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Exercise Testing and Prescription > Week 2 > Flashcards

Week 2 Flashcards

1
Q

6 Steps of the CSEP-PATH sequence

A
  • Step 1 - ASK: get to know client
  • Step 2 - ASSESS: Conduct physical activity, fitness, and/or lifestyle assessment
  • Step 3 - ADVISE: Summarize results and discuss
  • Step 4 - AGREE: Devise plan of action
  • Step 5 - ASSIST: Increase motivation and overcome barriers
  • Step 6 - ARRANGE: Provide Continuing support (follow ups)
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2
Q

Objectives of Step 1 - ASK

A
  • Gain insight on client’s goals and interests
  • Explain CSEP-PATH options and confirm the scope of the assessment
  • Complete informed consent
  • Discuss pre-meeting info
  • Complete pre-participation screening process including the GAQ, RHR, RBP, and collection of relevant medical history
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3
Q

Def: Physical Activity

A

Any movement intentional or not

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4
Q

Def: Exercise

A

Intentional movement with structure

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5
Q

Def: Fitness

A

Measurement of variable related to body’s ability to preform movement
- Many different fitness variables
- Don’t always measure (can make plan based on history)

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6
Q

What aspects of fitness should you gain an understanding of what the client thinks about them?

A
  • Knowledge of the importance of physical activity to health
  • Primary motivation (Goals) and drivers (intrinsic or extrinsic)
  • Level of commitment (readiness for change)
  • Confidence that he/she can initiate and stick with physical activity plan (Self-efficacy)
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7
Q

Def: Self-efficacy

A

Own belief in how well you can do something

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8
Q

What are some potential questions to ask your client about motivation

A
  • What brings you in to see me today?
  • What made you sign up for the appointment
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9
Q

What are some potential questions for learning about a clients current activity levels

A
  • How active are you?
  • Does you job require you to sit for long periods of time?
  • How about your commute?
  • How do you spend your leisure time?
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10
Q

Potential questions to learn about clients history

A
  • Was there a time when you were more active
  • Have you ever worked with a personal trainer before? what did you like/not?
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11
Q

Physical activity readiness screening

A
  • Pre-assessment instructions
  • Informed consent
  • Get Active Questionnaire (if applicable, physician guidance for physical activity or GAQ for pregnancy)
  • Observations (Daily circumstances like sick)
  • Collection of relevant medial history
  • Pre-exercise heart rate and pre-exercise blood pressure
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12
Q

Preliminary Instructions for clients (The welcome letter)

A

Dress Requirements
- Light clothes and walking shoes
Food & Beverages
- No food 2 hours prior
- No caffeinated beverages 2 hours prior
- No alcohol 6 hours prior
Smoking
- No smoking 2 hours prior
Exercise
- no exercise 6 hours prior

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13
Q

Informed Consent

A
  • Describe assessment (written and verbal)
  • Signed in pen before anything else done
  • Not a waiver form
  • <18 years - youth consent form signed by guardians
  • Must be witnessed at the time of signing by a 3rd party independent of the association you are working with
  • Must be signed by client prior to collecting personal information
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14
Q

Role of QEP in pre-participation health screening

A
  • Conducts prescreening to reduce liability and inform exercise program
  • At minimum: evidence-based screening tool, medial history, RHR and RBP, assessment of current PA levels
  • Works withing their knowledge skills and abilities
  • Charts information about client’s medical history
  • Considers client’s risk of an adverse event
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15
Q

Get Active Questionnaire

A
  • Client must read and answer questions on GAQ without interpretation form CPT
  • Form must be signed with ink pen and witnessed by 3rd party
  • Client’s answer determine whether client falls within the CSEP-CPT scope of practice or requires clearance from a physician before either doing the active portions of the fitness assessment or starting an exercise program
  • Form is valid for 12 months or unless health condition changes
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16
Q

What is on page 1 and 2 of the GAQ

A

Page 1
- 4 questions to identify clients who may need t seek advice from an appropriate health care professional before becoming more physically active
Page 2
- Assessment of current physical activity levels
- General advice for becoming more physically active
-Declaration

17
Q

Why is it important to understand the client’s current PA levels

A
  • The cardiovascular risk associated with exercise lessens as individuals become more physically active
  • Clients who do regular physical activity, can usually begin at a level of physical activity that they are currently doing and progress appropriately
  • Clients who are inactive should begin with light to moderate physical activity and progress gradually as tolerated
  • Clients who have a lower risk medical condition and are interested in vigorous activity, should be referred to a CSEP-CEP
18
Q

Limitations of the GAQ

A
  • Possible for clients to have a diagnosed condition or take medications despite answering NO to all of the questions on page 1
    MUST ASK all clients about their medical history
  • Any suspected or diagnosed conditions
  • Taking any medications (over the counter or prescribed)
19
Q

CSEP-CPT Health Screening Tool

A
  • Used when clients identify as part of the pre-screening process that they have one medical condition
  • tool helps CPT determine if client’s medical condition is low risk (stable)
  • Not a substitute for the GAQ
20
Q

Apparently Healthy Clients

A
  • No diagnosed medical condition
  • No overt signs and symptoms suggesting any potential underlying medical conditions
  • Able to exercise independently
21
Q

Low risk medical condition clients

A
  • Condition is being medically managed and client is asymptomatic
  • No change in meds or treatment plan in the past 6 months
  • Client can exercise independently
  • Benefits of physical activity clearly outweigh risks
22
Q

Higher risk medical condition clients

A

Considered is meet any of follow (can’t work with)
- May not be medically managed
- May be symptomatic
- Treatment may have recently changes
- May not be able to exercise independently
- Benefits of physical activity may not outweigh risks

23
Q

What medical conditions are included on the CSEP-CPT Health Screening Tool

A
  • Asthma
  • Heart Disease
  • Hypertension
  • Osteoarthritis
  • Osteoporosis
  • Type 2 diabetes
24
Q

Reasons to refer a client elsewhere

A
  • Client not able to exercise independently
  • Client at risk for an adverse event or has an unstable health condition
  • Client wishes to engage in maximal or near-maximal exercise
  • Client has 2 or more co-morbid conditions
  • Client has resting HR or BP above screening requirements
  • You do not feel that you have the knowledge, skills or abilities to work with the client
25
Q

What form should be used when referring a client to a physician?

A

Physician Guidance for physical activity form
- Pafe 1-2 is to be completed and signed by the physician
- Page 3 provides additional information about the CSEP-CPT qualifications, the PATH and the 24h movement guide

26
Q

Day of observations of client that would lead to postponed assessment

A
  • Difficult breathing at rest
  • Cough persistently
  • Ill or have a fever
  • low extremity swelling
  • clearly ignored preliminary instructions
  • predisposed to unnecessary risk
  • Is there any reason to believe you could be pregnant
27
Q

Cut offs for pre-exercise blood pressure

A

SBP >160
DBP >90
* if not previously diagnosed with hypertension by SBP 140-160 you may proceed by should be encouraged to discuss their resting BP with their physician

28
Q

Cut offs for pre-exercise heart rate

A

> 100 bpm

29
Q

What optional questionnaires may be useful

A
  • Abilities for active living questionnaire
  • Physical activity & sedentary behaviour
  • Healthy sleep assessment
  • Stages of change
  • Inventory of lifestyle needs and activity preferences
30
Q

Working with clients with disabilities

A
  • Most appropriate terminology is usually that used by the client in describing his/her disability
  • Avoid using negative value judgements
  • Use normal conversational phrases that refer to specific activities
  • If a client is offended by the use of a particular term or phrase, ask for an alternative
31
Q

Abilities for active living questionnaire

A
  • Used to identify a disability that may require some accommodation on the part of the facility or qualified exercise professional to facilitate a successful first meeting
  • Not a risk screening device
32
Q

Physical activity and sedentary behaviour questionnaire

A
  • Provides an approximation of clients’ physical activity and sedentary behaviour for a typical week
  • Use in conjunction with health benefit ratings
33
Q

Healthy sleep assessment

A
  • Questions provides an indication of whether the client has good or poor sleep habits
  • Question banks for age ranges (Toddler 3-4, children and youth 5-17, adults 18+)
34
Q

Stages of change questionaire

A
  • Propose is to identify a client’s stage of motivational readiness for change
  • Knowing this allows you to decide appropriate strategies for enhancing their commitment to change

Exercise Testing and Prescription (10 decks)

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