Exercise Participation Health Screening Flashcards
Informed consent purpose:
Inform client of the program and risks associated w/the exercise test/program
Consent form must include:
Purpose and explanation of the test, client risks and discomforts, responsibilities of participant, benefits to be expected, inquires, use of medical record
Informed consent additional considerations
Verbal explanation, time to read doc, Q and A (doc Qs), free to withdraw at any time, privacy HIPAA, research study identified
Reasons to conduct pre participation screening
ID those w/ contradictions to PA participation
ID those who should participate in a medically supervised PA program
ID those who should receive a formal evaluation and clearance
ID those w/ other significant health or medical concerns
Levels of screening
Self guided and professionally supervised screening
Self guided screening
PAR-Q+
ePARmed-X + physician clearance follow-up questionaire (results: clearance to participate or suggestions for while awaiting medical clearance)
Professional supervised screening
Health history questionnaire (represents a comprehensive evaluation of health and medical history)
Medical examination/clearance ( led by a physician or other qualified professional, particularly recommended for clients at high risk)
ACSM Current guidelines
No risk factor analysis or risk level classification
Recommends for medical clearance rather than
Recommendations for a medical exam or exercise test
Professional PA screening process
PA history > known cardiovascular- metabolic, renal diseases > major signs o symptoms suggestive of CVD > desired exercise intensity
Known cardiovascular, metabolic, or renal disease
- Heart attack, surgery, catheterization, or angioplasty
- pacemaker/implantable cardiac defibrillation/ rhythm disturbance
- heart valve disease, failure, or transplant
- congenital heart disease
- type 1 or 2 diabetes mellitus
- renal disease such as renal failure
Major signs or symptoms of suggestive CMR disease
Pain in neck, jaw, arms, or other areas that may result from ischemia
Shortness of breath at rest or w/ mild exertion
Dizziness of syncope
Orthopnea or paroxysmal nocturnal dyspnea
Ankle edema
Palpitation or tachycardia
Intermittent claudication
Known heart murmur
Unusual fatigue / shortness of breath u/ usual activities
Contraindications for exercise
Relative (can be superseded if benefits outweigh risks of exercise. in some cases these ppl can be exercised w/ caution)
Absolute (exercise should not be performed)
Lifestyle evaluation
Clients living habits, daily behavior patterns, barriers to PA
Repurposing risk factor assessment
No longer require CVD risk factor assessment but is advisable
Risk factor assessment armed at disease prevention and management
Utilize to provide education to clients a patients for the purposes of lifestyle modification
Risk factors for atherosclerotic CVD
Low risk - 0-1 factor
Increased risk- 2 or more CVD factors
