Couple of thoughts...
- It souds like your client is motivated - that's always a good thing...
- It's also a good thing that she has no apparent musculoskeletal issues - is that right? Just be cautious with body weight exercises as you want to keep her injury-free.
- Think about teaching her how to move correctly in addition to prescribing exercises. For example, observe how she climbs stairs - teach her how to properly activate her glutes. Teach her how to engage her trunk muscles - read Stu McGill's stuff on bracing.
- Regarding posture... stretches can be helpful, but be sure to include some stregthening exercise where needed. She can do these on her own once you've taught them
- On cardio - great that she can walk those distances - does she have other options to complement the walking? Something orthopedically-friendly would be a good adjunct exercise. Also, try playing with the intensity a bit if she can handle it.
Nutrition: What is she doing diet-wise?
Motivation/inspiration: How do you plan on helping keep her inspired? It's easy to be gung ho in the beginning but things can easily go off track. Does she have relapse plans? Does she fill out a food log? Does she have realistic short-term goals that are lifestyle-based as well as scale weight based?
Cultivating the right mindset is crucial. Be sure she is in touch with hunger cues and not eating out of emotion. Many diets fail because when people lose the weight, they don't lose the reasons why they over-ate in the first place. Why is losing weight important to her? What is she doing to control her environment? Does she have support other than you?
These are off the top of my head. Hope it gave you some ideas.
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