Unit 8 Assignment

TikitaJohnson2 EF310 Unit 8 Assignment Kaplan University Professor Kerrie Berends September 25, 2012

Unit 8 Assignment

Participant: Jane, age 61

PAR-Q Rating: Doctor has diagnosed her with a heart condition, physical activity should be under recommendation only. There is complaint of chest pain when performing physical activity. She denies experiencing dizziness, or ever losing consciousness. She denies having joint pain. Participant is currently taking blood pressure medication (Thygerson, Fit to be Well, 2009). Health Status: Participant has hypertension and experience fatigue upon engaging in physical activity. General Medical History: Participant was diagnosed with occlusion of the left anterior descending artery and circumflex artery, left heart catheterization, balloon angioplasty. Assessment Results on testing CRF, Endurance, Flexibility, and Strength: Her GTX results are 7 METs in maximal aerobic capacity. Risk factors and Precautions: Light exercises should be chosen for participant, due to heart condition. Participant is at risk for shortness of breath, possible dizziness and/or fainting. Blood pressure may increase with exercise. Monitor heart rate it will be low from the Atenolol. Medication: Atenolol daily Health and Lifestyle Behaviors: Participant is a retiree and has a no active exercise program, physical activities, or hobbies. Body Composition: Participant weighs 140 pounds, and is 5ft and 6 inches. BMI is approximately 22.60, which falls in the normal range of 18.6 to 24.9 (Thygerson, Fit to be Well, 2009). Nutrition: Encourage participant to eat low sodium and heart healthy foods. Suggest keeping a daily record of meals and drinks. Readiness for change: Participant may be in stage 2, thinking about change. She may be thinking about change since her doctor has prescribed an exercise program to improve fatigue (Marcus & Forsyth, Motivating People to be Physically Active, 2009). Motivational Strategies and Techniques: Give participant information on the importance of exercise. Provide information on wearing comfortable clothes when exercising. Help her visualize her goals and to write out pros and cons together for the program (Marcus & Forsyth, Motivating People to be Physically Active, 2009). Encourage weekly goals and small rewards for the accomplishments. Recommendations: The physician has prescribed treadmill walking, stationary cycling, and arm cranking. Light resistant exercise is also suggested for her with the use of dumbbells and elastic bands (Howley & Franks, Fitness Professionals Handbook, 2007).

Unit 8 Assignment Participant: Marsha, age 51 PAR-Q Rating: Participant has not been diagnosed with heart disease, but has a family history of it paternally. She denies having chest pain when exercising. No complaints of dizziness or loss of consciousness. No reports of joint pain or prescription drugs. Participant denies reason for not engaging in physical activity (Thygerson, Fit to be Well, 2009). Health Status: She is currently obese with hypertension. She has not seen doctor more than 3yrs for an exam. General Medical History: Family history of heart disease on fathers side. There is a family history of diabetes after menopause on mothers side. Assessment Results on testing CRF, Endurance, Flexibility, and Strength: Testing cannot be completed until participant sees a doctor first for clearance. Risk factors and Precautions: Participant is at risk for heart disease and diabetes. She obese and has hypertention. Questionnaires and a doctors prescription is needed for suggested exercises. It is currently unknown about the participants health condition. Medication: none Health and Lifestyle Behaviors: She has not had an exam in more than 3yrs. She has a desk job, never exercises regularly, and currently has no leisure pursuits. Body Composition: Participant weighs 240 pounds and is 5 feet and 5 inches tall. Her BMI is 39.93. Normal ranges are 18.6 to 24.9. Ratios greater than or equal to 30 is obese (Thygerson, Fit to be Well, 2009). Nutrition: The target energy intake should be 745 kcal below caloric need. She should keep a dietary diary of meals, recording the cheat meals also (Howley & Franks, Fitness Professionals Handbook, 2007). Readiness for Change: Participant is at stage 1. She has no expectations at this time. Motivational Strategies and Techniques: Encourage her to seek an exam from a physician. Proper clearance is needed before starting a new exercise program. Goals need to be determined and interests. Recommendations: Medical advice needs to be given before starting a program of moderate to vigorous activity. Increase the participants awareness about obesity, nutrition, and exercise. Keeping track of weight loss or gain every week, will give a perspective and begin goals. Once exercise prescription is given, then a structured exercise program can be planned.

Unit 8 Assignment

Participant: Mr. Conner, age 40

PAR-Q Rating: No diagnosis of heart disease, chest pain during exercise, dizziness, or no loss of consciousness. No complaints of joint pain. Currently takes anti-cholesterol med and diuretic. He has the physician permission to start exercise program (Thygerson, Fit to be Well, 2009). Health Status: He suffers from fatigue and headaches. General Medical History: Fatigue and headaches, cholesterol 270 mg, blood pressure 148/94, high stress, type 2 diabetes. Assessment CRF, Endurance, Flexibility and Strength: VO2 max 22ml/kg/min Risk Factors and Precautions: Sugar level should be taken before and after exercise to prevent hypoglycemia. Medication: Anti- cholesterol and diuretic Health and Lifestyle Behaviors: Previously inactive, needs to change to more structured behavior, visits doctor regularly for diabetes and cholesterol. Body Composition: 265 pounds, 5 feet and 9.5 inches tall. BMI is 38.56, he is currently obese. His ratio is over 30 (Thygerson, Fit to be Well, 2009). Nutrition: He needs a dietary restriction of 500 kcal below caloric need. Encourage him to keep a diary of meals everyday along with glucose reading. Readiness for Change: He is in stage 2, thinking about change. He wants to become more physically active for his health and doctor recommended it. Motivational Strategies and Techniques: Create a goal with participant for losing 18 pounds during first 3 months of the program. Recommendations: Mr. Conner was told by doctor to begin an exercise program to lose weight and decrease glucose level. He is to enroll in a 3 month supervised program. His caloric intake needs to be determined. He needs resistance training (moderate intensity) 3 days a week with 2 sets of 10 15 repetition, leg press, leg extension, leg curl, bench press, shoulder press, and triceps extension (Howley & Frank, Fitness Professionals Handbook, 2007).

Unit 8 Assignment

Participant: Mandrake, age 50

PAR-Q Rating: no diagnosis of heart disease, no complaints of chest pain, no complaints of dizziness, or loss of consciousness, no complaints of joint pain, no prescribed meds. Health Status: Severe Kyphoscoliosis General Medical History: Severe kyphoscoliosis, restrictive pulmonary disease Assessment CRF, Endurance, Flexibility and Strength: Lung capacity of 1.5 L. The normal capacity is 5.0L. 6 minute walk test covered 865ft. Restricted activity. Risk Factors and Precautions: Take precautions when performing physical activities. Participant will get shortness of breath. His oxygen level will drop after exercise, need supplemental air on hand. Closely monitor signs and symptoms of difficulty breathing. Medication: none listed Health and Lifestyle Behaviors: Participant does restricted activity due to pulmonary condition that causes shortness of breath. Body Composition: 135 pounds, 6feet tall. BMI is 19.37, within the normal limits. Nutrition: Encourage to eat foods high in energy to help counteract fatigue. Readiness for Change: Participant at stage 1 going into 2. He cannot do much activity without help. He is thinking about it. It is under doctors order (Thygerson, Fit to be Well, 2009). Motivational Strategies and Techniques: Give examples of possible programs. Find out what the participant likes to do and goals. Find ways to keep him interested in completing the exercise. Recommendations: Make sure to have supplemental oxygen available, maintain o2 above 90%, use very light weights for arm exercises or stretch cords for upper body (Howley & Frank, Fitness Professionals Handbook, 2007).

Unit 8 Assignment

References: Howley & Franks, Fitness Professionals Handbook, 2007 Thygerson, Fit to be Well, 2009