4 - Prescreening ASK Flashcards

1
Q

describe the pre-meeting

A

orientation to process, informed consent and pre-participation health screening

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2
Q

describe the first meeting

A
  • establish rapport and gather information about the client’s goalsm physical activity background, knowledge and interests
  • confirm readiness for physical activity and secure informed consent
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3
Q

describe the useful tools used in a pre and first meeting

A
  • welcome letter
  • informed consent
  • GAQ + GAQ reference document
  • client info sheet
  • client interview notes
  • SOAP notes
  • PARmed-X for pregnancy for GAQ for pregnancy (as required)
  • AAL-Q (abilities for active living questionnaire
  • physician guidance for physical activity (formerly physician physical activity readiness clearance) as required
  • resting HR
  • resting BP
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4
Q

what are the objectives of the ASK step?

A
  • gain insight into client’s goals and interests
  • explain CSEP-PATH options and confirm the scope of the assessment
  • complete informed consent
  • discuss pre-meeting information
  • complete pre-participation screening process including the GAQ, resting HR (RHR), resting blood pressure (RBP) and collection of relevant medical history (if applicable)
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5
Q

define physical activity

A

day to day activities over resting energy expenditure (any movement at all)

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6
Q

define exercise

A

structured, over resting expenditure (intentional: aerobic, resistance etc.)

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7
Q

define fitness

A
  • some measure of variable related to your ability to do something
    varriable related to: power, strength, muscular endurance, cardiovascular endurance, body composition
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8
Q

goal of step 1 ASK is:

A

To gain understanding of client’s:
- knowledge of the importance of physical activity to health
- primary motivation (goals) and drivers (intrinsic or extrinsic)
- level of committment (readiness for change)
- confidence that he/she can initiate and stick with physical activity plan (self-efficacy)

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9
Q

describe the “knowledge” goal of ASK

A
  • get understanding of their perspective
  • to learn what the client feels about exercising and the relationship to health
    “how active are you?” “what’s your belief in physical activity helping you?”
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10
Q

Describe the primary motivation goal of ASK

A
  • trying to prove someone wrong (extrinsic)
  • doing it for the love of it (intrinsic, want this)
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11
Q

define self-efficacy (mentioned in confidence goal of ASK)

A

someone’s belief on how well you can do a task
low = not likely to do a task

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12
Q

what kind of questions should you ask your client?

A

open ended - how/what/describe to get the client talking
- show interest in client’s responses to questions and be non-judgemental

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13
Q

what are 2 sample discovery questions for motivation?

A
  • what brings you in to see me today?
  • what made you sign up for the appointment?
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14
Q

what are 4 sample discovery questions for current activity levels?

A
  • how active are you?
  • does your job require you to sit for long periods of time?
  • how about your commute?
  • how do you spend your leisure time?
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15
Q

What are 2 sample history discovery questions

A
  • was there a time when you were more active?
  • have you ever worked with a personal trainer before? What did you like/not like
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16
Q

list the physical activity readiness screening steps

A
  • pre-assessment instructions
  • informed consent form
  • GAQ (IF APPLICABLE parmed-x or GAQ for pregnancy, physical guidance for physical activity
  • observations
  • collection of relevant medical history (if applicable, use the CSEP-CPT health screening tool)
  • pre-exercise HR and pre-exercise blood pressure
17
Q

what are the 4 preliminary instructions for clients indicated in the welcome letter?

A

dress requirements, food & beverages, smoking, exercise

18
Q

describe the dress requirements of the welcome letter

A

light clothing and walking shoes (appropriate for exercise)

19
Q

describe the food & beverage rules of the welcome letter

A
  • no food 2 hrs prior
  • no caffeinated beverages 2 hrs prior
  • no alcohol 6 hrs prior
20
Q

describe the smoking rules of the welcome letter

A
  • no smoking 2 hrs prior
21
Q

describe the exercise rules of the welcome letter

A

no exercise 6 hrs prior

22
Q

describe informed consent step

A
  • completion of step is required element for CSEP-CPT
  • describe assessment
  • signed in pen before anything else done
  • not a waiver form
    ->18yrs - youth consent form signed by guardians
  • must be witnessed at the time of signing by 3rd party
    *must be signed by client prior to collecting personal info
23
Q

what is the role of the qualified exercise professional in pre-participation health screening

A
  • conducts prescreening to reduce liability exposure and inform exercise program
  • works within their knowledge, skills and abilities and ensures that this falls under established scope of practice
  • charts info about client’s medical history (hard copy or electronic record, must be dated or signed)
  • considers client’s risk of an adverse event (lower/higher risk) and takes steps to mitigate risk (assuming this falls within QEP’s scope of practice
24
Q

what should prescreening include at minimum?

A

use of an evidence-based screening tool to identify clients who should first seek advice from another professional, determination of medical history, measurement of resting HR and BP, assessment of current PA levels

25
Q

what should heart rate be under in the prescreening?

A

<100 bpm

26
Q

what should the blood pressure be in the prescreening

A

<160/90 mmHg