EXAM1- Health Screening EXTRA Flashcards
what does pre-participation screening do
-minimizes risks associated with physical activity
-involves gathering + analyzing demographic + health-related info on a client along with some medical/health assessments such as the presence of signs + symptoms to aid decision making on a client’s physical activity future
-allows exercise physiologist to make informed decisions about an individual’s physical ability + limitations when engaging in an exercise program
1 reason to conduct screening
to identify medical contraindications to exercise participation
-important to do pre-participation screening because it will be brought up if you are sued
Surgeon General Report in 1996 stated that what people should consult a physician before starting an exercise program
-previously inactive men over age 40
-previously inactive women over age 50
-people at risk for CVD
if exercise professional doesn’t do health screening, they have potential of being sued for ____
negligence
if an exercise professional diagnoses a client with a disorder…
they may be charged with practicing
-depending on extent of diagnoses this can be charged as a misdemeanor or felony
ACSM used to have what
risk stratification
-now relies on physical activity history of participant as well as presence of cardiovascular, metabolic, or renal disease
what organization still uses risk stratification
AHA
2 levels of screening for ACSM
-self-guided
-professional
questionnaries/screening tools
2022 PAR-Q+
determines client’s readiness for physical activity
questionnaries/screening tools
signs + symptoms of disease + medical clearance
identifies individuals in need of medical referral + to obtain evidence of physician approval for exercise testing in participation (health history questionnaire)
questionnaries/screening tools
coronary risk factor analysis
determines the number of coronary risk factors + decide if + what type of exercise intervention can improve these issues (health history questionnaire)
questionnaries/screening tools
medical history
reviews client’s past + present personal and family history, focusing on conditions requiring medical referral + clearance (health history questionnaire)
questionnaries/screening tools
lifestyle evaluation
obtains info about the client’s living habits (health history questionnaire)
questionnaries/screening tools
informed consent
explains the purpose, risks + benefits of physical fitness tests + to obtain client’s consent for participation in these tests
PAR-Q
7 yes/no questions
-used to assess physical readiness + identify those for whom strenuous physical activity isn’t recommended, completed by client
how does PAR-Q+ differ from PAR-Q
more specific, detailed about the client
Parmed-x form
for people identified at risk on PAR-Q, completed by healthcare professional
-anything that makes you worry should be sent to physician so that it doesn’t come back on you
-Parmed-x speeds up process to ensure patient is correctly answering questions you are concerned with
health history questionnare (HHQ)
-used to establish medical/health risks for both activity assessment + activity participation
-used to determine how many risk factors for CAD a client has, if the client needs to be referred to a physician, + any modifications that may need to be made to the exercise program
what does the health history questionnarie (HHQ) address
-family history of CMR
-history of various diseases/illnesses including CVD
-surgical history
-past + present health behaviors/habits
-current use of various drugs/medications
-specific history of various signs/symptoms suggests of CVD + other chronic or metabolic disease
ACSM pre-participation health-screening
CVD risk factor assessment + risk classification are no longer part of exercise pre-participation health screening process
ACSM new health-screening process focuses on what 3 things
-individual’s current level of physical activity
-presence of signs/symptoms of known CV, metabolic, or renal disease
-desired exercise intensity, as these variables have been identified as risk modulators of exercise-related CV events
why did ACSM change the screening process
-whether a person exercises or not has a bigger impact than the person actually having the disease
-someone that is sedentary is significantly more likely to have MI than someone that exercises
blood flow through the heart
superior + inferior vena cava ->
R atrium ->
tricuspid valve ->
R ventricle ->
pulmonary semilunar valve ->
pulmonary trunk ->
pulmonary arteries ->
lung tissue (pulmonary circulation) ->
pulmonary veins ->
L atrium ->
bicuspid valve ->
L ventricle ->
aortic semilunar valve ->
aorta ->
either to coronary arteries or body tissues (systemic circulation)
pulmonary circuit is left/right side of heart
right
systemic circuit is left/right side of heart
left
systemic circuit
-serves entire body
-high resistance
-high pressure head
-hypoxic vasodilation
-many vasomotor controls
pulmonary circuit
-serves only lungs
-low resistance
-low pressure head
-hypoxic vasoconstriction
-few vasomotor controls
systole
period of ventricular contraction
-blood ejected from ventricles
