STEP 1 - ASK: GET TO KNOW THE CLIENT Flashcards
What is the first thing you should do in STEP 1 - ASK?
- Informed consent
What comes after informed consent and before measurements for resting heart rate and resting blood pressure are measured?
- pre-participation health screening
- pre-meeting information
- gain insight on client’s goals
- explain the CSEP-PATH options
What does the pre-participation health questionnaire help to identify?
The pre-participation health questionnaire helps to identify those who may be at risk during exercise due to medical history (Get-Active Questionnaire).
Always obtain a(n) ________________ from the client prior to collecting any personal health information.
Informed Consent
At appointment booking, clients should receive a ______________ and package with key forms, and, if applicable, pre-test instructions.
Welcome Letter
When engaging with the client to develop insights that will help inform the interpretation and action planning later. Specifically try to gain an understanding of the client’s:
- knowledge of the importance of physical activity for health
- primary motivation (goals) and drivers (degree to which the client is motivated within from within or by external factors)
- level of commitment (readiness for change)
- Confidence that they can initiate and stick with a physical activity plan (self-efficacy)
Client’s have several options when it comes to undertaking a CSEP-PATH appointment. They may choose to undertake a full or partial assessment. A full assessment would include…
pre-participation health screening, anthropometry measures, an aerobic fitness test (selected based on the client’s goals and preferences), and the full suite of musculoskeletal tests listed in STEP 2 - ASSESS.
Client’s have several options when it comes to undertaking a CSEP-PATH appointment. They may choose to undertake a full or partial assessment. A partial assessment would include…
pre-participation health screening and necessary anthropometry measurements, but may include a focus on aerobic or musculoskeletal fitness, and not both.
Give some examples of questions you can ask to discern a client’s MOTIVATION:
“What brings you to see me today?”
“What made you sign up for this appointment?”
“How important is that to you? Why?”
Give some examples of questions you can ask to discern a client’s CURRENT ACTIVITY LEVELS:
“How active are you?”
“What kinds of activities do you engage in”
“How often and for how long would you say you are active in a given week?”
“How hard do you work when engaged in those activities?”
“Does your job require you to sit for long periods of time? How about your commute?”
“Do you spend much of your leisure time watching television or on the computer?”
Give some examples of questions you can ask to discern a client’s KNOWLEDGE AND BENEFITS:
“What is your understanding of physical activity and how it impacts your overall health?”
“Do you have any concerns about physical activity?”
“You mentioned low energy levels. Do you think that more physical activity could improve your energy levels?”
Give some examples of questions you can ask to discern a client’s HISTORY:
“Was there a time when you were more active?”
“What did you do then?”
“Have you tried to get active before?”
“What worked for you then? What didn’t work”
“Have you ever worked with a personal trainer before? What did you like/not like about it?”
Give some examples of questions you can ask to discern a client’s STAGE OF READINESS FOR CHANGE:
“Are you interested in increasing or adjusting your physical activity?”
“When do you think you’ll be ready to begin making your desired change?”
“How motivated would you say you are on a scale of 1 to 10, with 10 being extremely motivated?”
Give some examples of questions you can ask to discern a client’s DESIRE TO UNDERTAKE AN ASSESSMENT:
“How fit would you say you are?”
“Would you like to have a clearer picture of your fitness levels?”
“Which components of the Physical Activity, Health, and Lifestyle Assessment are of interest to you?”
Some examples of situations that would require a client to obtain medical clearance would be if they indicate on the Get Active Questionnaire that they have any of the following:
- pain/discomfort/pressure in their chest at rest or with exertion
- resting blood pressure that is greater than 160/90 mmHg (one or both values)
- gets dizzy or lightheaded during physical activity
- had a recent concussion
If a client cannot remember specific details about their personal health history, the client should…
Follow up with their physician.
The Get Active Questionnaire should be re-issued once all necessary information has been obtained.
Generally, you can proceed to STEP 2 - ASSESS if the client:
- Has answered NO to all questions on page 1 of the Get Active Questionnaire OR has selected YES but you have established that the client has a lower-risk medical condition
AND - Resting HR and BP are below cutoffs described in this section
Clients should be referred to a QEP with advanced knowledge of the respective medical condition or to an appropriate health care provider if the client:
- Has a medical condition that is potentially unstable/higher-risk OR
- Has more than one medical condition OR
- The client’s resting HR or BP are above 100 bpm or 160/90 mmHg
