Chapter 9: Client Consultation and Health Apprasial Flashcards
This is intended as a mutual sharing of information with the expected outcomes of assessing client-trainer compatibility, discussing goals, and developing a client trainer agreement
initial interview
T/F: The preparticipation health screening forms should be completed and analyzed prior to an service being provided and activity occurs
T
PAR-Q (Physical Activity Readiness Questionaire) and Health/Medical questionaire are examples of this
health appraisal instruments
This document requires self-recall of observations and signs and symptoms exerienced by the client, in addition to confirmation of diagnosis by a physician
PAR-Q
Limitation of the PAR-Q
it was designed essentially to determine the safety of exercise and not the risk for coronary artery disease
This can asses the appropriateness of moderate to vigorous levels of exercise in that it can identify positive coronary risk factors associated with a litany of variables
Health/Medical Questionnaire
These usually consist of questions to evaluate personal choices and patterns related to dietary intake, managment of stress, level of physical activity, and other practices that may affect a person’s health
lifestyle inventory
This gives clients information about the content and process of the program delivery system.
informed consent
The contents of this document should be conveyed in both writing and verbally before the administration of any testing or participation in activities to insure the client understand the risks and benefits associated with the program
informed consent
Informed consent should include the following 5
detailed description of the program
risks and benefits associated with participation
confidentiality clause
responsibilities of the participant
and documentation of acceptance of the terms described in the form
This is an agreement by a client, before beginning participation, to give up, relinquish, or waive the participant’s rights to legal remedy (damages) in the event of injury, even when such injury arises as a result of provider negligence
assumption of risk (waiver)
T/F: After the client signs the assumpution of risk (waiver) document, they are no longer legally responsible for any duty to perform in a competent and professional mannor
F
The purpose of an assumption of risk (waiver) is to do this
limit liability
T/F: an assumption of risk (waiver) must identify potential risks associated with participation and establish that the client voluntarily assumes responsability.
T
This is important to have performed on minor clients
preparticipation physical examination
T/F: parents have the right to execute assumption of risk (waivers) in their child’s behalf
F
an aspect of personal behavior or lifestyle, an enviornmental exposure or inherited characterisitc which on the basis of epidemiologic evidence is known to be associated with health related conditions considered important to prevent
positive risk factor
This is a positive risk factor for CAD: Aging
Men 45+
women 55+
This is a positive risk factor for CAD: Family history
Myocardial infarction, coronary revascularization, or sudden death before 55 YO, and 65 YO in first degree male and female relatives respectively
This is a positive risk factor for CAD: Smoking
Been a smoker in the last 6 months, or high exposure to smoke
This is a positive risk factor for CAD: sedentary lifestyle
Not participating in atleast 30 min of moderate intensity (40-60% vo2max) atleast 3 days/week for three months
This is a positive risk factor for CAD: obesity
BMI of 30+
waist girth of greater than 102 cm and 88 cm in men and women respectively
This is a positive risk factor for CAD: hypertension
BP greatr than or equal to 140/90, confirmed on two occasions
or on antihypertensive medication
This is a positive risk factor for CAD: dyslipidemia
LDL 130+
HDL less than 40
total cholesterol 200+
This is a positive risk factor for CAD: prediabetes
fasting glucose 100+ but less than 126, confirmed on two seperate occasions
This is a negative risk factor for CAD: High HDL
60+
Persons who store excess weight here are at increased risk of CAD
Waist/abdomen
In addition to CAD these diseases and medical conditions should be screened for
Chronic cardiovascular, pulmonary, metabolic, and orthopedic conditions
intermittent claudication
calf cramping
Chronic bronchitis, emphysema, and asthma are considered to be syndromes associated with this
COPD, Chronic obstructive pulmonary disease
This is the immediate cause of death in all sudden cardiac death cases which are not contributed to marfan syndrome in individuals less than 35 YO
ventricular arrhythmias
How many risk factors of sudden cardiac death are necessary to warrant referral for a cardiovascular examination
1
This is more approriate to judge exercise intensity than training heart rate in an individual who is using beta-blockers
RPE
The ability to do this gives the personal trainer the foundation to eventually identify whether it is appropriate to assess and train an individual or refer the individual to a physician for medical clearance
stratify risk
asymptomatic men and women who have 1 or less CVD risk factors
low risk
asympotomatic men and women who have 2 or greater risk factors for CVD
moderate risk
Individuals with known cardiac, or vascular problems, COPD, cystic fibrosis, diabetes, thyroid disorders, renal or liver disease, or have 1 or more risk factors for sudden cardiac death
high risk
a nondiagnostic practical assessment, typically referred to as a field test, that is inexpensive, easy to administer, and does not normally require maximal effort
submaximal test
T/F: Certified personal trainers are not allowed to administer submaximal tests
F, but a physician may also be required if the client is considered high risk
this type of test is commonly performed in a clinical setting, with use of speicalized diagnostic equipment to assess an individuals functional capacity througy maximal effort
maximal test
This type of test often requires physicians to supervise do to the high risk of complications and diagnostic capabilities
maximal test
it is not necessary to have a current medical examination and an exercise test prior to participation in moderate and vigorous exercise.
low risk
it is not necessary for a physician to supervise a sub/maximal exercise test
low risk
it is not necessary to ahve a current medical examination and exercise test for moderate exercise, however, those are recommended for vigorous exercise
moderate risk
it is not necessary for a physician to supervise a submaximal exercise test, but physician supervision is recommended for a maximal test
Moderate risk
it is recommended that a current medical examination and exercise test be performed prior to moderate or vigorous exercise
High risk
it is recommended that a physician supervise either a sub/maximal exercise test
high risk
an assessment of the individuals functional capacity, classification of ability to participate based on the evaluation, identification of preexisting conditions that may be worsened by exercise, prescribed medications, and fitness program recommendations
physician referral form
