Purpose: To determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking advanced practice nurse (APN) care. Data sources: A convenience sample of 175 persons aged 40 or above with the values of body mass index (BMI) exceeding 25. Conclusions: One fourth of the respondents were considering beginning exercise within the next month; 23% had exercised regularly for more than 6 months and 39% indicated that they exercised regularly. Most respondents believed the pros of exercise outweighed the cons, and as the pros increased, so did the likelihood of exercising. Implications for practice: In approaching the subject of exercise among obese and overweight individuals it is important for the APN to understand behavioral change. Thus, it would be more fruitful to ask, "What would it take to move those who intend to begin exercising to the next stage?" For health behavior change to occur, the pros must be twice as numerous as the cons. In clinical practice, reviewing and adding to the pros of exercise as outlined by the patient might tip the decisional balance in favor of exercise.Exercise, while studied in the general population, has been less studied in the overweight and obese population in the primary care setting. In particular, no studies looked at obese and overweight people who seek primary care from advanced practice nurses (APNs) in independent APN practice. The present descriptive correlational study was designed to determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking primary care from APNs. The methodology box summarizes reasons for selection of this approach.
This article examines the relationship between Stoicism, Epicureanism, and Christianity in the letters of humanist Laura Cereta (1469–1499). Refusing to limit herself to a single philosophical school in her attempts to define how to live a “good life,” Cereta draws on the works of Seneca, and through him, the sayings of Epicurus. Cereta draws on Stoicism in particular as she considers how to face human mortality. Her discussion of Epicureanism constitutes a defense of the school from charges of hedonism, and draws on the work of contemporaries such as Lorenzo Valla in exploring the concept of voluptas. Ultimately, Cereta defines a path toward happiness that combines elements of both schools, and that is still compatible with Christianity.
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