Ch. 1 Health screening and risk assessment

Why would a health questionnaire be useful?

Why would a health questionnaire be useful?

Questionnaires help to collect data and create a basis for clients prior physical activity history

Preliminary Health screening forms

Informed consent Par-Q Medical History Questionnaire Lifestyle evaluation Exercise pre participation health screening form

Preliminary minimum health screening

Administer Par-Q+ Detects presence/suggestion of disease Assesses likelihood of an unexpected cardiovascular problem from PA Evaluates exercise pattern the past 3 months Identifies signs and symptoms of key disease classifications Figures out if we need medical clearance

informed consent

"Contract" made with client Requires signature from client or client's parent/guardian May become legal document

What does an informed consent form describe

Procedures Risks Benefits Confidentiality Voluntary Participation

Par-Q+

Seven yes/no health questions Yes answers require follow up questions Yes answers to follow up questions require medical professional help

Eparmed-X+

May be completed individually or with exercise professional Results determine clearance to participate or suggestions while waiting for medical clearance

Medical History Questionnaire

Helps understand personal and family medical histories Identifies previous diagnoses and symptoms of diseases within the past year Determines need for medical clearance Identifies contraindications of exercise testing

Contraindications

Reasons why one shouldn't exercise

Absolute contraindications

No exercise at all "ABSOLUTELY not"

Relative contraindications

Red flag or grey area, proceed with caution when moving into PA

What to look for on medical history questionnaires

Clients history of illness, surgery, and hospitalization Identifies signs and symptoms of disease or previous diagnosis Notes family history of CHD risk factors Drugs that might affect exercise capacity (medications that control heart rate) Contraindications to exercise testing

Lifestyle evaluation

Clients living habits Daily behavior patterns Barriers to physical activity

Lifestyle barriers

Smoking Drinking Nutrition Occupation Sleeping patterns PA enjoyment Family Stress levels Travel

Modifiable Coronary risk factors

Cigarette smoking Hypertension Diabetes Dyslipidemia Obesity Sedentary lifestyle

Unchangeable coronary risk factors

Age Family history

Disease risk classification

Low: Asymptomatic and

Who should take a medical exam before starting an exercise program?

Men >45 Y or women >55 Y Anyone with >2 risk factors Anyone with symptoms of disease Anyone with known disease

Disease risk classification

Based on current exercise habits and signs of 3 diseases

• Cardiovascular

• Renal

• Metabolic

New guidelines of disease risk classification

Individuals current level of structured physical activity Any known disease The presence of major signs or symptoms suggest of cv, metabolic, or renal diseases The desired exercise intensity

Steps to evaluate client for PA

1. Current exercise (3 months)

2. Known disease

3. Signs and symptoms

4. Exercise intensity

Signs and symptoms

Pain/discomfort in the chest, neck, jaw, arms, or other areas that may result from ischemia Shortness of breath at rest or with mild exertion Dizziness or syncope Orthopnea (difficulty breathing while lying down) Ankle edema Palpations or tachycardia Intermittent claudication (pain in legs) Known heart murmur Unusual fatigue or shortness of breath with usual activities (walking, going up stairs, etc.)