Role and Scope of the Health Coach Flashcards

Upon completion of this deck, the learner will be able to define wellness, list characteristics of person-centered care, explain the role and scope of health coaching, describe similarities and differences between health coaches and other health professionals, and identify when to refer clients to other healthcare professionals.

1
Q

According to research, what are some of the positive outcomes that are a result of health and wellness coaching?

A
  • Improved exercise and nutrition behavior
  • Decreases in blood pressure
  • Decreases in body weight
  • Decreases in hemoglobin A1C
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2
Q

Conflicts of interest generally occur in one of the following ways:

A
  • A health coach outside interests and biases influence the coaching relationship
  • A health coach uses their position for personal/financial gain or to benefit another entity in which the health coach has a financial interest
  • A health coach’s outside interests cause harm to the client or patient

For example, conflict to the coaching relationship could happen if a health coach:

Assumes a female client cannot lift weights based on a personal bias
Pushes a client to only work out at a CrossFit gym that the health coach owns
Recommends a client do the keto diet based on the health coaches outside interest and experience with the diet and the client develops a fatty liver as a result

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3
Q

Define

Wellness

A

An active process where one becomes aware of, and makes choices toward, a more successful life.

While there are many definitions of wellness, almost all of them reflect the fact that wellness is multidimensional.

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4
Q

True or False

Integrative medicine techniques should be used even if there is the potential for treatment to not work and actually be more harmful to the patient.

A

False.

First and foremost, providers need to stay within their Hippocratic oath to “first do no harm”.

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5
Q

Define

Environmental Wellness

A

Seeking surroundings and locations that will promote safety and encourage support in all other aspects of personal wellness.

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6
Q

True or False

Health coaches should give the client advice on recommending a treatment plan.

A

False.

Clients should have full autonomy to think, decide, and act on which path of treatment is best for them. The role of the health coach is to identify different treatment plans and explain the pros and cons of each option in a nonbias way.

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7
Q

What things are considered ‘red flags’ the warrant referral to a mental health professional or another healthcare provider?

A
  • Signs of serious illness
  • Feelings of sadness or guilt, hopelessness, or despair
  • Increased irritability or anger
  • Impulsive risk-taking behavior
  • Intrusive thoughts or inability to focus
  • Chronic poor sleep
  • Reported disordered eating
  • Thoughts of self-harm or death
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8
Q

Define

Complementary Medicine

A

Medicine used in conjunction with, or as a supplement to, conventional medicine.

For example, a client with diabetes is meeting with a dietician to treat their diabetes. This client is also on metformin, a common diabetes medication. Diet would be considered complementary medicine to the medication, which is considered conventional medicine.

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9
Q

What are some of the modifiable behavioral risk factors of chronic diseases?

A
  • Tobacco use
  • Overuse of alcohol
  • Insufficient physical activity
  • Poor nutrition
  • Prolonged periods of sitting or other sedentary behaviors
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10
Q

On average, one out of how many people have a chronic condition, such as cardiovascular disease, hypertension, or diabetes?

A

One in Two.

An estimated 117 million people in the US have at least one chronic condition. An estimated one in four people has at least 2 chronic conditions.

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11
Q

Define

Emotional Wellness

A

The ability to handle stress over time, adapt to change, control emotions and feelings during difficult times, and use emotions to thrive in relationships.

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12
Q

True or False

Health Coaches are certified to write meal plans.

A

False.

In general, health coaches are not certified to create nutritional plans or meal plans for clients unless they have additional certifications or are a registered dietitian.

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13
Q

According to the Substance Abuse and Mental Health Services Association (SAMHSA), what are the eight dimensions of wellness?

A
  • Occupational
  • Physical
  • Social
  • Intellectual
  • Spiritual
  • Emotional
  • Financial
  • Environmental
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14
Q

While specific responsibilities will vary, all heath coach careers will have some responsibilities in what fields?

A
  • Client-coach relationship
  • Coach presence and self-awareness
  • Health and wellness concepts
  • Behavior change
  • Motivation
  • Coaching theory
  • Ethics
  • Standards of practice
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15
Q

According to the National Wellness Institute, what are the six dimensions of wellness?

A
  • Emotional
  • Occupational
  • Physical
  • Social
  • Intellectual
  • Spiritual
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16
Q

Define

Health

A

One’s ability to adapt and self-manage despite social, physical, and emotional challenges.

The old definition of health first stated by the World Health Organization (WHO) in 1948 - the state of complete physical, emotional, and mental wellbeing - was altered due to the argument that this definition does not convey holistic health in terms of recognizing the connection between all types of wellbeing, including spiritual wellbeing or the argument that the term ‘complete’ is unrealistic.

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17
Q

What are the eight defining principles of integrative medicine?

A
  1. Patient and provider are partners in the healing process
  2. All factors that influence health are taken into consideration
  3. Appropriate use of conventional and alternative methods
  4. Effective interventions that are less invasive should be used whenever possible.
  5. Integrative medicine neither rejects conventional medicine nor accepts alternative medicine uncritically.
  6. Medicine is based on science
  7. Alongside treatment, broader concepts of health promotion and prevention of illness are paramount
  8. Practitioners of integrative medicine should exemplify its principles and commit themselves to self-exploration and self-development.
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18
Q

What are some examples of complementary or alternative medicine (CAM)?

A
  • Meditation
  • Deep Breathing
  • Massage
  • Herbal traditions
  • Acupuncture

CAM used to be referred to as ‘Western medicine’. These medical practices were considered nontraditional but have been shown, through research, to have a positive impact on health.

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19
Q

According to the Illness-Wellness Continuum, what is the order of the Wellness Paradigm from premature death to high-level wellness?

A
  • Premature death
  • Disability
  • Symptoms
  • Signs
  • Neutral point
  • Awareness
  • Education
  • Growth
  • High-level wellness
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20
Q

Define

Occupational Wellness

A

The ability to achieve work-life balance and have a job that is both meaningful and rewarding.

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21
Q

Define

Integrative Medicine

A

The practice of medicine that reaffirms the importance of the relationship between the healthcare provider and patient in which treatment focuses on the whole person and makes use of all appropriate approaches to healthcare that is evidence-based, including but not limited to conventional medicine (medications, surgery, etc.) and alternative medicine techniques (massage, acupuncture, herbal remedies, etc.).

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22
Q

According to the Illness Wellness Continuum, what are the 3 parts of the treatment paradigm?

A
  • Disability
  • Symptoms
  • Signs

The Treatment Paradigm expresses that in order to get back to the ‘neutral point’ in health in which there are no discernible illnesses and away from premature death, one needs to treat the disability, then the symptoms, then the signs of illness before getting back to neutral.

23
Q

Define

Non-maleficence

A

To do no harm

24
Q

According to the Wheel of Wellness, what serves at the center or foundation for all wellness?

A

Spirituality

25
Q

What is the main role of the health coach?

A
  • Respect client autonomy without judgment
  • Support client’s self-discovery
  • Assist clients in their desired actions towards their goals.
26
Q

What is the main difference between health education and health coaching?

A

Health education is about educating and improving while health coaching is more accurately described as advocating and inspiring.

Health educators serve in the role of an expert and often educate individuals about what they should and should not do when it comes to health behaviors. Health coaches assume little and rarely coach or tell clients what to do.

27
Q

At a minimum, what referral sources should health coaches have?

A
  • Mental health specialist
  • Stress management specialists
  • Registered Dietician
  • Exercise professional
  • Substance misuse specialist
  • Social services

Other beneficial referral sources include physical therapists, chiropractors, primary care physicians, massage therapists, occupational therapists, and acupuncturists.

28
Q

Under the scope of practice for ACE Health Coaches, coaches are expected to:

A
  • Apply communication skills to help a client increase internal motivation and ownership to make decisions
  • Support clients in developing goals
  • Empower clients to develop their strengths to support successful behavior change.
29
Q

Define

Financial Wellness

A

Establishing healthy financial habits and planning for the future to ensure financial stability.

30
Q

What is the main difference between psychotherapy and coaching?

A

Coaching is about discovery while psychotherapy is about uncovering and recovering.

31
Q

Define

Alternative Medicine

A

Therapies that replace conventional medicine.

For example, a client uses massage to treat sciatic pain instead of using medication. Massage is considered alternative medicine while the medication is considered conventional medicine.

32
Q

Define

Health and Wellness Coach

A

Individuals who partner with clients looking for self-directed lasting changes that are aligned with their values in order to enhance wellbeing.

33
Q

True or False

You do not need a Health Coach certification to become a health coach.

A

True.

However, becoming certified will increase your marketability and should lead to greater networking opportunities as the ACE Health Coach Certification can only be taken by qualified individuals.

34
Q

Chronic conditions are responsible for what percentage of deaths globally?

A

70%

Globally, chronic conditions and diseases kill an estimated 40 million people per year.

35
Q

Define

Beneficence

A

Promoting what is best for the client based on scientific evidence.

36
Q

Define

Lifestyle Medicine

A

The use of evidence-based lifestyle approaches, such as diet, exercise, sleep, and stress management, to prevent and treat lifestyle-related chronic disease.

37
Q

What are the four broad principles of ethics that the client-coach relationship is based upon?

A
  • Autonomy
  • Non-maleficence
  • Beneficence
  • Justice
38
Q

Define

Spiritual Wellness

A

Aligning beliefs and values with one’s worldview to find meaning and purpose in life.

Spiritual Wellness can include but is not dependent on religious beliefs. Everyone has some level of spiritual wellness, regardless of religious views.

39
Q

True or False

Health Coaching is currently unregulated.

A

True.

Individuals have been permitted to call themselves Health Coaches and provide services regardless of credentials, education, training, or work experience. Since this is a huge problem, educational program standards and training have been created, including certifications that are recognized by the National Board of Medical Examiners.

40
Q

Define

Physical Wellness

A

Physical health and wellbeing obtained by physical activity, nutrition, and sleep

41
Q

Define

Noncommunicable Diseases

A

Diseases that are long in duration and are the result of a combination of genetics, physiological factors, environmental factors, or behavioral factors.

Another name for the noncommunicable disease is a chronic disease. Chronic diseases are diseases such as cardiovascular disease, hypertension, type 2 diabetes, and high cholesterol.

42
Q

Define

Healthcare Integration

A

integrated health services that are managed and delivered so that people receive health promotion, disease prevention, diagnosis, treatment, rehabilitation, and palliative care service at different levels within and beyond the healthcare sector.

43
Q

What percentage of healthcare costs in the US are spent on treating chronic conditions or mental health conditions?

A

86%

44
Q

True or False

Natural remedies are always paramount to other remedies in integrated medicine.

A

FALSE

While natural remedies that are researched backed are to be chosen before other remedies, natural does not always mean safe. Many marketers will use the term natural to imply that supplements are safe and effective when in truth, there is lacking or no evidence to prove the effectiveness.

45
Q

In fitting integrative medicine into disease prevention and health promotion, it is important to consider what factors?

A
  • Treatments that are ineffective, unsafe, poorly supported by science, costly, and incompatible with patient preference should never be used.
  • Remaining treatment options may require choosing a treatment that is safe, possibly effective, cost-neutral, and desired by the patient but not necessarily supported by evidence.
  • When evaluating risk vs benefits:
    • Efficacy is a benefit but not the only benefit
    • Safety is the primary risk factor, but not the only risk.
46
Q

Define

Intellectual Wellness

A

Partaking in activities that will challenge your mental fitness and will open your mind to new experiences and ideas that can be applied to personal decisions, group interactions, and making the community better as a whole.

Intellectual wellness also includes learning new concepts and improving on skills that we already have.

47
Q

True or False

ACE Health Coach Certification is the only health coach program recognized by the National Commission for Certifying Agencies (NCCA).

A

True.

NCCA accreditation has long been the gold standard for certification for the majority of healthcare and allied healthcare including the fields of nursing, occupational therapy, dietetics, and others.

48
Q

According to the Wheel of Wellness, what are the 12 interconnected components that derive from self-direction?

A
  • Cultural Identity
  • Sense of Worth
  • Sense of Control
  • Realistic Beliefs
  • Emotional Awareness and Coping
  • Problem Solving and Creativity
  • Sense of Humor
  • Nutrition
  • Exercise
  • Self Care
  • Stress Management
  • Gender Identity
49
Q

Define

Social Wellness

A

Recognizing and engaging with yourself and with others for the benefit of the community as a whole.

Social Wellness includes relationships with others, how you interact with others, setting boundaries in relationships, and balancing those relationships with self-care and personal time.

50
Q

What are some key characteristics of person-centered care?

A
  • Relationships between patients and healthcare providers rooted in empathy and compassion
  • Access to clear healthcare information and education
  • A holistic approach to care based on evidence-based practices
  • Commitment to ensuring safe, quality, and accessible care by healthcare organizations that recognize psychosocial dimensions of health
51
Q

Define

Coaching

A

Partnering with a client in a process that will inspire them to maximize their potential.

52
Q

True or False

Health coaches are certified to write workouts for their clients.

A

False.

Health Coaches typically do not have the knowledge needed to create safe and effective exercise prescriptions unless they have additional certifications such as personal training or exercise physiologist credentials.

Interested in becoming a Personal Trainer? Check out the NASM CPT deck which can be used to help you study for the National Academy of Sports Medicine Certified Personal Trainer exam!

53
Q

Define

Person-centered Care

A

Healthcare in which individuals are active participants in the process of choosing healthcare methods and courses of treatment.

Person-centered care requires relationships between patients and healthcare providers that are rooted in empathy, compassion, and respect.