L9 - Risk Assessment and Safety Flashcards

1
Q

What is informed consent in a pre-exercise evaluation?

A

It is a legal and ethical requirement that ensures the participant understands the purpose, risks, benefits, and responsibilities before participation.

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2
Q

Why is informed consent important before collecting personal information?

A

It ensures the participant understands the risks, benefits, and their responsibilities, and it allows them to ask questions.

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3
Q

What is the purpose of health screening before exercise?

A

to identify individuals at risk of adverse events, those needing medical clearance, and those who may benefit from supervised exercise programs.

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4
Q

Why is assessing current activity levels important in health screening?

A

It helps determine the individual’s habitual level of physical activity, which is related to their risk of exercise-related events.

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5
Q

What medical conditions are typically screened for in a pre-exercise evaluation?

A

Cardiovascular, metabolic, and renal disease, as well as symptoms related to these conditions.

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6
Q

Why is it important to identify individuals who require better control of medical conditions before exercising?

A

To reduce the risk of exercise-related adverse events such as sudden cardiac death or acute myocardial infarction.

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7
Q

What are the risks for individuals with underlying cardiovascular disease who engage in unaccustomed vigorous exercise?

A

They are at higher risk for sudden cardiac death (SCD) and acute myocardial infarction (AMI).

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8
Q

How does habitual physical activity influence the risk of exercise-related cardiac events?

A

Individuals who are less active regularly have a higher risk of such events when performing vigorous activity.

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9
Q

What factors are considered in a health history assessment before exercise?

A

Intention to engage in physical activity, past physical activity, and activity preferences.

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10
Q

What should be asked regarding physical activity in the past week during a health history assessment?

A

Number of days active and minutes spent in moderate activity or strength-building exercises.

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11
Q

Why is it important not to make assumptions about a person’s activity level in a health history assessment?

A

Assumptions may lead to incorrect conclusions about their readiness or risk factors for exercise.

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12
Q

What are some cardiovascular risk factors that need to be analyzed before exercise?

A

Age, hypertension, cholesterol, diabetes, smoking, stress, obesity, family history, and medication

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13
Q

Why is age considered a cardiovascular risk factor in a pre-exercise evaluation?

A

As people age, their risk for cardiovascular disease increases, making it a critical factor to assess.

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14
Q

How does smoking affect cardiovascular risk before exercise?

A

Smoking is a major risk factor for cardiovascular diseases, increasing the risk of adverse events during exercise.

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15
Q

Why is it important to check for a family history of cardiovascular disease in a pre-exercise evaluation?

A

A family history of cardiovascular disease can indicate a higher genetic predisposition to these conditions.

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16
Q

What are some current symptoms that should be checked before exercise?

A

Chest pain, palpitations, shortness of breath, dizziness, leg cramps, and ankle swelling.

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17
Q

What does shortness of breath (SOB) indicate in a pre-exercise evaluation?

A

It may be a sign of underlying cardiovascular or respiratory conditions that need further investigation.

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18
Q

What examinations may be conducted before an individual begins exercising?

A

ECG, blood pressure measurement, exercise stress test, blood glucose, and cholesterol tests.

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19
Q

Why is it important to check for oedema before exercise?

A

Oedema can indicate heart or kidney problems, which may increase the risk of adverse events during exercise.

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20
Q

What should be done if a person does not participate in regular exercise and has a disease diagnosis?

A

Medical clearance should be obtained, and they should start exercising at an appropriate level, with monitoring.

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21
Q

Why is medical clearance sometimes required for individuals starting exercise after a period of inactivity?

A

To ensure it is safe for them to engage in physical activity, particularly if they have underlying conditions.

22
Q

What should be done if someone regularly exercises and develops symptoms during exercise?

A

They should discontinue exercise and seek medical clearance before continuing.

23
Q

What is the American College of Sports Medicine Participation Screening Algorithm used for?

A

To guide the evaluation of individuals based on their symptoms, exercise habits, and medical conditions.

24
Q

What steps are recommended for individuals who participate in regular exercise and are symptom-free?

A

They can continue exercising at an appropriate level and progress as needed, while monitoring for symptoms.

25
Q

What role does stress play as a cardiovascular risk factor?

A

High stress levels can increase the risk of cardiovascular events, particularly during vigorous exercise.

26
Q

What haemodynamic responses should be monitored pre and post exercise?

A

Blood pressure (BP) and heart rate (HR) should be checked pre and post exercise.

27
Q

What respiratory responses should be monitored pre and post exercise?

A

Respiratory rate (RR) and oxygen saturation (SpO2) should be checked before and after exercise.

28
Q

How should blood glucose be monitored for diabetic patients during exercise?

A

Check levels 30 minutes and immediately before exercise, and every 30 minutes during exercise for those new to it. Post-exercise, check twice to avoid hypoglycemia.

29
Q

What should you consider in high-risk patient groups during exercise?

A

They may have comorbidities, increased risk of heat exhaustion or dehydration, hypoglycemic episodes, physical movement restrictions, and may require specialist equipment or an appropriate environment.

30
Q

How can psychological factors impact exercise participation?

A

Fear of injury, fatigue, and anxiety can limit a person’s willingness or ability to engage in physical activity.

31
Q

What are some task-specific factors to consider in exercise?

A

The challenges of the task, required energy systems, planes of movement, body segments involved, and sensorimotor requirements.

32
Q

What types of muscle work should be considered during exercise?

A

Isometric, isotonic (concentric and eccentric) muscle work should be assessed for the activity.

33
Q

What role do acceleration and deceleration play in exercise?

A

Acceleration and deceleration are crucial for dynamic movement control and should be considered to avoid injury.

34
Q

Why are warm-up and cool-down important?

A

They raise and lower heart and breathing rates safely, reducing the risk of cardiovascular events.

35
Q

What is a new or uncontrolled arrhythmia, and why is it an absolute contraindication?

A

It’s an irregular heartbeat causing palpitations, dizziness, or loss of consciousness, and is dangerous during exercise.

36
Q

What is considered uncontrolled tachycardia in the context of exercise?

A

A resting heart rate over 100 bpm or an excessively rapid heart rate rise during exercise.

37
Q

What is uncontrolled hypertension, and why is it a contraindication to exercise?

A

Resting systolic BP over 180 mmHg or diastolic BP over 100 mmHg is considered uncontrolled hypertension, and it poses a high risk during exercise.

38
Q

What are the symptoms of symptomatic hypotension?

A

Dizziness, lightheadedness, or fainting, especially when changing positions or after stopping exercise.

39
Q

Why is unstable angina an absolute contraindication to exercise?

A

It involves unpredictable chest pain or worsening of known angina, which can lead to severe cardiovascular events.

40
Q

What symptoms suggest unstable or acute heart failure?

A

Excessive breathlessness, rapid weight gain, swollen ankles, and pitting oedema indicate heart failure, making exercise unsafe.

41
Q

What blood glucose levels indicate unstable diabetes, making exercise unsafe?

A

Pre-exercise glucose levels >13 mmol/l or repeated hypoglycemia episodes.

42
Q

Why is febrile illness an absolute contraindication for exercise?

A

Fevers above 38°C indicate an ongoing illness, which can worsen with physical exertion.

43
Q

What are the signs of uncontrolled asthma, and why is it a contraindication?

A

Severe shortness of breath, chest tightness, coughing, and wheezing indicate uncontrolled asthma, which can be exacerbated by exercise.

44
Q

What risks are associated with uncontrolled COPD during exercise?

A

Worsening symptoms and falling oxygen saturation can occur, making exercise dangerous for those with uncontrolled COPD.

45
Q

Why should individuals with unstable cancer or blood disorders avoid exercise?

A

When treatment or the disease affects leucocytes, hemoglobin, or platelets, exercise can pose significant risks.

46
Q

What precautions should be taken for patients with osteoporosis or high fracture risk?

A

Avoid exercises with a high risk of falling or impact that could lead to fractures.

47
Q

What is DOMS (Delayed Onset Muscle Soreness)?

A

DOMS is muscle soreness and stiffness resulting from microscopic muscle damage, especially after eccentric exercise, peaking 24-72 hours post-exercise.

48
Q

What are the symptoms of DOMS?

A

Muscle soreness, stiffness, swelling, reduced muscle function, and impaired strength and mobility.

49
Q

How long does DOMS typically last?

A

Symptoms peak within 24-72 hours and usually subside after 5 days, with full recovery taking up to a week.

50
Q

Why is it important to manage high-risk groups in exercise?

A

High-risk groups, such as those with cardiovascular or metabolic issues, may have increased risks, but the benefits of exercise often outweigh the risks if managed properly.