Test #1 Flashcards
Definition: Blood Pressure
the force of blood against the walls of the arteries created by the heart as it pumps blood to all parts of the body
Definition: Physical Fitness
a set of attributes or characteristics that people have (or achieve) that relates to their ability to perform physical activity
What determines the starting stage for the m-CAFT
age and gender
Population for one mile walk?
general population 20-69 yo
If you are unsure of how to answer a question on the GAQ, you should answer:
Yes
Definition: Systolic BP
the maximum pressure in the arteries when the heart contracts during a heart beat
Definition: Parallax
the apparent displacement of an object as seen from two different points not on a straight line with the object
Who should fill out page 1 of the PPARC form?
the physician
DON’T’s of SOAP Notes?
Don’t WISPer
- Diagnose (med or psych)
- Irrelevent over the counter medication
- Specific nutrition recommendations
- Personal or confidential
- Wordiness
SOAP?
RHR has decreased from 75 bpm to 70 bpm since 01/30/2016
Objective
Which Korotkoff sound is DBP?
4th
How much % of weight does “Essential” fat take up in males?
3-5%
What specific records should you keep?
ACRONYM
Cindy Smith’s PMS PICS
- Cleaning & Maintenance
- Safety Procedures
- Manufacturer’s Warranties & Guidelines
- Personnel Credentials
- Signed Informed Consent
- PAR-Q+
- Injury Report Forms
- Client Data
- SOAP Notes
What is the BMI formula?
BMI = weight(kg) / height(m2)
Definition: Physical Activity
all leisure and non-leisure body movement produced by the skeletal muscles, which result in an increase in energy expenditure over resting levels
Answered “Yes” to one or more of questions 1-7 on the PAR-Q+
Complete pages 2 and 3
What body composition measurement is the most predictive of cardiovascular events?
waist circumference
SOAP?
Client is losing weight at targeted rate per week (0.5 –1 kg)
Assessment
What should the Welcome Package include?
- AAL-Q
- PAR-Q+ (PAR-med-X for Pregnancy)
- Consent Form (adult or youth)
- PASB-Q
- FANTASTIC Lifestyle Checklist
What record keeping method do we focus on in this course?
SOAP Notes
What 5 steps are included in the Pre-Participation Screening process?
ACRONYM
PHMSA
- PAR-Q+ or GAQ (determine if further medical advise needed)
- HR & BP measurements
- Medical History
- Scope of Practice (if diagnosed with condition)
- Current Activity Level
What type of fitness is the focus of the CSEP-CPT?
Health-related Fitness
What intensity of exercise is allowed if a client answers yes to having asthma that is relieved by medication?
Light to moderate
What 4 things are you trying to understand about the client during the “Ask” stage of the CSEP PATH sequence?
ACRONYM
Know Primary Levels of Confidence
- Knowledge of the importance of physical activity
- Primary motivation (goals) and drivers (intrinsic & extrinsic)
- Level of commitment (readiness for change)
- Confidence that they can initiate and stick with physical activity plan (self-efficacy)
Tachycardia
HR>100bpm
What is some important subjective data to record in your SOAP Notes?
- Reason for visit
- Results from previous tests (medical & exercise)
- PA history. Did it work in the past? Why? Limitations
How fast should you release the BP cuff pressure?
2mmHg per second
Read BP to the nearest how many mmHg?
2
What is another word for Muscle Dysmorphia?
Bigorexia
What is adult age?
18+
What is associated with BMI when at a higher risk for disease?
Waist circumference
Definition: Performance-Related Fitness
physical training for a specific task like a recreational sport or a physically demanding job
How many kp does everyone’s first workload start at?
0.5kp
Where is “Nonessential” fat stored?
Adipose tissue
How long do long term (chronic) effects take to develop?
12 weeks
How many cm is each step in the m-CAFT?
20.3
True or False: The objective portion of your SOAP notes should include a summary of all the signed forms
True
How long is BP lowered post-exercise for normal & hypertensive individuals?
up to 22 hours
There should be no more than how many degrees of a bend in the knee when client has foot at bottom of revolution?
5
What should clients wear to their assessment?
shorts, t-shirt, running shoes
Requirements of the witness of the Consent Form
Age of majority
Someone other than the assessor or employee of the company
How long should you abstain from alcohol before your assessment?
6 hours
What is the purpose of the AAL-Q?
to determine if the client may require some accommodation on the part of the facility or qualified exercise professional
What should a client do if they answer Yes to question 2 of the GAQ, and the pain/swelling is new?
Speak to HCP
How long should you keep a client’s records if they are under 18?
10 years after they turn 18
Client answers Yes to 1C on GAQ
Dizziness
Recommend they speak to a health care provider
When is a condition considered low risk?
- Condition is being medically managed and client is asymptomatic
- No change in meds/treatment plan in the last 6 months
- HCP meds are being taken as directed
SOAP?
Last week client’s ROM was 900, this week it was 750
Assessment
Definition: Rate Pressure Product
cardiac workload; how much oxygen heart needs; how hard the heart is working
Answered “Yes” to one or more of the follow-up questions on the PAR-Q+
seek further informationg before becoming more physically active
How long is of concern when a client has been experiencing joint pain, stiffness or swelling?
More than 14 days
How long should you abstain from strenuous exercise before your assessment?
6 hours
What 5 areas of the body are of the most concern, relating to question 2 of the GAQ (swelling, pain, arthritis, etc)
Back, hips, knees, feet & spine
SOAP?
Client complete 3 sets of 12 reps at 50 lbs; can progress to next level next session
Objective; Assessment
What should you do if weighing someone on carpet?
Place a board underneath
What are the 5 causes of mortality?
- High Blood Pressure
- Tobacco Use
- High Blood Sugar
- Physical Inactivity
- Overweight & Obesity
Benefits of SOAP Notes?
ACRONYM
OOP CPT FEE
- Organizes complex problems into simpler parts
- Helps identify obstacles & develop strategies to help achieve goals
- Manages progress of the client
- Evidence of improvement
- Demonstrates professionalism
- Builds trust and credibility
- Enhances client compliance & retention
- Compatible with all allied health professionals
- Facilitates dialogue between health professionals
What should you do if a client answers yes to having asthma, but does not experience relief with medicatioon or has not been prescribed medication?
Recommend they speak with HCP
How long should the warm up be before the one mile walk test?
3 minutes
What happens to the following with chronic response to PA at rest, at fixed work rate and at max?
HR - Decreases, Decreases, Stays the same
SV - Increases, Increases, Increases
CO - Stays the same, Stays the same, Increases
SBP - Decreases, Decreases, Stays the same
DBP - Decreases, Decreases, Stays the same
Oxygen Consumption - Stays the same, Stays the same, Increases
a-v02 difference - Stays the same, stays the same, Increases
Purpose of the CSEP-CPT Health Screening Tool
used when clients identify (as part of the pre-screening process) that they have one medical condition
When should you start and stop measuring HR during m-CAFT?
at the termination of the word COUNT on the CD
at the first sound of the word STOP
Clients who need medical clearance are required to fill out what form?
PPARC
Physician Physical Activity Readiness Clearance
Definiton: Body Composition
the relative proportion of fat mass and fat-free mass
Benefits of Physical Activity (G-L) (5)
ACRONYM
HHIIL
- Immune System
- Insulin sensitivity
- Life Expectancy
- Hypertension
- Health care costs
What 6 things constitute fat-free mass?
bone, water, muscle, connective tissue, teeth, organs
Definition: Total Peripheral Resistance
resistance to the flow of blood in the peripheral arterial vessels
True or False: Increased waist circumference can indicate an increased risk of a cardiovascular event, even if the client is of a healthy weight
True
SOAP?
Client’s self-reported glucose today was 110, 1 hour prior to exercise
Objective
*note that it was self reported
What should you do if a client answers Yes to 1E?
Loss of consciousness/fainting
Recommend they speak to a HCP
Before you touch a client, explain:
- Why
- Where
- How
After 3 minutes of passive recovery, HR and BP are below cutoffs…
continue to msk tests
What causes your HR to artificially slow down if you press too hard on the carotid?
Baroreceptors
To pass, what must you be within for HR and BP?
1bpm and 4mmHg
Definition: Body Mass Index
a rough assessment based on the concept that a person’s weight should be proportional to height
Where should you place the diaphragm of the stethoscope when assessing RHR?
on the sternum or over the second intercostal space on the left side
When should you measure HR and RPE during the one mile walk test?
immediately after
If your client’s HR is >99bpm on the second try, what should you do?
recommend that the client see their physician and provide them with the PARQ
When should you ask client about RPE during m-CAFT?
last minute of the 3 minutes stage
What happens to capillaries with chronic adaptations?
the density increases to improve oxygen delivery
How do you destroy paper records?
Cross-shred machine
SOAP?
Client inquired about blood pressure changes resulting from exercise?
Subjective
When should you start a count with ‘0’?
When starting simultaneously with a stopwatch
What happens to the following with acute PA?
HR - Increase
SV - Increase
CO - Increase
TPR - Decrease
Splancnic Blood Flow - Decrease
SBP - Increase
DBP - Stays the same
Rate Pressure Product - Increases
What should you do if after 3 minutes of passive recovery, client’s HR or BP is still above cutoffs
give another 2 minutes, repeat
How many kpm/minute is 1kp?
300
SOAP?
Suggest client consult with her physician regarding changes in her lipid profile and “big toe numbness”
Plan
True or False: client has to be pedaling for the pendulum to move
True
2 ways Physical Fitness is categorized
- General Fitness - a state of health and well-being
- Specific Fitness - ability to perform specific aspects of a sport or physically demanding occupation
What are some reasons to refer a client to their physician?
ACRONYM
MR SICU
- Unable to exercise independantly
- Unstable health condition, at risk for adverse event
- Wants maximal or near-maximal assessment
- Co-morbidity
- RHR or BP above cutoffs
- Scope of practice
When should you palpate HR during the cycle ergometer test?
In the last 15 seconds of the minute, and count for 10
5 seconds for HR monitor
Should you measure waist circumference on the left or right side?
Right
Which fat disrupts normal balance of hormones
visceral
What does the RHR need to be in order to proceed with the assessment?
99bpm or less
Benefits of Physical Activity (M-Q) (9)
ACRONYM
MMMOONN PQ
- Physical and mental health
- Quality of life
- Mood
- Neuromuscular awareness
- Opportunities for social interaction
- Muscle and bone strength
- Mobility
- Overweight and Obesity
- Need for medication
Under what 3 circumstances would a client be under a higher risk of an adverse effect in relation to heart disease?
# 2 ACRONYM
AVAAAAH
- Experienced cardiac symptoms in the last 6 months (or during a cardiac rehabilitation program)
- Diagnosed or suspected: aneurism, valve disease, angina, acute myocardial infarction, acute myocarditis, arrhythmia, heart failure
- Not completed a rehabilitation program
How long should your client be sitting in a comfortable chair with arm supported and feet flat on the ground?
5 minutes
SOAP?
Client seems much more upbeat about exercise compared with earlier sessions, when she was pessimistic about the prospect of making progress
Subjective
How much higher is a woman’s HR generally?
7bpm
What medication is of concern for osteoporosis client’s adverse effects to exercise? Length of time? Dosage?
Systemic corticosteroids
more than 3 months
more than 7.5mg daily
What is youth age?
12-17
4 types of Physical Activity?
- Occupational (work or school)
- Domestic (housework, yard work, physically active child care)
- Transportation (walking, bicycling)
- Leisure-time (hobbies, sports, exercise)
Which is more important in determining health outcomes? Abdominal fat or overall body fatness?
Abdominal fat (visceral)
Under what circumstances would a client be under a higher risk of an adverse effect in relation to osteoporosis?
- Fragility fracture over the age of 40
- Systemic corticosteroids for more than 3 months @ a dose of more than 7.5mg daily
- Had a recent fall or more than 2 falls in the last 12 months
SOAP?
Refer client to a local registered dietitian for menu planning and healthy food alternative
Plan
What 4 things should you monitor in a medical emergency?
- HR
- BP
- Breathing rate
- Skin temperature
Which is more stubborn during weight loss? Visceral or Subcutaneous fat?
Subcutaneous
What helps CPT’s deliver client-centered service over time?
Good records
Why do you need to constantly monitor the ergometer?
because
How is Performance-Related fitness different than general fitness?
It includes things like agility, speed, power, and motor skill
How many kpm/minute is 1 watt
6
When should assessment be cancelled?
ACRONYM
BCFLIPP
- Difficulty breathing at rest
- Cough persistently
- Fever, feels ill
- Lower extremity swelling
- Ignored preliminary instructions
- Predisposed to unnessecary risk
- Pregnant without PAR-med-X
True or False: You have to complete pages 2-3 on the PAR-Q+ even if you answered “No” to questions 1-7
False
What determines the workload for the 2nd, 3rd, 4th, 5th workloads?
2nd - HR after 1st workload
3-5 - Increase by 0.5kp
What should you do if SS is not obtained in the 3 minutes of the stage?
Go for another minute
True or False: RHR is a measure of cardiovascular fitness
False
Definition: Informed Consent
consent given by a client that is based on a clear appreciation and understanding of the facts, implications and future consequences of actions
True or False: The AAL-Q is NOT a risk screening device
True
What should you do if a client’s RSBP is between 140-160mmHg?
if they aren’t diagnosed with hypertension, you can continue, but recommend they check with their doctor again
What are the following symptoms caused by in diabetes: Shaking, confusion, lightheadedness
Hypoglycemia
SOAP?
Explain effect of cardiovascular exercise on HDL levels
Plan
What 2 things will help set a positive and productive tone for meeting with your client and your ongoing relationship?
- Active Listening
- Strong observational & interviewing skills
How much % of weight does “Essential” fat take up in females?
8-12%
How can a person be overweight and healthy?
ACRONYM
HI PIGBO
They could have good…
- Blood Lipids
- Glucose Tolerance
- Oxygen Uptake
- Inflammatory Markers
- Percent Body Fat
- Heavy Bones
- Increased Muscularity
What are the 4 common risk factors for non-communicable diseases?
- Physical Inactivity
- Poor Nutrition
- Tobacco Use
- Alcohol Consumption
When should you share the Welcome Letter with your client?
at the time of the appointment booking
at least 48 hours ahead of the appointment
Brachycardia
HR<60bpm
What physiological symptoms are grounds for stopping an aerobic test?
ACRONYM
Slow Down Ernie’s Clearly Not Fine
- Staggering
- Dizziness
- Extreme Leg Pain
- Nausea
- Chest Pain
- Facial Pallor
Where should a client stand on the scale?
Center
Definition: Health Related Fitness
components of fitness that exhibit a relationship with health status (aerobic, musculoskeletal and functional fitness)
ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and to meet unforseen emergencies
What is the cutoff BP?
≥160/≥90mmHg
80/50 minimum
What does waist circumference indirectly measure?
visceral adipose tissue
How fast should client walk the one mile walk test?
as quickly as possible without speed walking
SOAP?
“I am happy I have gone down a pant size!”
Subjective
What does essential fat store?
fat soluble vitamins
SOAP?
Client’s physical therapist indicated progressing to lower-body closed-chain exercise
Assessment
What should you start at when palpating HR with running time?
1
BMI
Body Mass Index
What were the direct and indirect costs of physical inactivity in Canada in 2009?
Direct: 2.4 billion
Indirect: 4.3 billion
*6.8 billion total
Under what circumstances would a client be under a higher risk of an adverse effect in relation to question 2 of the GAQ (pain/swelling, arthritis, back pain etc)?
- Joint pain, severe stiffness/swelling for more than 14 days
- Limited mobility due to joint damage
What should you do if client’s HR is not coming down after 3 minutes of active recovery
extend another 2 minutes
How many watts is 1kp?
50
SOAP?
Waist circumference = 107 cm (has dropped 2cm since 01/30/2016)
Objective
How long should you keep a client’s records if they are 18 or over?
10 years
SOAP?
Client should not perform open-chain weighted knee extension exercises, as per client’s physiotherapist
Objective
What should you set the metronome at for 50rpm?
100bpm
What is the average RHR?
60-80bpm
HR
Heart Rate - the number of times the heart beats (or contracts), usually recorded in beats per minute (bpm)
SOAP?
Schedule grocery store tour to help client assess nutritional content of various foods
Plan
RHR
Resting Heart Rate
What is the objective of the cycle ergometer test?
To obtain 2 SS HRS at two different WLs to establish linearity between HR and WL
SOAP
Assessment
assessment of the client’s status based on the interpretation of the info gathered
exercise professional’s opinion of the subjective and objective data collected with consideration to the progress made toward the goals
positive and adverse responses
SOAP Notes
- Subjective
- Objective
- Asessment
- Plan
Which fat provides a protective layer for the skin?
Essential
True or False: The Health Screening Tool can be used as a replacement for the GAQ
False
True or False: RHR is an indicator of cardiorespiratory fitness
True
Which Korotkoff sound is SBP?
1st
What is the most important single measure of body composition?
Waist Circumference
True or False: You can measure any heartbeat you feel during the word COUNT on the m-CAFT CD
False
At what part of respiration should you measure waist circumference?
end of natural exhalation
Where should you record RHR?
Client Information Sheet
Clients who have a lower risk condition, but want to take part in vigorous activity should be referred to who?
Certified Exercise Professional
SOAP?
Increase target heart rate from 60% max to 65%
Plan
What are 3 other ways to determine body composition?
- Hydrostatic weighing
- Skinfold testing
- Bioelectrical Impedance Analysis
What position should you lie the client in if you need to stop the test abruptly?
supine
Instructions for client when measuring height
- No footwear
- Stand tall with feet together
- Heels and upper back against wall
- Looking straight ahead
- Take deep breath in
What fingers should you use when palpating HR?
middle and index
True or False: The Informed Consent form is a waiver form
False
Benefits of Physical Activity (R-Z) (6)
Sleepy Selfish Suzies Run Really Well
- Well-being
- Sleep
- Self-confidence
- Stress
- Risk of functional limitations
- Risk of falls and fractures
Record weight to the nearest:
0.1kg
At what minutes during passive recovery should you measure BP
1 and 3
What stages does the m-CAFT switch to single steps?
7 and 8 for men
8 for women
What should a client do if they are still experiencing symptoms of a concussion?
Refrain from increasing physical activity
If symptoms remain after following advise of HCP, they should return for an update
How far apart should the client’s feet be when measuring waist circumference?
shoulder width
Where is “Essential” fat found?
nerves, brain, heart, lungs, liver, mammary glands and other organ tissue
GAQ
Get Active Questionnaire
What BMI is used to diagnose Anorexia Nervosa?
≤17.5
Steady state should not differ by how many bpm for HR monitor and 10s palpation?
5bpm
1bpm
True or False: you can do the one mile walk on a treadmill
False
PAR-Q+
Physical Activity Readiness Questionnaire for Everyone
Equipment needed for RHR
- Stethoscope (unless palpating)
- Stopwatch
- Comfortable chair with arm rests
- HR Monitor (optional)
When does the largest health gain of physical activity happen?
first 15-29 minutes of activity of the day
How high should you pump the BP cuff?
30-40mmHg above where you can no longer palpate the radial HR
What are the 5 A’s of the CSEP path sequence?
- Ask
- Assess
- Advise
- Agree
- Assist
What cluster of conditions make up metabolic syndrome?
- Increased blood pressure
- High blood sugar level
- Excess body fat around waist
- Abnormal cholesterol levels
all together
Answered “No” to questions 1-7
Cleared for physical activity
Go to page 4 to sign the Participation Declaration
AAL-Q
Abilities for Active Living Questionnaire
In what 2 ways should you present the Informed Consent form?
- Verbal
- Written
Instructions for client when measuring body mass (weight)
- No footwear
- Light clothing
Under what circumstances would a client be under a higher risk of an adverse effect in relation to diabetes?
- Issues affecting eyes, kidneys or feet
- Coronary heart disease
- Shakiness, confusion, lightheadedness
What other factors can HR be affected by?
- Certain medications
- Nervousness
Under what 3 circumstances would a client be under a higher risk of an adverse effect in relation to asthma/shortness of breath at rest?
- Chest tightness, wheezing or coughing on more than 2 days per week or 1 night per week
- Used rescue medication more than 2 times in the last week
- Other respiratory condition
Should measuring tape have it’s inferior or superior aspect on the iliac spine?
Inferior
What 6 medical conditions are covered on the CSEP-CPT Health Screening Tool?
ACRONYM
AHHOOT
- Ashtma
- Heart Disease
- Hypertension
- Osteoarthritis
- Osteoporosis
- Type II
What do open ended questions typically start with
How, Why or Describe
SOAP?
Client no longer has tight hamstring muscles after stretching for 3 weeks
Assessment
When should you record RPE during cycle ergometer test?
end of each 3 minute workload
SOAP
Plan
designates the client’s PA and exercise plan
CSEP PATH prescription card
How do you destroy digital records?
destroy hard drive
What HR range is the cycle ergometer test terminated at?
Between 110 bpm and 85% of APMHR for 2 consecutive workloads
Why is BMI sometimes inaccurate?
because it doesn’t distinguish between fat and fat-free mass
SOAP?
I’m out of breath when I climb the stairs at home
Subjective
Where do you measure blood pressure?
brachial artery at heart level
If your client’s HR is >99bpm on the first try, what should you do?
have them sit quietly for an additional five minutes, and repeat
Population for m-CAFT
general population 15-69 yo
What 4 options do clients have for assessments?
- Full physical activity and lifestyle assessment with or without physical activity/exercise program
- Partial physical activity and lifestyle assessment with or without physical activity/exercise program
- Lifestyle advice only
- Physical activity or exercise program without assessment
If a client answers “Yes” on page one of the GAQ, what should they do?
Review the reference document
What is the power output of the ergometer dependant on?
Speed and resistance
Benefits of Physical Activity (A-F) (8)
ACRONYM
All of Alice’s Big Brown Busy Bugs Came Crawling
- Aerobic and musculoskeletal fitness
- Body composition
- Academic performance
- Chronic disease management
- Chronic disease risk (heart disease, diabetes)
- Balance
- Blood glucose
- Blood cholesterol
SOAP
Objective
objective data obtained by observation through the pre-exercise screening process (eg PAR-Q+) and through lifestyle, physical activity and fitness assessment process
general progress during an exercise session
What is the CSEP path sequence?
a 5 step client-centered process designed to help individuals adopt and maintain a physically active lifestyle using client-centered coaching and motivational interviewing techniques
When is a low BMI considered healthy?
When it is not caused by…
- Smoking
- Eating Disorder
- Disease
How many decimal points should you round BMI?
1
SOAP?
Client has difficulty balancing on his right foot compared to his left foot
Assessment
Do cardiovascular risks associated with exercise decrease or increase as PA increases?
Decrease
SOAP?
“I am feeling deprived on self-imposed diet”
Subjective
Answered “No” to follow-up questions on PAR-Q+
Ready to become physically active
Sign the participation declaration
SOAP?
Recommended that client avoid eating while watching television or while emotionally upset
Plan
When is a good opportunity to get to know your client?
In the 5 minutes that you are asking them to relax
True or False: Stethoscope ear pieces should be pointing forwards
True
Reasons why people don’t lead a physically active lifestyle (9)
ACRONYM
SSSITE FIC
- Lack of time
- Inconvenience
- Lack of self-motivation
- Do not enjoy exercise
- Lack of confidence in their ability to be physically active
- Fear of being injured or have been injured recently
- Lack of self-management skills
- Lack of encouragement, support or companionship
- Lack of built infrastructure
True or False: the information on the evaluation summary report does not provide enough context or meaning
True
What are the 2 types of “Nonessential” fat?
- Subcutaneous
- Visceral (around organs)
When should you stop any aerobic test?
ACRONYM
CHAPS
- Reaches 85% of max (ceiling)
- Asks to stop
- Signs of physiological distress
- Cannot maintain cadence
- Completes stage 8 (mCAFT)
How many km is one mile?
1.6
How can you ensure client information is confidential?
keep them in a locked cabinet or digitally secured with encryption
What should you not do 2 hours before your assessment?
Smoke, eat or drink caffeinated liquids
What is considered “Active Living”?
ACRONYM
TAAAR
- Traditional fitness activities
- Active commuting
- Active chores
- Active play with kids
- Reducing sedentary time
SOAP?
I felt sore for 3 days after our last workout
Subjective
What speed should a client maintain during the cycle ergometer test?
50 rpm
What 4 main things should you keep records of?
- Client History
- Assessment Results
- Training Programs
- Progress
Risky waist circumference in men and women?
Men >102cm (40.25in)
Women >88cm (34.75in)
Definition: Diastolic BP
the minimum pressure in the arteries when the heart relaxes
SOAP
Subjective
subjective data obtained from the client
subjective observations of exercise professional
What 2 steps are involved in the “Ask” portion of the CSEP PATH sequence?
- Pre-screening
- First meeting
What are people with high waist circumferances more inclined to have?
- Hypertension
- Type II
- Dyslipidemia
- Metabolic Syndrome
DO’s of SOAP Notes (8)
ACRONYM
DEFO MASH
- Acronyms
- Strengths, weaknesses & symptoms
- Medication changes
- Refer to health care professional
- Dietary factors (avoid specific prescriptions)
- Emotional status (based on client’s self report)
- Outside factors
- Fast recording
Where do you measure waist circumference?
At the top of the iliac crest
If they answer yes to any question on the GAQ, what questions should you ask about the diagnosis?
- What was the diagnosis?
- When was the diagnosis?
- What medications are being taken?
SOAP?
Weight = 86.4 kg (1 kg less than last week)
Objective
You should measure height to the nearest:
0.5 cm
True or False: You should always record the client’s first workload under “1st stage”
False
What is page 2 of the PPARC form?
additional information about qualifications and CSEP guidelines
When is the GAQ valid until?
Until health changes
How many cm above the anticubital space should you place the BP cuff?
2-3 cm
Who should a pregnant woman review their PAR-med-X for Pregnancy form with?
her obstetrician
SOAP?
Client has difficulty balancing on left foot due to “minor numbness in big toe”
Assessment
Definition: Dislypidemia
a disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency
LDLS are increased while HDLS are decreased
