Working with Participants with Health Considerations Flashcards
What is CHD?
Coronary heart disease
What is CVD?
Cardiovascular disease
What is Cardiovascular disease?
Any disease that affects, the cardiovascular system, principally cardiac disease, vascular diseases of the brain and kidney, and peripheral arterial disease.
What is peripheral arterial disease?
Any disease caused by the obstruction of large peripheral arteries, which can result from atherosclerosis, inflammatory processes leading to stenosis, and embolism, or thrombus formation.
What is another name for Coronary heart disease (CHD)
Coronary artery disease
What is the myocardium?
The muscle of the heart.
What is myocardial infarction?
An episode in which some of the heart’s blood supply is severely cut off or restricted, causing the heart muscle to suffer and die from lack of oxygen. Commonly known as a heart attack.
What is ischemia?
A decrease in the blood supply to a bodily organ, tissue or part caused by constriction or obstruction of the blood vessels.
What is Coronary heart disease?
The major form of cardiovascular disease, results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue, also called coronary artery disease (CAD)
What is atherosclerosis?
A specific form of arteriosclerosis characterized by the accumulation of fatty material on the inner walls of the arteries, causing them to harden thicken and lose elasticity.
What are baroreceptors?
A sensory nerve ending that is stimulated by changes in pressure, as those in the walls of blood vessels.
What percentage of Americans over the age of 75 have hypertension?
70%
What are some risk factors for CVD?
Hypertension
Blood lipid disorders
What is the most common cause of sudden death?
CHD
What is the most common cause of death in people over 65 years of age?
CHD
Who is more likely to develop CHD, men or women?
Men - 10 times more likely.
What is considered hypertension (high blood pressure)
Systolic blood pressure over 130 mmHg
and/or
Diastolic blood pressure over 80 mmHg
What is SBP?
Systolic blood pressure
What is DBP?
Diastolic blood pressure
What is systolic blood pressure?
The pressure exerted by the blood on the vessel walls during ventricular contraction.
What is diastolic blood pressure?
The pressure in the arteries during the relaxation phase (diastole) of the cardiac cycle, indicative of total peripheral resistance.
What percentage of Americans over the age of 75 have hypertension?
70%
What is considered normal blood pressure for adults?
SBP <120 mmHg
and
DBP < 80 mmHg
What is considered elevated blood pressure for adults?
SBP 120-129 mmHg
and
DBP < 80 mmHg
What is considered Stage 1 Hypertension for adults?
SBP 130-139 mmHg
and/or
DBP 80-89 mmHg
What is considered Stage 2 Hypertension for adults?
SBP > 140 mmHg
and/or
DBP > 90mmHg
What are some general points of emphasis when working with participants with CVD?
Encourage self-monitoring
Do not exceed target HR and/or somewhat hard exertion (12-13 on 6-20 scale or 4-5 on 0-10 scale)
Focus on proper breathing patterns
What are some modifications when working with participants with CVD?
Change exercise order to complete all standing, seated, or floor work together, to avoid orthostatic hypotension.
Extend the cool-down.
What is orthostatic hypotension?
A drop in blood pressure associated with rising to an upright position.
Why is it helpful to extend the cool-down when working with participants with CVD?
Antihypertensive medication may lead to post-exercise hypotension.
What are some things to avoid when working with participants that have CVD?
Avoid the Valsalva maneuver
Avoid exercises with significant isometric activation hold times.
What is the Valsalva maneuver?
Forced expiration against a closed glottis to compress the contents of the thoracic and abdominal cavity causing an increased intrabdominal and intrathoracic pressure.
What is isometric activation?
Muscle engagement/tension without changing length or causing a joint to move. May increase blood pressure.
What are some additional precautions that should be taken when working with individuals with CVD?
Exercise should not continue if abnormal signs observed.
Understand the effects of medication on the HR response to exercise.
What are some signs to watch for that indicate exercise should not continue for individuals with CVD?
Angina
Dyspnea
Lightheadedness/Dizziness
Pallor
Rapid HR above established targets.
What are the most common pulmonary conditions?
Asthma
Chronic obstructive pulmonary disease (COPD)
What is the third leading cause of death worldwide?
COPD
What is the most common chronic disease among children?
Asthma
What are the goals of physical activity for people with pulmonary conditions?
Improved exercise tolerance and performance
Alleviation of the magnitude of dyspnea
Improved state of mind, emotional state, and quality of life
Enhanced ability to perform activities of daily living
Improved gas exchange in the lungs and circulatory system
Improved mechanical efficiency of the anatomical structures involved in breathing.
What does ADL stand for?
Activities of daily living.
What are the 4 main steps for managing an asthma attack?
Rest and relax
Take medication
Drink warm liquid
Emergency care
What is the first step in managing an asthma attack?
At the first sign of breathing difficulties, the person should STOP and rest for at least 10 minutes.
Make the person feel comfortable and relaxed.
What is the second step in managing an asthma attack?
Take medication. Make sure the prescribed medicine is available and that the person knows how to use it correctly.
What is the third step of managing an asthma attack?
Have the person slowly drink warm liquid. Do not allow the person to drink cold beverages.
What is the last step of managing an asthma attack?
If you have any doubts about the severity of the attack, get medical help immediately.
If the person’s lips or fingernails turn blue or If the person exhibits shallow breathing and is focusing all attention on breathing, get medical help immediately.
What are some points of emphasis for working with people with asthma?
Encourage hydration before, during and after exercise.
Have participants use the RPE scale and dyspnea scale to monitor exercise intensity.
What are some exercise modifications for participants with asthma?
Encourage use of extended warm-up/cool-down
If pulmonary exacerbations arise before or during exercise, physical activity should be limited until symptoms subside.
Encourage frequent rest periods
Encourage individuals to use diaphragmatic breathing or pused-lip breathing.
What are some things to avoid when working with people with asthma?
Avoid or limit exposure to cold, dry, polluted, or high-allergen environments.
Avoid chlorinated pools, which can trigger an asthmatic event in some individuals.
What are some additional precautions that should be taken when working with people with asthma?
Remind participants to have medication nearby for use in the event of an asthma episode.
Understand the effects of medication on the HR response to exercise.
What is pursed-lip breathing?
Breathing in for two seconds through the nose, out for four seconds through pursed lips.
What are some benefits of pursed-lip breathing?
It helps improve expiratory flow rates and oxygenation in the lungs.
Helps to optimize lung function and tidal volume.
Helps reduce respiratory rate in individuals with asthma.
What is tidal volume?
The volume of air inspired per breath, moves in and out of lungs.
What is a benefit of diaphragmatic breathing for asthma sufferers?
It can help improve breathing capacity.
What are the most common types of arthritis?
Osteoarthritis (OA)
Rheumatoid arthritis (RA)
What are some co-morbidities of arthritis?
Diabetes
Obesity
Heart disease.
What is Osteoarthritis?
A degeneration of synovial fluid that progresses into a loss of articular cartilage and the underlying subchondral bone, causing bone on bone interactions.