4 - Prescreening ASK Flashcards
describe the pre-meeting
orientation to process, informed consent and pre-participation health screening
describe the first meeting
- 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
describe the useful tools used in a pre and first meeting
- 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
what are the objectives of the ASK step?
- 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)
define physical activity
day to day activities over resting energy expenditure (any movement at all)
define exercise
structured, over resting expenditure (intentional: aerobic, resistance etc.)
define fitness
- some measure of variable related to your ability to do something
varriable related to: power, strength, muscular endurance, cardiovascular endurance, body composition
goal of step 1 ASK is:
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)
describe the “knowledge” goal of ASK
- 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?”
Describe the primary motivation goal of ASK
- trying to prove someone wrong (extrinsic)
- doing it for the love of it (intrinsic, want this)
define self-efficacy (mentioned in confidence goal of ASK)
someone’s belief on how well you can do a task
low = not likely to do a task
what kind of questions should you ask your client?
open ended - how/what/describe to get the client talking
- show interest in client’s responses to questions and be non-judgemental
what are 2 sample discovery questions for motivation?
- what brings you in to see me today?
- what made you sign up for the appointment?
what are 4 sample discovery questions for current activity levels?
- 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?
What are 2 sample history discovery questions
- was there a time when you were more active?
- have you ever worked with a personal trainer before? What did you like/not like
list the physical activity readiness screening steps
- 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
what are the 4 preliminary instructions for clients indicated in the welcome letter?
dress requirements, food & beverages, smoking, exercise
describe the dress requirements of the welcome letter
light clothing and walking shoes (appropriate for exercise)
describe the food & beverage rules of the welcome letter
- no food 2 hrs prior
- no caffeinated beverages 2 hrs prior
- no alcohol 6 hrs prior
describe the smoking rules of the welcome letter
- no smoking 2 hrs prior
describe the exercise rules of the welcome letter
no exercise 6 hrs prior
describe informed consent step
- 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
what is the role of the qualified exercise professional in pre-participation health screening
- 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
what should prescreening include at minimum?
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
what should heart rate be under in the prescreening?
<100 bpm
what should the blood pressure be in the prescreening
<160/90 mmHg
