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9 Cards in this Set

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What is the most important reason for the client consultation & health appraisal process?
To screen for risk factors & symptoms of chronic cardiovascular, pulmonary, metabolic & orthopedic diseases to see if the client needs physician clearance & to optimize safety during exercise testing & prescription.
What are the typical components of the client-trainer agreement?
trainer services, parties involved, expectations of those parties, timeline of delivery. Also cost structure, payment process, cancellation policy, termination of contract, circumstances that would render the document void.
Your client has completed your health/medical questionnaire. What do you do with the information?
Identify risk factors, stratify level of risk, determine the appropriateness of testing & exercise, refer to physician if necessary.
What are the major signs & symptoms suggestive of cardiovascular & pulmonary disease?
*Pain, discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other areas that may be due to ischemia (lack of blood flow)
*Shortness of breath at rest or with mild exertion.
*Dizziness or syncope (fainting)
*Orthopnea (the need to sit up to breath comfortably) or paroxysmal (sudden, unexpected attack) of nocturnal dyspnea (shortness of breath at night)
*Ankle edema
*Palpitations or tachycardia
Intermittent claudication (calf cramping)
*Known heart murmur
*Unusual fatigue or shortness of breath with usual activities.
From ACSM "gold" book.
What are the criteria to be in the low risk category?
Men <45 yo, Women <55 yo who are asymptomatic & have no more than 1 risk factor.
What are the criteria to be in the medium risk category?
Men 45 yo or older, women 55 yo or older OR those who have 2 or more risk factors
What are the criteria to be in the high risk category?
Individuals with known cardiovascular, pulmonary, or metabolic disease or signs & symptoms of cardiovascular or pulmonary disease as per ACSM's list.
What are the criteria for the risk factor of hypercholesterolemia?
Total cholesterol >200 mg/dl, or HDL < 35 mg/dl. If LDL available, use LDL >130 mg/dl as opposed to total cholesterol.
What are the criteria for the risk factor of cigarette smoking?
Current smoker or quit w/in previous 6 months.