blood Pressure & Heart Rate Be Fit. Eat Right. Think Well.
  • 19. Vital Lung Capacity • The maximum amount of air that can be exhaled after a maximum inhalation – Used to determine the condition of lung tissue – Also known as “Vital Capacity” • Typical normal range is 3000-5000 Liters – Normal value is gender, age, and height dependant Be Fit. Eat Right. Think Well.
  • 20. Vital Lung Capacity Be Fit. Eat Right. Think Well.
  • 21. Cardio Summary Be Fit. Eat Right. Think Well.
  • 22. Stress Profiling • Dealing productively with stress is an important aspect of wellness • CWAS provides an objective assessment of stress reactivity – Understanding our stress responses is a vital first step to taking control and creating wellness Be Fit. Eat Right. Think Well.
  • 23. Measuring Stress • CWAS measures the physiologic responses that are most reactive to stress – Galvanic Skin Response (GSR) – Heartrate – Peripheral Blood Flow – Skin Temperature • Scientific validity of all measurements is well-established – Extensive literature in polygraphy and psychophysiology Be Fit. Eat Right. Think Well.
  • 24. How Stress Profiling Works • Easily performed – All measurements are conveniently (and non- threateningly) made from one hand – Synchronized protocol will direct client while software acquires physiologic data • Three-minute protocol – Resting Baseline – Response to Stressor and Recovery Be Fit. Eat Right. Think Well.
  • 25. Stress Profiling Protocol Resting Baseline Response to Stressors Physical Stress & Recovery Cognitive Stress & Recovery Be Fit. Eat Right. Think Well.
  • 26. Resting Baseline Be Fit. Eat Right. Think Well.
  • 27. Physical Stress & Recovery Be Fit. Eat Right. Think Well.
  • 28. Physical Stress & Recovery Be Fit. Eat Right. Think Well.
  • 29. Cognitive Stress & Recovery Be Fit. Eat Right. Think Well.
  • 30. Cognitive Stress Summary Be Fit. Eat Right. Think Well.
  • 31. Stress Profiling Results • Analysis is based primarily on recovery from stress – A “hot” reactor has elevated responses that do not return to baseline levels quickly – Identify sources of stress and develop coping strategies Be Fit. Eat Right. Think Well.
  • 32. Strength • Dynamometer – Arm – Torso – Leg Be Fit. Eat Right. Think Well.
  • 33. Arm Strength • The client should be standing upright, with shoulders back and knees slightly bent. • The client should grip the handles with palms up. • The elbows should be bent at approximately 45 degrees. • Instruct the client to “perform a brief bicep curl”. Be Fit. Eat Right. Think Well.
  • 34. Torso Strength • The client should be seated with straight back, shoulders back, and knees slightly bent. • The client should grip the handles with palms up. • The elbows should be bent at approximately 90 degrees. • Instruct the client “From an upright position, lean back and pull with your back”. Be Fit. Eat Right. Think Well.
  • 35. Leg Strength • The client should be standing upright, shoulders back with knees slightly bent. • The client should grip the handles with palms down. • The elbows should be slightly bent. • Instruct the client to attempt to “stand from this position without leaning forward ”. Be Fit. Eat Right. Think Well.
  • 36. Strength: Evaluation Be Fit. Eat Right. Think Well.
  • 37. Visit Notes Be Fit. Eat Right. Think Well.
  • 38. Process Data Be Fit. Eat Right. Think Well.
  • 39. Personal Assessment Report (PAR) Be Fit. Eat Right. Think Well.