Use new client intake form to qualify client
-Assess compatibility, goals, scope, style, schedule
-Exchange contact info and schedule
... [Show More] preferences
-Discuss medical considerations and limitations; assess risk and need for medical release form
-Schedule initial client consultation
-Provide service intro package - ANSWER Components of Initial Contact/Interview Prep
-Process, preparation- what to wear, eat and expect
-Day, time, length of next meeting
-Remind them about returning completed forms
-Allow them to contact you or ask questions - ANSWER What should be communicated to the client about the initial consultation?
-AHA/ACSM Health/Fitness facility pre-participation screening questionnare, PAR-Q, informed consent, medical clearance form, waiver, trainer-client contract, HIPAA, organizational procedures and policies - ANSWER What must be completed by client prior to initial client interview?
All health history, especially any heart problems or signs and symptoms of CVD
-Other diseases such as diabetes, asthma, muscle issues
-Recent hospitalizations, illness, diagnoses, or surgical procedures
-Work history, espe physical demands
-Lab findings such as plasma glucose, serum lipids and lipoproteins, or other significant abnormalities
-Previous physical exam findings such as murmurs, clicks, gallops, and other unusual cardiac and vascular findings; as well as abnormal pulmonary findings, high BP and edema
-If they are on prescriptions
-Risk factors for CVD - ANSWER What does a health/medical history include?
PAR-Q or AHA/ACSM Health/Fitness facility pre-participation screening questionnare
-CVD risk factor assessment and classification by qualified health/fitness, clinical exercise, or health care professionals
-Medical evaluation including a physical exam and stress test by a qualified health care provider - ANSWER What does pre-participation health screening include?
-Discomfort (angina, ischemia) in chest, neck, jaw or arms that may result from ischemia
-Shortness of breath and rest or with mild exertion
-Dizziness or loss of consciousness (syncope)
-Bilateral ankle edema
-Palpitations or tachycardia
-Intermittent claudication (pain in a muscle with inadequate blood supply, usually a result of atherosclerosis)-stressed by exercise
-Known heart murmer
-Unusual fatigue or shortness of breath with usual activities - ANSWER Signs and symptoms of cardiovascular, metabolic or pulmonary disease
-Recent change in ECG suggesting significant ischemia, recent myocardial infarction within two days, or other acute cardiac event
-Unstable angina
-Uncontrolled cardiac dysrhythmias
-Symptomatic, severe aortic stenosis
-Uncontrolled, symptomatic heart failure
-Acute pulmonary embolos or pulmonary infarction - ANSWER Absolute contraindications to exercise testing
-Acute myocarditis or pericarditis
-Suspected or known dissecting aneurysm
-Acute systemic infection, accompanied by fever, body aches or swollen lymph glands - ANSWER More absolute contraindications to exercise testing
-Left main coronary stenosis
-Moderate stenotic valvular heart disease
-Electrolyte abnormalities
-Severe arterial hypotension with SBP> 200, DBP>110 at rest
-Tachy/bradydysrhythmias
-Hypertrophic cardiomyopthy, or other forms of outflow track obstruction - ANSWER Relative contraindications to exercise testing
-Neuromotor, musculoskeletal or rheumatoid disorders that are exascerbated by exercise
-High degree AV block
-Ventricular aneurysm
-Uncontrolled metabolic disease such as diabetes, thyrotoxicosis
-Chronic infectious disease such as HIV
-Mental or physical impairment leading to inability to exercise adequately - ANSWER Relative contraindications to exercise testing, continued
Increase in muscle size from remodeling of proteins- increase of muscle cell size - ANSWER Hypertrophy
Muscle wasting. Can occur after prolonged immobility or can be from a disease - ANSWER Atrophy [Show Less]