Mary Ann Wietbrock RN MSN ACNS BC
Board Certified Adult Clinical Nurse Specialist,
Specialized in Fitness & Nutrition & Medications
I understand chronic pain as I have had problems with my left hip and right shoulder for many years. I have developed a program to keep me flexible and lean. I use less medications with anti-inflammatory nutrition. I am able to hike 100 + miles every summer. I can help you meet your wellness goals!”
Cardinal Elements Inc. is led by Mary Ann Wietbrock and supported by an advisory board with Registered Dietitians, Pharmacists, Masters Prepared Clinical Nurse Specialists, and Masters Prepared Nurse Practitioners.
Mary Ann is a member of the American Holistic Nurses Association.
Mary Ann Wietbrock combines her highly-specialized medical background and expertise with her years of experience as a wellness coach to help you see lasting health results!
Academic & Professional Activities
Mary Ann is very active in furthering her own education, providing training for other healthcare providers, and writing published medical research articles.
RN/MSN/ACNS BC/Advanced Practice
American Holistic Nurses Association- webinars- 2022 Holistic Nursing Curriculum.
- Holistic Nursing Educational Guidelines 203B- Advanced Health Assessment- The Nuts and Bolts
- Holistic Nursing Educational Guidelines 204A- Advanced Pharmacotherapeutics for Holistic Nursing Practice
National Association of Clinical Nurse Specialist -NACNS 2020 Annual Conference- Indianapolis
- Transforming Patient Care by Improving Blood Pressure Measurement Technique
- Conflict Resolution- Root Cause Analysis
- Diabetes Self Care Management Strategies to Build Self Confidence
- Safe, Cost Effective Dispensing and Administration of Insulin
- Use of Inhaled Essential Oils to Decrease Pain, Anxiety, and Nausea
- Increasing Outpatient Stroke Management and Improving Patient Outcomes Utilizing APNs
- Palliative Medicine and Advanced Therapies to Transform Heart Failure Care
- Advancing Skills in Critical Appraisal of Research Using Statistical Interpretation
- Strategically Using Your Voice to Impact Change
Building and Maintaining the Advanced Practice Nursing Role (APN)
- Enhancing post-CCU functional endurance with physical activity (2019) Nursing 2019 Critical Care, Nov 2019 Enhancing_post_CCU Functional Endurance
- 2019 Re certification of ACNS BC with continuing education credits, pharmacology credits, Atrial Fibrillation published article
- Uncontrolled Atrial Fibrillation in Adults (July 2015) Nursing 2015 Critical Care, Read article here.
- 2014 Advanced Practice Nursing exam for Board Certification as Adult Clinical Nurse Specialist (ACNS BC)
- 2010 Advanced Pharmacology, Physical Assessment, and Pathophysiology at Liberty University, Virginia
- 2009 graduate in Nursing MSN Clinical Nurse Specialist, Indiana University Indianapolis School of Nursing
- 1983 graduate in Nursing RN BSN from Indiana University at Indianapolis School of Nursing
Registered Nurse, Masters of Science of Nursing, 2008, Clinical Nurse Specialist courses included:
- Symptom Management and Functional Enhancement for Chronic Diseases
- Adult Educational Programming
- Needs Assessment
- Stress and Coping
- Wellness Coaching
- Pain Management
- System Management
- Data Analysis
- Research Processes Policy
Fitness
2022
- https://cardinalelements.com/online-fitness-course/, Mary Ann Wietbrock, RN MSN ACNS BC
2021
- Strength Training for Different Populations, Amy Ashmore PhD, Physical Therapy.com, Course #3495
- The Healing Power of Reiki, Robert Skeist, American Holistic Association, December 2020.
2020
- An NP's Guide to current physical activity recommendations. Hudson et al (2020). The Nurse Practitioner, 45 (9), 24-31.
-
The Role of the Advanced Practice Nurse in the Promotion of Exercise and Physical Activity, Diane Padden MN CRNP, Topic in Advanced Practice e Journal, 2002, 2 (1).
-
Evidence for improved systemic & local vascular function after long-term passive static stretching training of the musculoskeletal system, Bisconti et al (2020). Journal of Physiology pp 1-22
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2019
- Enhancing post-CCU functional endurance with physical activity, Mary Ann Wietbrock, Nursing 2019 Critical Care 14 (6), 42
- Earthing: The most important health discovery ever!, Clinton Ober, Stephen Sinatra MD, Martin Zucker
- Physical Activity Energy Expenditure and Total Daily Energy Expenditure in Successful Weight Loss Maintainers, Primary Research, Ostendorf et al (2019). Obesity, Volume 27 (3) www.obesityjournal.org
2018
- Objectively Measured Physical Activity and Sedentary Behavior in Successful Weight Loss Maintainers, Primary Research, Ostendorf et al (2018). Obesity, Volume 26 (1). www.obesityjournal.org
- Corrective Exercise Specialist, International Sports Science Association
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2017
- Recertified as Fitness & Nutrition Coach with the International Sports Science Association
2016
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2015
- Certified as a Fitness Trainer & Specialized in Nutrition from the International Sports Science Association
Nutrition
2022
- Akkermansia Muciniphila, A Next-Generation Gut Microbe and Its Role in Obesity and Diabetes, Stephanie Ross, Holistic Nurs Practice 2022, 36 (6), pages 372-374.
- A Spoonful of Sugar: The Impact of Blood Sugar Imbalance on Adrenal and Hormone Health, Doctors Data webinar
- What Is a Heart-Healthy Diet? American Heart Association Weighs in With New Dietary Recommendations, Charles P Vega MD, MedScape
2021
- Understanding the Gut Brain: Stress, Appetite, Digestion, and Mood, Lisa Goehler, Ph.D., Institute for Brain Potential
- Iron: Impact on Health & Wellness, Evangeline Samples MS RDN, LD, EdD, NetCE Course # 34160
- Carbohydrate and Fat intake associated with risk of metabolic disease, Lai et al, American Journal of Clinical Nutrition 2020: 1200-1211.
2020
- Life is Hard Food is Easy, Linda Spangle, 2003, Lifeline Press
- Spoonful of Sugar, Dr. Krista Anderson-Ross, Naturopathic Physician, Doctors Data.com
- Nonalcoholic Fatty Liver Disease Nutrition Interventions, Mega Baumler PhD, RD, CD. Nurse.com
- Managing Diabetes and Chronic Kidney Disease, Julie Stefanski MEd, RDN, CSSD, LPN, CDE, Nurse.com
- Menopause: Managing Weight Gain & Related Health Risks- CPE Provider, Commission on Dietetics Registration
2019
- GAPS Gut & Psychology Syndrome, Dr. Natasha Campbell-McBride
- Gastroesophageal Reflux Disease, NetCE.com
2018
- The Human Super-Organism: How the microbiome is revolutionizing the pursuit of a health life, Rodney Dietert PhD, 2016, Penguin Random House LLC
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2017
- Recertified as Fitness & Nutrition Coach with the International Sports Science Association
- Prediabetes: An Opportunty to Prevent Diabetes, NetCE, March 2017, Continuing Education Units
2016
- Diabetes Pharmacology, CME Resource, October 2016, Pharmacology Continuing Education Units
- Riley Diabetes Extended Care Giver Class, January 2016, Indiana University Department of Pediatrics
2015
- Certified as a Fitness Trainer & Specialized in Nutrition from the International Sports Science Association
- Attended Conference on Spices as Natural Medicine by Merrily Kuhn RN ND PhD Columbus IN
- Pharmacology for Advanced Practice Nurses: Rx Interactions with Food, OTC Drugs, Vitamins, and Herbals Webinar, American Nurses Credentialing Center
Medication
2022
-
What Do the New USPSTF Guidelines Say About Aspirin in Primary CVD Prevention?, Charles P Vega MD Medscape
- Does Intensive Blood Pressure Lowering Show Benefit? Medscape, #86193425
- Atrial Fibrillation, Anticoagulation, and African American: Practical Considerations to Reduce Strokes in Underserved Communities, Medscape, #86193461
2021
- Cardioprevention for Practicing Physicians: Where are We in 2020, Medscape
- Fixed-Ratio Combinations of Basal Insulin and GLP-1 Receptor Agonists: Clinical Evidence and Practical Barriers for T2DM Management in Primary Care Settings, Fisher, Guzman, Shubrook, Stolar, Med-IQ
- Responsible & Effective Opioid Prescribing, Mark Rose BS MA, NetCE Course #95150
- Care Considerations in Adult Patients with Influenza-Induces ARDS, Smith & Shifrin, Critical Care Nurse, 40 (6)
2020
- The Ups & Downs of Diabetes Management, Stacey Seggelke DNP APRN ACNS-BC, NACNS.org
- Steroid hyperglycemia: Prevalence early detection and therapeutic recommendations: A narrative review, Tamez-Perez et al (2015) World Journal of Diabetes, 6 (8), pp 1073.
- Guidelines on Advanced Pharmacotheraputics for Holistic Nurses, American Holistic Nurses Association
- NACNS Conference- Diabetes Self Care Management Strategies to Build Self Confidence
- NACNS Conference- Safe, Cost Effective Dispensing and Administration of Insulin
- NACNS Conference- Use of Inhaled Essential Oils to Decrease Pain, Anxiety, and Nausea
2019
- Opiods & Marijuana: Managing the Nationwide Emergency, RS Hullon MD
- The Modern Herbal Dispensatory, Thomas Easley, Steven Horne
- Advanced Pharmacotherapeutics for Holistic Nursing, American Holistic Nurses Association
- Antibiotic Review, NetCE.com
2018
- The Truth About Chronic Pain Treatments: The Best & Worst Strategies for Becoming Pain Free, Cindy Perlin LCSW, 2015, Morning Light Books
- Hormones and Performance, International Sports Science Association
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2017
- Prediabetes: An Opportunty to Prevent Diabetes, NetCE
- Geriatric Polypharmacy, NetCE, Pharmacology
- Sleep Disorders, NetCE
2016
- Diabetes Pharmacology, CME Resource, Pharmacology
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
- Riley Diabetes Extended Care Giver Class, Indiana University Department of Pediatrics
2015
- Pharmacology for Advanced Practice Nurses: Rx Interactions with Food, OTC Drugs, Vitamins, and Herbals Webinar, American Nurses Credentialing Center
- Published/Speaker on Atrial Fibrillation: Uncontrolled Atrial Fibrillation in Adults (July 2015) Nursing 2015 Critical Care, Volume 10, Number 4, pages 6-11, www.nursingcriticalcare.com, DOI 10.1097/01.CCN.0000466770.70306.7d.
- Speaker on Symptom Management for adults in the community, 2010-2015, Public facilities, Indianapolis IN
- Speaker on Symptoms Management for Adults with Atrial Fibrillation, National Teaching Institute, 2009, Washington DC
- Poster presenter on Needs Assessment for Adults with Atrial Fibrillation, AJN conference, 2008, Chicago IL
Weight Loss & Wellness Coaching
2023
- How Should We Tackle Comorbid Obesity in T2DM? my CME. Stephen A. Brunton, MD, FAAFP, CDCES, Davida F. Kruger, MSN, APN-BC, BC-ADM
- Helping Youth Build Healthy Relationships, Indiana Youth Institute, Dawn Huff
2022
- Building Culturally Competent Compassion in Nurses Caring for Vulnerable Populations. Herandez et al, Journal of Holistic Nursing, 40 (4) pages 359-369.
- An Ounce of Prevention is Worth a Pound of Cure; Chronic Disease and the Gut Microbiome, Doctors Data webinar
- Pulmonary Hypertension, Harrington & Roser, American Nurse Journal 17 (6) pages 24-27
- Palliative Care, an integrative patient-centered approach, American Nurse Journal 17 (7), page 26
- Postural Orthostatic Tachycardia Syndrome, Ferguson, American Nurse Journal 17 (7) pages 14-18
- Caring for Diverse Populations, Narayan, American Nurse Journal 17 (7), pages 6-11.
- Advanced Cardiac Life Support (ACLS) and BLS Provider (CPR), ProMed Medical Certifications
2021
- Changing the Conversation- How We Elevate Weight Management Dialogues, Ryan & Still, Med-IQ
- Color Consciousness: A Movement Towards Antiracism, Bourgault & Williams, Critical Care Nurse, 40 (6).
- The Coronavirus Disease Pandemic, John Leonard, NetCE Course #94150
2020
- Prioritizing Employee Wellness for a Remote Workforce, National Wellness Council
- Educating Business Leaders in Addressing Tobacco in the Workplace Cessation Programming, Wellness Council of IN
- Case Management, 5 CEU's course, Teresa Treiger MA RN-BC, CCM, CHCDM, FABDUARP, Nursing.com
- Medicare Intensive Behavioral Therapy - Obesity: Who, What & Why- CPE Provider, Commission on Dietetics Registration
- Sleep Duration Patterns in Early to Middle Adulthood & Subsequent Risk of Type 2 Diabetes- Diabetes Care 2020 March
- NACNS 2020 Annual Conference -details located in the Advanced Practice Section
- Renewal for American Heart Association Health Provider CPR and Advanced Cardiac Life Support
2019
- Review of 40 Evidenced Based Articles 2014-2019 on Fitness & Nutrition, IU Medical Library
- How People Change their Minds to Adopt Healthful Habits, Kateri McRae, PhD, Institute for Brain Potential,
- Holistic Nursing Educational Guidelines: Advanced Health Assessment, American Holistic Nurses Association
- Gastroesophageal Reflux Disease, NetCE.com
2018
- Holistic Self-Care: Your Secret Power for Enhancing Patient Care, American Holistic Nurses Association, Crestwood KY
- QPR Suicide Prevention Gatekeeper Program, QPR Institute
- Cultural Competency Training for Healthcare Providers: Connecting with your patients, Industry Collaboration Effort Leadership Team
2017
- Indy Wellness Summit Speaker: Wellness Techniques for Small, Home-Based and Mobil Businesses, October 3rd, 2017, Hyatt Regency
- Recertified as Fitness & Nutrition Coach with the International Sports Science Association
2016
- Indy Wellness Summit speaker, The Ten Minute Office Workout, September 2016, Indy Convention Center
- Practicing Mindfulness, Professor Mark W. Muesse, May 2016, Rhodes College
- Cognitive Behavioral Therapy, Professor Jason M. Satterfield, May 2016, University of California
2015
- Certified as a Women Business Enterprise with the City of Indianapolis
- Member of Greenfield Chamber of Commerce
-
Indiana Certified Mobile Lab. CLIA ID 15D2081979. Expires 8/2020.
Community Training
Mary Ann was featured on the Hoosier Health Podcast in August 2020. Learn more about the podcast here.
Volunteer Activities and Community Service
Mary Ann knows that the health of our environment directly effects the health of people, so she participates in a number of community opportunities that protect the environment and help people enjoy it! She is the President of Pennsy Trails of Hancock County Inc., the land steward of Schramm Nature Preserve, and a Master Naturalist and Master Gardener.
Volunteer & Community Service
- President of Pennsy Trails of Hancock County Inc. : building trails to connect communities
- Works to encourage the development of a walk/bike trail in Hancock county along the National Road Heritage Trail.
- Works to raise & distribute funds to Hancock County for the trail development
- Lead the group to obtain 501c3 status in 2016
- Wrote a grant to obtained funds from the Indiana Department of Natural Resources to purchase property and arrange land donations along US 40 from 400 West to 500 West in 2017
- Acted as project manager in this land acquisition working with state and local government and the community to reach our goal.
- You can learn more about the Pennsy Trail here.
- Master Naturalist in Hancock County
- Master Gardener in Hancock County
- Land steward and Developer of a wellness nature walk at Schramm Nature Preserve
- Participated in the Darfur Women Network Nutrition and Fitness Program
- Spoke with Congressman Luke Messer on evaluating Worksite Wellness Program
- Garden to table event at Harrison Elementary School in Lawrence. Kids enjoyed making Cool Tomato Soup. See the recipe!
- Fitness & Nutrition program at the Center for Interfaith Cooperation, 2015
- BabyCheck Free Phone Wellness Consultation for new moms at Community Hospital North
Avoid Gastric Bypass Surgery
The name Cardinal Elements comes from 2 sources. “Cardinal” is the Indiana State bird, and “Elements” represent the other factors of wellness.
Since the health of our environment directly effects the health of people, Cardinal Elements represents the truth that our environment and the many elements of health must be addressed to lead to flourishing, healthy communities.