5 - Prescreening - ASK GAQ Flashcards
list the requirements for GAQ completion
- client must read and answer questions on GAQ without interpretation from the CSEP-CPT (unless visually impaired no reading aloud)
- form must be signed with ink pen and witnessed by 3rd party on pg 2
client’s answer to the GAQ determine _
whether client falls within the CSEP-CPT SOP or requires clearance from a physician before either doing the active portions of fitness assessment or starting an exercise program
how long is a GAQ form valid?
12 months or unless health condition changes
The GAQ is designed to be self-administered by the client. Client should be instructed to:
- complete pages 1-2 completely and honestly
- answer YES to any question on page 1 if client is unsure
- review the GAQ reference document, if the client has a YES response on page 1
- sign and date the declaration
- bring completed GAQ to their initial appointment with CSEP certified member
what should a client do if if they’re unsure about a GAQ question?
answer YES
*don’t interpret, “if it feels accurate say yes”
*covers you if they actually have a condition - LIABILITY
what should be done if the client responds YES to any reponse on page 1 of GAQ?
review GAQ reference document
page 1 of the GAQ contains:
- 4 questions to identify clients who MAY need to seek advice from an appropriate health care provider or qualified exercise professional before becoming more physically active
*check YES answers with reference document before moving to page 2
page 2 of the GAQ contains:
- assessment of current physical activity levels
- general advise for becoming more physically active
- declaration
how can understanding client’s current PA levels help cardiovascular risk
- the cardiovascular risks associated with exercise lessen as individuals become more physically active
how can understanding client’s current PA levels help determine level of physical activity in program
- clients who do regular physical activity can usually begin at a level of physical activity that they are currently doing and progress as appropriate
- clients who are inactive should begin with light to moderate physical activity and progress gradually as tolerated
what should you do if a client is interested in vigorous activity but has a lower risk medical condition?
should be referred to a CSEP-CEP
in the declaration, even if client selects either of the boxes under ‘I answered yes to any question on page 1’…
CSEP-CPTs MUST stay within their scope of practice
The reference document is designed to _
give the client advice about any YES response
the reference document allows_
- the client to make an informed decision about the appropriateness of physical activity/exercise
- OR client may be prompted to obtain guidance from an appropriate health care provider or QEP
when assisting the client with a YES response on the GAQ…
- ensure you are QUALIFIED (advice is within the scope of practice of your certification)
- ensure you are COMPETENT (you have the knowledge, skills and abilities to provide such advice)
*otherwise refer client to another professional
what are the limitations of the GAQ?
- possible for clients to have a diagnosed medical condition or take medications despite answering NO to all of the questions on page 1
How can we overcome the limitations of the GAQ?
MUST ask clients about medical history
- any suspected or diagnosed conditions? if yes, any symptoms associated with the condition?
- taking any medications (over the counter or prescribed)? If yes, taking meds as directed?
*frequency?
*CHART all of this information
if the client gives all NO answers, can you work with them?
assuming you’ve asked about everything else, yes
if you have a yes response on the GAQ, can you work with that client?
look at reference document, look at cutoffs
- might need to ask some questions (ex. shotness of breath might be ok if asthma is controlled, relieved by medication, and not changed)
what’s the purpose of the CSEP-CPT health screening tool?
- used when clients identify as part of the pre-screening process that they have one medical condition
- tool helps the CSEP-CPT determine if he client’s medical condition is LOW RISK (aka stable health condition)
- not a substitute for the GAQ (or any other evidence-informed pre-participation health screening tool
describe “apparently healthy”
- no diagnosed medical condition AND
- no overt signs and symptoms suggesting any potential underlying medical conditions AND
- able to exercise independently
describe “lower risk medical condition”
Client with diagnosed medical condition and meets ALL the following criteria:
- condition is being medically managed & client is asymptomatic
- no change in meds/treatment plan in the past 6 months (taken as directed if prescribed)
- client can exercise independently
- benefits of physical activity clearly outweight risks
describe “higher risk medical condition”
client that has a diagnosed medical condition and meets ANY of the following criteria”
- may not be medically managed
- may be symptomatic
- treatment may have recently changed
- may not be able to exercise independently
- benefits of physical activity may NOT outweigh risks, thus clinical monitoring or restrictions may be necessary
any positive response in the CSEP-CPT health screening tool means:
NOT in scope of practice
