Pre-Participation Screening Flashcards
6 A’s of the CSEP Path process
Ask, Assess, Advise, Agree, Assist, Arrange
Explain the Ask step in the process
Understand the Clients:
- medical history and risks
- primary motivation and drivers
- level of commitment to making change
- confidence that they can execute a plan
Purpose of Pre-participation screening
identify clients who may be at risk for adverse medical events when physically active
what does QEP do if there is risk
must work within SOP; chart steps being taken to mitigate risk is applicable
what does the pre participation screening include
- evidence based screening tool
- medical history
- measurement of resting HR and BP
- assessment of current PA levels
what do you do if someone answers yes to a GAQ question and they do not have know the cause
cannot proceed with MVPA assessment, refer to doctor
what do you do if someone answers yes to a GAQ question and they do have know the cause and have a way to address it with medication and a treatment plan
can proceed with MVPA assessment
cons of GAQ
lots of text - could lead to improper answering of questions
Brief overview of Assess
conduct physical activity, fitness and or lifestyle assessment
Brief overview of Advise
summarize events and discuss
Brief overview of Agree
devise an action plan
Brief overview of Assist
increase motivation and overcome barriers
Brief overview of Arrange
provide continuing support
apparently healthy means
- no diagnosed medical condition
- no overt signs and symptoms suggesting any potential underlying medical condition
- able to exorcise independently (would not NEED our advice/advice of a QEP)
lower risk medical condition means
Benefits of PA clearly outweigh the risks
client has a diagnosed medical condition and meets all following criteria
- asymptomatic
- condition is being medically treated and managed and no change in meds or treatment plan in the last 6 months
- client can exercise with QEP watching
higher risk medical condition means
benefits of PA may not outweigh the risks; clinical monitoring or restrictions may be necessary
usually has a diagnosed medical condition and meets any of the following criteria
- not medically managed
- symptomatic
- treatment recently changed
- not able to exercise independently
OR multiple medical conditions are present
what are the resting HR and BP cut offs
100 bmp and 160/90
examples of low risk
- asthma or out of breathe that is received by medication
- heart condition that is asymptomatic and cardiac rehabilitation is completed
- high BP that is asymptomatic, below 160/90 at rest and medicated
reasons to refer
- higher risk medical condition
- not able to exercise independently
- co morbid conditions
- resting BP or HR above cut offs
- interested in maximal or near maximal effort
- you do not feel you have the knowledge, skill or abilities to with with the client
- co morbid conditions even is both low risk, will interact in ways we are not qualified to work with
what must physicians recommend to a client in order for us to work with them
unrestricted PA
what form can a physician use to give to the QEP to clear the client
physician physical activity readiness clearance form