My health coaching patient was very nice and incredibly enthusiastic about being a part of the health coaching program. During the session, I was really proud of the success we had in coming up with an exercise schedule that she feels very confident in and that she thinks will really work. Unfortunately, during this talk, she also revealed that she has pretty bad arthritis in her hands and in her knees. Although she was confident in her ability to implement her plan of walking three times a week, I am concerned that her arthritis will begin to hamper her in the future. This is a challenge that her and I will have to work on in getting her activities that she can do and enjoy without worrying about her arthritis.