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Nurses already working in fitness

Hi Fitness Nurses,

I just received an e-mail from a fitness nurse who owns her own studio.  She totally understands the need to call herself a ‘fitness nurse’ but is concerned about this name change and the perception from her current customers/clients who know her as a personal trainer or group exercise instructor.  Also she is attracting ‘healthy people’ to her studio and not ‘unhealthy’ people  who I suggest you seek out as a fitness nurse.  I know I have been saying for a long time now that you have to call yourself a fitness nurse; but I never suggested that you get rid of current clients and force them to call you fitness nurse. You have to start where you are.  Some nurses want to be a fitnessnurse and have never worked in the fitness profession. (I would still make all the written changes in your marketing and at some point you have to call yourself 
one or the other to avoid confusion)

For less inflammation, we now offer coconut milk; inflammatory, processed soy milk is no longer available.

Changing the menu

If you owned a restaurant and wanted to change the menu; because you want to start moving in another direction, because you want to make more money, work less hours and get to a new section of customers who really would love your food, if you caught their attention… you may lose a few customers during that change.  But the ones who love your service, your atmosphere, the ‘taste’ of your food, would hang in there, no matter what you changed on the menu.  You’re not going from Southern cooking to Italian cooking.  You’re just changing some items on the menu.  For example, instead of doing fitness assessments in the future; do fitness nursing assessments.  Instead of or in addition to a offering large group fitness class to 20 people; offer small group with a specific problem in mind, and yes…charge more.  People will pay more if it’s a solution to their specific problem.  Offer a fitness challenge for members who are at risk for osteoporosis or who has high blood pressure or pre-diabetes.  The outcomes measured are better lab numbers, feeling better; not so much weight loss (but maybe).  That is priceless.  Take a survey on what’s keeping them up at night about their health; what are they worried about?

Not getting fitness nursing clients?

Do NOT give up what is making you money right now.  BUT… if you are at a glass ceiling working as a personal trainer and/or teaching 10-12 group exercise classes a week, (which is what I used to do; group exercise instructors typically look like hell.  No rest.  Body injuries. Grab ‘n go food) and want to become known as a fitness nursing expert, you have to start marketing in a way that targets what is bothering people now, not just weight loss.  (ie, taking medication, trick knee, food cravings, osteoporosis, low HDL/high triglycerides, worried about getting cancer or another disease, etc.)  Remember tell people what their transformation will be when they work with you; not who you are.  This is why I say that fitness nursing may be a challenge in a “traditional gym”, studio or fitness center (where the primary result is image, image, image)  So, what’s next, once they get that image they worked so hard for?  Unsustainability? – Are they really healthier mentally and physically? Or is there more weight gain later, possible injury, neuroses like cardio junkies developing?  So, once you know who you want to help and how you want to help them; you have to ‘qualify’ them.  This does mean saying ‘no’ to people who don’t fit your transformation offer.   If you just take everybody and anybody to pay your bills, these people will take you away from the people who really need to work with you.  I know I’ve been there.  I hated every minute of working with these energy zappers and time wasters.  They are not loyal to you and they expect the most from you and want to pay the least right before bathing suit season (at the Jersey Shore, we have bathing suit season)You’re turning into a rep-counter.  I suspect you nurses, who are working as trainers in a gym now, may be feeling this way.

Remember the “courage” part I mentioned?  You have to be confident too.  If you are not confident in being a fitness nurse, you need to find out why.  I sometimes feel like I am single-handedly trying to find money-making venues for fitness nurses.  I have to educate other nurses, other healthcare professionals and the public.  So do you. 

With this physician who I am working, I’ve had to tell him 7 or 8 times what I’m going to do.  Patience.  I thought of all of you when he just suggested I do another information session, I’ve alreay done 2 and one more this Thursday.  He wants me to do it when I’m already scheduled to begin my group sessions at his office!   
Deep Breathe.  Think about if Ican pull this off… I can easily have 6-8 clients, who I eventually qualify, each month, without massive marketing and sales. 
This is the grunt work and it’s not always easy.  We have to almost make our own jobs.  Maybe in a few years, fitness nursing will be a household name.  For now, we may not get a lot of clients; we may even lose a few PIA’s (Pains In Ass) clients.  However the clients we do get will be clear on who we are and what we offer.  They will be quality clients; our ideal clients, who will pay the money we deserve. 

REMEMBER YOUR NICHE, TARGET MARKET, IDEAL CLIENT MAY (WILL) CHANGE… DON’T WORRY ABOUT LOCKING INTO A NICHE FOR LIFE. JUST GET STARTED FINDING ONE NOW. 

Start Out How You Want To End Up!

My mother always said, “Start out how you want to end up”.  Be confident in your ability and all your skills.  So, don’t get discouraged, make concessions and sell yourself short when promoting yourself as a fitness nurse to physicians and other healthcare professionals and the public.  They haven’t heard of fitness nursing, so you have to be more confident than ever before.  You are better equipped to deal with the problems mentioned above than a personal trainer.   If you try to wear the personal trainer hat and the fitness nursing hat at the same time may confuse the public; the people who visit your club or studio. Remember also that if you are working in a fitness setting as a personal trainer and happen to be a nurse, are the sales people promoting you as a fitness nurse?  Does anybody else who works in the gym/club care or even know what a fitness nurse is?  I’m guessing not.  Do you know what to tell them?  You really need to call in to one of my free calls if you don’t. 
See this is where we are right now.  Going up hill.  But I believe it’s worth the trek.  ‘Cause once we get to the top, the rewards will be grand.  Financially and publicly.  Being clear is what we have to be.  If you need help with clarity of what kind of fitness nurse you can be, be sure to call into the next FREE Fitness Nurse on Duty preview call.  Saturday, April 30, 2011.  Call in information is here:  http://www.fitnessnurseonduty.com/

It’s so much easier just staying a personal trainer or group fitness instructor, isn’t it?  I know there are times, I feel this myself.  But soon, very soon after that fleeting thought I’d quickly remember the lack of respect I used to get from someone who has a weekend certification, tell me how they could be a nurse because they know
how to take blood pressures too.  And then I look at my paycheck and all the total hours I worked… And I say there has to be a better way. 

One day in particular I paid close attention to the middle-aged woman limping over to the ‘next’ machine in the circuit and starts to do too many reps, not enough weight and is favoring one side… she then proceeds to get on the electrical impedence body fat machine and wonders why it’s saying she’s fatter now than before she worked out (dehydration skews the reading making you read fatter).  She does the same thing every time she comes into the gym.  I want to help her.  Emotionally and physically.  But I have to eat something right now or I’m going to pass out… I have 2 group classes to teach in an hour.  Eventually she stops coming because she’s NOT getting any results or not as quickly as they were promised; but she’s hurting herself physically and emotionally.  The next thing she’ll be saying is, “Exercise doesn’t work for me”. 
I really do care and so do you.  These kind of people are all over.  I just think it would be easier to get a few clients referred to you as a fitness nurse from a physician/APN, than marketing the general public, like most personal trainers do.

I’ve written enough now.  Do what you have to, to pay your bills… But I feel that if I am going to struggle; I might as well struggle attempting something I’m passionate about… I have a better chance of making it and making more money with 5 or 6 quality clients I love; than dreading what I do and ‘wishing’ it would change with 30 clients who are running me ragged.  When I add up all my time (not just training time), my tolls, gas and aggrevation… I end up making $10.89 an hour; even though I might have charged $60.00/hour or more.  Now add in 30 clients.  Do you feel me?  Slowly change your menu to what you want to do.  Be precise, give them what they want, make them happy and then get out of there…  be the ‘nurse’ in fitness nurse.  Offer packages instead of hourly rates too.  Your services have to be different from what a personal trainer’s services (menu) may be.  One fitness nurse is doing a great job while in transition. http://www.katylynnfitness.com/ Check out her website.

Yours in Fitness & Nursing,
Lori

Ego-strong physicians or ego-strong club owners?

Hi Fitness Nurses,
Everytime I write an entry, I tell myself that I will keep up this week…with at least 3 entries.  Then the week’s over and I’m almost halfway into the next week.  I wanted to give you an update with what’s going on with this physician who has opened up his patients to me.  Did I mention that many physicians have strong egos and are control freaks.  Maybe a necessary evil for the type of work they do.  I can deal with that…It’s the micro-managing and passive aggressiveness that’s leaving a bad taste in my mouth.

Kind of how I'm feeling right now!

I am learning a lot from this physician…but not in the way he thinks I am.  I am studying his responses to my decisions, what his concerns are and the logistics of his office.  If you approach a physician and they are interested in what you have to offer, be suspicious.  I should have known that there were covert motives here.  This physician wants to break into another area of wellness that he can’t sell directly to his patients, because it would be a conflict of interest to his patients.  Probably frowned upon by the medical establishment.  Without telling you exactly what he’s selling, I really don’t have a problem with a doc wanting to branch out and make more money.  Here’s what I am having a problem with:

  1. Telling me that I can offer my fitness nursing services to patients (provided by him and his clinical staff); but then once I get started he has to micro-manage and base my performance on 2 people who would not be my ideal clients anyway.  Which lead me to the next issue:
  2. If you [the physician] want me to ‘sell’ your wellness product to your patients, tell me that’s why you are motivated to work with me.  Then we can openly work out the logistics for ‘soft-selling’ and marketing.  But to expect me to read your mind [the physician] and covertly try to get me to know your agenda, while I’m doing my program, my way… is not only frustrating, it won’t work.
  3. Finally, I am going to go through with what I promised to offer his patients.  And I do still think that physician’s practices can be a great venue for Fitness Nurses.  But you have to be crystal clear in what you have to offer, the time frame, the outcomes and the costs and don’t buckle if the doc makes a sarcastic comment.  Stick to your program, the one that works for you and previous clients.  Don’t let the physician try to tell you how to do ‘fitness’, your specialty.  Let them know that your program is not for everyone.  Give them your qualifying criteria for clients.  Boy, I don’t miss the units (if you are working on one… I’m sure you have mastered ‘handling’ physicians and their egos.  Which is what a lot of this is about…control)

Remember their practice is their ‘baby’ and they want to protect their patients, so we all respect that.  Just make sure you are getting the respect you deserve too.  Out of the 25 patients that were referred to me,  if I qualified them myself, maybe only 4-5 would be close to my ‘ideal client’.  But I think that’s great, I don’t just take anyone…been there; done that, as they say.  It’s a nightmare when you just take anyone and you get problem children who just want quick fixes.  When I say problem children, I don’t mean health problems per se, I mean they cost you more money to work with them because they are not your ideal client, they don’t listen or do the work necessary to be successful and they are used to going to a doctor who will take their insurance.  Remember health insurance does not provide health; to be healthier for the long term, patients (people) have to step outside the ‘copay box’ and be responsible for their life choices and recognize that they may need guidance… which costs money.  The ego-strong club owners already know this.  I’ll keep you posted on what happens next. 

Yours in Fitness & Nursing,
Lori
P.S.  I do have another physician who is interested too in talking with me.  What I learn here in my current adventure, will help me tremendously in the future.  Don’t worry, I’ll share it all with you.

Will picking a FN specialty limit my income?

Hi fitness nurses,

Over the weekend I received an e-mail that I wanted to share with you.  Well,  just one paragraph of it anyway:

“I noticed on your website that you talk of choosing a specialty as a fitness nurse.  Do you find that you limit yourself too much (and the income) by focusing just on your specialty?  In the past, I’ve thought of targeting clients who are in the “at-risk” categories; for example, pre-diabetic or pre-hypertensive.  I also saw your list of examples and the “Fitness Nurse specializing in Chronic Disease” really appeals to me.  Part of my conflict is that I’m also still interested in working with “healthy” individuals whose main goal is weight loss or increasing overall fitness.  Do you think it is possible to do both and have two distinct parts of my business where I market my skills in caring for those with disease and also training healthy individuals?  Is it possible to do this type of work full-time and bring in a decent salary?”

As nurses we need to think "HEALTHIER", 'cause 'healthy' doesn't exist.

As nurses we need to think "HEALTHIER", 'cause 'healthy' doesn't exist.

What a great question/statement by this nurse who is probably thinking like many of you.  Well let’s break it down.  As far as limiting yourself goes with your specialty… This is one of the first mistakes people make when trying to market themselves and services, believe me I know, ’cause I’ve done it… We want to let everyone know who we are and what we offer.  The problem is everyone doesn’t care.  Only those people who will benefit directly and precisely from what you offer will care.  You simply cannot market to everyone.  More clients doesn’t necessarily mean more money.  It could actually mean more problems, more headaches and more burnout.  You also reach a ‘ceiling’, because there are only so many hours you can train in a day.  Remember, people are only available to workout certain times of the day and on weekends.  Do you really want to mimic a nurses schedule again?  By marketing to an ‘ideal client’, you can have fewer, but more quality clients who will pay for what you have to offer in amounts that make your life more enjoyable without grief.  So, NO I don’t think picking a specialty will limit your income.  It will increase your income because your best customers are the ones you already have and their referrals and they will pay more for your ‘special’ services that they can only get with you.  If you find a collaborator, that likes your package, like a physician, a dietitian, a social worker, you may have more work (clients) than you can handle.  YOU set your parameters for who you will work with.  I actually say “No” to people weekly because we’re just not a good fit. 

Second statement…Put in exercise for healthy individuals in google and look what you come up with, there’s tv ads, gyms all over, very competitive.  Also calling yourself a Fitness Nurse in a ‘healthy’ market confuses people.  If you want to be a personal trainer, then be that with pride.  But once you establish yourself as a bonafide Fitness Nurse with a specialty, you very well may get clients who are ‘potentially healthy’.  I must admit this word “healthy” gives me (agita) because it implies that people are healthy simply because they exercise, working out 5-6 days a week and they simply are not.  (Just because you can physically workout 5-6 days a week, as a so-called ‘healthy individual’, doesn’t mean you should)  I have more casualties of exercise who are my clients now because of misguided exercise plans and their obsession with weight.   How are their joints?  Are they stiff?  Do they constantly worry about food and diet?  Are they ‘stuck’ in their weight loss efforts and this determines their mood on a daily basis?  You know a 57 y.o. woman on HTN medication (even if she is apparently healthy) is recommended by ASCM (American College of Sports Medicine) to have a physician’s clearance to exercise.  So, here’s my stance on ‘healthy’… I don’t believe that there are any healthy people.  Healthy does not equal low-fat diets and exercising 5-6 days a week.  So that’s my soap box, I’ll get back to the e-mail now. 

If you want to work with ‘healthy people’ towards the goal of increasing their fitness, you can do that, but I think you’ll find that your marketing will suffer.  You need to pick one or the other when it comes to your position in the fitness market.  I think a group that can recognize your training as a nurse, who want to get into shape and get healthier (I like healthier better than healthy) will value you more.  Which is a lot more people than you think in this category. People who do P90X don’t need us.  But in 10-15 years they might.  You just can’t maintain that level of training.  What happens at day 91?  Just like the Biggest Loser…EVERYBODY gains their weight back.  Not realistic and even dangerous. 

Remember this is my opinion, you can go out there any way you want, but I do know that once you start ‘training healthy people’ in the fitness world, no one will care that you are a nurse (especially financially).  And maybe that doesn’t matter if you enjoy what you’re doing and you’re making money.  As I always said to nurses who are working or want to work in fitness… I wish you well and good luck with your fitness professional career.  This site is looking for nurses who want to stay valued as a nursing professional first, fitness second, so healthcare businesses and clients with concerns about exercising (not bedridden or in wheelchairs, they look like our neighbors, regular people) are the markets I’m trying to dwelve into.  You can do this also with your fitness nursing specialty.  People need to be able to find you. So, LABEL YOURSELF!  Tell people what you do; not who you are.  Tell them about the transformation you’ll provide not just that you’re a Osteo-Care Fitness Nurse or Pilates instructor.

When people ask me what I do, I say, “I help minority women reduce their waist size and increase their bone health through natural ways of Vitamin D absorption and proper, sustainable exercise”.  The they may say, are you a trainer? THEN, I emphatically say, “No. I’m a Osteo-Care Fitness Nurse”.  The conversation almost always continues on.

This is what they (potential clients) want to hear.  Also, other healthcare workers want to hear this too, including physicians.  Be different.  Be bold.  Be a nurse with a fitness specialty.  Sorry I went off on a tangent again.  As for the last question, I know what you mean by full time.  But some weeks I literally only work 20 hours a week and other weeks I work 60-70 hours per week.  I charge by the package; not by the hour, so my hours do fluctuate.  I believe you can design a package that you can offer that equals the amount of time that you want to put in weekly.  For example, I know that if I want to make a certain amount of money per month; I know that I have to sell so many packages.  The hours are what they are.  The hours I put in for Restorative Fitness Nursing Services are usually less than a 30 hours week (not counting the writing of this blog and other work I do for FitnessNursing.com)

I hope this helps.  Thank you for that e-mail.  Keep ’em coming!
Yours in Fitness & Nursing,
Lori
P.S.  Everybody, so-called ‘healthy’ or not, “wants to lose weight” or keep it off.  Just about everbody.

Maybe a “Fitness Nurse” friendly Doc IS the ticket?

Hi Fitness Nurses,
Please ‘Like Us’ on Facebook at www.facebook.com/BecomeAFitnessNurse

I found a doc who wanted this for his practice...slowly.

I’m finally beginning to see all my hard work developing certain models (marketing to APN’s and Physicians) for a Fitness Nursing business pay off.  I’ll break it down for you:

  1. Yes, I said a ‘Fitness Nursing Business’.  This is the platform I am working from.  This is not to say that if you are interested in working for someone as  Fitness Nurse that you can’t do that…you can.  But you may have trouble distinguishing yourself from personal trainers.  That market is literally saturated.  Remember nurse first; fitness second.  I promote myself as being competent in nursing assessment and exercise training for specific populations and genuinely caring for people (especially my tribe).
  2. I’ve found that being authentic as to who I am got me in the door and got these physician’s excited about what I can offer their practices.  Who am I?  I am a professional nurse with a specialty in helping ordinary people stick to exercise plans and meals that are sustainable and customized.  Their outcomes are measured in decreased inflammatory markers, increased HDL levels and Vitamin D  levels and as an added bonus their waist size is reduced and they look and feel better and feel that they can continue this on their own eventually.  3 doctors were all ears. In other words, “Tell me more”, were their comments. (Not gimmicky…you should  under promise and over deliver)
  3. One of the physicians has 15 patients eager to meet with me. (I’ve only been talking with him for 2-3 weeks)  The other 2  docs, quite frankly, I haven’t followed up with because, I am having trouble handling what’s going on with just this one physician!  I really like this physician, so far.  We have a good surface connection which is vitally important.  But I suspect that he has an ulterior motive, which we all do.  I want him to see me as a professional and doesn’t expect me to lower my fees and won’t ‘butt into’ my great work.  (some of that is unclear right now.  I’ll keep you posted.  He has Physician Assistants and Nurse Practitioners who are also promoting my services within his office.  WOW!  Who would have thought.  I almost gave up on physicians, but I am still cautious.
  4. What did I specifically do to ‘get in the door’ with this physician?  I used a simple e-mail.  The other 2 were through contacts in healthcare.  Like all of you have.  I wasn’t selling him something.  I was offereing a value to him and his practice and most importantly…his patients.  I’ve learned a lot talking with these docs.  All three said specifically that they liked that I was a nurse, they trusted that competency…not just in training and skills but in compassion and caring.
  5.  This Saturday afternoon (3/26) 1pm (EST) 10am (PST), I will be having an exceptional Fitness Nursing Preview call.  On this call I will tell you exactly what I did to get this one particular physician interested in my services.  It wasn’t ‘salesy’ at all. It was more of a conversation and of course he had questions.  But I had questions too.  I am very confident in what I can deliver.  He wasn’t just offering me something… I was offering him something valuable too.  I can help you with this during my mentoring classes.
  6. Here’s the last great tip for now.  As much as I say that you have to call yourself a Fitness Nurse (because I want you to differentiate yourself from fitness professionals), please also realize that when you talk to people, especially if you are talking to someone in your target market/tribe, tell them what you will do for them.  For example, “I’m an Osteo-Care Fitness Nurse and I help women to exercise safely and properly to have bones strong enough to keep them out of the nursing home while reducing their waist; with the blessing of their doctor”.  So I am not just working with women who want to have strong bones and reduce their waists… these women are also women who visit their physicians regularly and care about what their physician’s think.  If you go to http://www.fitnessnurseonduty.com/ you will register and  can get the recording in case you miss the call or know that you can’t make it.  Here’s the FN Preview Call information: 

EVENT: March Fitness Nursing Preview Call
DATE & TIME: Saturday, March 26th at 1:00pm Eastern
FORMAT: Simulcast! (Attend via Phone or Webcast — it’s your choice)
TO INSTANT TELESEMINAR, CLICK THIS LINK NOW…
http://InstantTeleseminar.com/?eventid=18280866
and/or call (201) 793-0051 Conf. ID 704896#

I know this is a lot.  Some of you haven’t gotten a fitness certification yet.  I suggest you get started with that.  Bring your questions to the call.  You should make sure that there is a market for what you want to do.  (Are there physicians/PA’s/APNs in your area/specialty who would be interested in your services?  Are there people interested in what benefit you will provide or how will you solve their problem and will they pay for it?)  Find this out first; then build your programs and plans.

I hope to hear from you on the call.
Yours in Fitness & Nursing,
Lori

APN’s & Fitness Nurses perfect together

Hi Fitness Nurses,

This video actually caught the attention of the current physician who I am in negotiations with in how I will provide my Fitness Nursing services to his patients.

Below is an actual e-mail correspondence between me and a wonderful Nurse Practitioner.  At FitnessNursing.com we want to keep Fitness Nursing in nursing as much as we can.  One way to do that is to get the attention, then develop the relationship with  Advanced Practice Nurses.  How do we reach the  ‘unreachable doc’?  We can talk with and work with the Nurse Practitioner and ask how do they communicate with the physician in their specially-trained way.  Introduce your ideas to them.  (Physicians are so welcomed to support Fitness Nursing) 

You need an exercise clearance and you need it now!  Some people may get discouraged and won’t sign up to exercise if they are told they need a physician’s clearance.  (Which is only 2 risk factors) But as Fitness Nurses we should welcome risk factors.  Many people don’t have health insurance, some will pay cash/credit for it and some simply don’t want their physician ‘seeing them’ in such ‘bad shape’.  I’ve personally lost clients to ‘fear/guilt of going to the doctor’ too. 

The client has to be made aware how important it is , for their well-being and their best results, to have clearance by a qualified medical professional prior to starting the exercise program.  Let them know that ‘this time’… they will be safe. 
What’s the best route to take?
The road to the Nurse Practitioner(APN).  Assessible and Qualified and Pleasant.  And there’s, of course, that nurse connection.

This e-mail below has had the names ommitted for privacy.  You can write e-mails like this to NP’s too, very easily. 
For more info on how and when to do this in your FN business, call into our monthly PREVIEW Fitness Nursing calls.
The next one is January 22, 2011, 9pm EST; 6pm PST.  Go to www.FitnessNurseOnDuty.com to register for this FREE preview call.
——————————————————————————————————————————————————————–

—– Original Message —–
From: ——–@aol.com
To: info@fitnessnursing.com
Sent: Wednesday, January 12, 2011 12:22:29 PM GMT -05:00 US/Canada Eastern
Subject: NPs
Hi Lori
T— forwarded your email to me.
I work in a physician group practice as a primary care NP.
My specialty is osteoporosis and I’ve been doing vit D levels on pts since 2003. Most of the docs in my practice send their pts with osteo to me since I can afford to spend more time on evaluation, treatment, exercise recommendations, PT referrals, and importance of Ca and Vit D. So every pt gets a vitamin D level prior to tx osteo and annually thereafter.
I would be happy to discuss your needs.
My cell: ——-222 or send to this email.
Ms. D, RN, MSN, APN
————————————————————–
In a message dated 1/12/2011 6:40:49 P.M. Eastern Standard Time, info@fitnessnursing.com writes:
Hi Ms. D,
Thank you so much for your timely response.
That’s great you have been doing vitamin D levels on your patients long before “Dr. Oz” said to
do so and made it “popular”. I have been a lover of the sun and all foods that contain Vitamin D
and help with absorption of Vitamin D most of my life, but especially after my mother died.
She had osteoporosis. Except for being African-American she had all the risk factors for it.
My mission and intention is to raise the awareness of the importance of Vitamin D in African-American
women. As you know, just being born A.A. puts you at risk for Vitamin D deficiency.
I deliver a program called “Vitamin D Diva”.
www.VitaminDDiva.com is part of my personal Restorative Fitness Nursing Services business.
I am also an Osteo-Care Fitness Nurse and I mentor other nurses who are interested in fitness nursing.
There are over 1,000 nurses who have expressed interest.

One of the problems I have personally seen in the fitness industry is that personal trainers, gyms, and exercise classes,
don’t necessarily follow ASCM (American College of Sports Medicine) guidelines when it comes to
risk and physician’s clearance.  They don’t want to lose clients.  Most ‘ordinary’ people fall into a risk
stratification category which would require an o.k. by a qualified healthcare professional.
Like a woman over 55 and on BP medication,
would by definition of ASCM, recommended clearance to start exercising.
Physician’s are so crazy and not as accessible as Nurse Practitioners (APN’s). I had a great physical by a NP once.
It just occurred to me and a colleague that what if fitness nurses could go directly to NP’s (who they had in their rolodex)
if they had a client who wanted to start exercising, but needed a clearance. 
Also they may work close to physicians and they could mention your services, if they liked you.
I am developing a form for APN’s to use. It would be as simple as possible, like a check list and the Fitness Nurse,
would have to spell out what they would exactly be doing (exercise) with this client. (we follow the nursing process
when developing our Fitness Nursing Assessment and implementing our plan of care utilizing exercise)
So, I’m looking to share/include NP’s (APN’s) as friends to Fitness Nursing and also a way for you (and other NP’s) to
make an easy buck, while doing great work. Do you think NP’s would be interested in helping Fitness Nurses
with this small hurdle? The Nurse Practitioner would only have to agree to see clients from a Fitness Nurse who
they know, so that particular client could exercise. Your charge would be whatever it is.
www.FitnessNursing.com  has more information about the goal of Fitness Nursing.
Sorry about the book I just wrote. I hope I have intrigued you.
Please don’t hesitate to contact me with your questions/comments.
Thank you again,
Lori
—————————-
Lori ‘Minky’ Radcliffe, RN, BS, FNC, CFPC
Osteo-Care Fitness Nurse
————————————————–

From: —–@aol.com
To: info@fitnessnursing.com
Sent: Wednesday, January 12, 2011 8:05:34 PM GMT -05:00 US/Canada Eastern
Subject: Re: NPs

Hey that all sounds great. I don’t know why NPs would not embrace having pts referred to them for clearance to exercise.
No brainer. The only “sticky” point…
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For the rest of this email exchange, please sign up at http://www.FitnessNurseOnDuty.com/ 
Once you sign up, you will get the link immediately.

Interested APN’s who’d like to be on a link to a webpage coming soon to FitnessNursing.com called, FN-Friendly APN’s, please contact Lori at:
info@fitnessnursing, with APN in the subject line.  It will be a listing of you and your specialty, where your practice is located (can be anywhere) and services you offer.

Remember,if you want more information on how to start working as a Fitness Nurse with just a few clients a month, trying certain business models, enjoying what you do and to building your income, sign up at:
http://www.fitnessnurseonduty.com/

Till next time,
Yours in Fitness & Nursing,
Lori (a.k.a. Minky)

My Ideal Client; My Walking Billboard

Hello Fitness Nurses,

As this year comes to an end, I can’t believe how long it has taken me to get clarity on my purpose in this life.
Then I read that many people will go through their whole life, ‘asleep behind the wheel’, not fulfilling that hunger inside.
You know, you can start small.  Fulfilling that hunger, that is.  I did start very small. 
Now, I just finished up my weightloss study.  I measured weightloss, but that was only to get women to sign up.  What I really measured was exercise adherence for 5 weeks, during the holidays, and how much the ‘experience’ while exercising affected how the participants continued in the study.  It took up a lot of my time.  It was worth it.  I learned some hard lessons.  But now it is done.  If you are interested in it you can read about it HERE.  I have not compiled all the results yet; the the criteria is there.

As you know, I recently began re-thinking about who I wanted to help and work with.  I wrote all the qualities down for an ‘ideal client’ and then designed my marketing around that description.
I didn’t care if I started out with 1 or 2 people.  I did care if they were PIA’s (Pain In Ass) and energy sapping, negative people.  These clients will always want more and more from you and won’t be willing to pay for it.  I new I would have a better chance of getting my proper bone exercise and meal plans out there for my ideal client in a receptive way, if I formulated my marketing, like a single’s ad.  Here’s some of the qualities I look for in an ‘ideal client’:
Women 46 -60 y.o. …

  1. who are open to common sense ways of eating; not believing everything they read on the front of the box (Like “immune health” on the container of Juicy Juice).
  2. who have a diagnosis of osteopenia/osteoporosis (I further specialize in Black women with increasing osteoporosis risk; but I will work with women of all races, who are at risk)
  3. who have a risk for osteopenia (in my mind that’s anybody who is sedentary, on loop diuretics, on corticosteroids, has increasing belly fat, avoids the sun, avoids all healthy fats and just uses olive oil, avoids dairy, smokes, on thyroid medication, eats salty foods and drinks a lot of soda, etc.) (Notice I am taking the ‘race’ element out of these risk factors)
  4. who will show up for classes and sessions.
  5. who will show up on time.
  6. who asks me questions, even challenge me from time to time.  Not just wants me to fling them a diet and exercise plan 3 weeks before their high school reunion or daughter’s wedding.  These clients tend to be PIA’s and you end up making $7.50 an hour after you calculate all the time you spend on them, after they paid you your fee (which is probably way too low).  No matter what you tell them, they expect to lose 30lbs. in 30 days and will go to someone else who is $5.00 cheaper than you, the “next time” they want to lose weight.
  7. who call in to all the virtual coaching sessions and apply my suggestions.
  8. who get results (measured in NOT so typical ways) and tells everybody how my methods helped them.
  9. who give me referrals and are willing to try new things. (letting go of limiting beliefs)
  10. who are happy and positive and take responsibility for their own actions.
  11. who gives me a Christmas present and thank me.  (they are grateful for me and I am for them)

This ‘ideal client’ is M.W.  and she is my walking billboard.  She’s so pleasant and confident that people can’t ignore her presence, glow and energy.  They ask her constantly what she is doing.  This is priceless marketing for me.  She even tells her physician what she is doing and how she is now eating and she (her physician) is thrilled.  Her physician makes a note in her chart about me, the Osteo-Care Fitness Nurse. 
Now what I do is take all those above points and condense them into sales letters, flyers and emails, even presentations and attract the women who relate to what I am saying and asking for.  It may be slow going at first; but it is well worth it in the end, to have people contacting you and you not chasing them.  I show you how to do this HERE.

As nurses, we can’t pick our patients.  As fitness nurses we can.  We can choose who we want to work with and who we can help.  Remember, the exercise we do is for the healing of our clients.  Focus on that.  The HEALING of what exercise can do within the specialty that you choose.  This is why if you want to just focus on weightloss, like the late night exercise tv commercials, and training people to run marathons, you’ll understand why you and other people (other healthcare professionals too) will have a hard time calling you a Fitness Nurse.  Personal trainers and athletic coaches already do those things.

I’m excited about the New Year.  I hope to help as many of you as I can.  I will be devoting most of my efforts promoting and expanding the role of the “specialty” Fitness Nurse.  I have received e-mails from many fitness nurses who are calling themselves, “Pediatric Fitness Nurse”, “Holistic Fitness Nurse”, “Cardiac-Care Fitness Nurse”, etc. and are paving the way for other fitness nurses to travel on.  When “Fitness Nurse” does eventually appear on Career Builder, you can thank them!

I wish you all, the best holiday and Merry Christmas.  As the New Year approaches, make your list of who you feel you could help heal with exercise, just for the ‘fun of it’ and see what happens.  You may surprise yourself with who/what you come up with.  Again, if you have questions please call on January 22nd at 9pm EST.  Sign up at:
www.fitnessnurseonduty.com

I can’t wait to speak to you in January!  I am so committed to helping spread fitness nursing, that this January, the best time for exercise renewal, I am not taking any new clients in my Restorative Fitness Nursing business.  I will be available to help you get going in January with new clients and/or the process of starting part-time as a fitness nurse coach, independent specialty fitness nurse in a gym or in your own fitness nursing business.  Thank you for your support and please don’t hesitate to contact me in the New Year!

Yours in Fitness & Nursing,
Lori (a.k.a Minky)
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www.fitnessnursing.com
www.RestorativeFNRainbowNutrition.com
www.TheMinkyWay.com
info@fitnessnursing.com
(732) 620-2193

Got coaching?

Since I have received e-mails about my food psychology coaching practice, I thought the best thing would be to put on a recording of what food psychology coaching is and how I got my credentials:

food-psychology-intro

You can read more here:

http://www.spencerinstitute.com/ then click on programs.

Becoming a coach, any health coaching, will help you with your career as a fitness nurse.