º Informed Consent º Health Screen Questionnaire º PAR Q º Medical Referral

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º Informed Consent º Health Screen Questionnaire º PAR Q º Medical Referral SHMD 139 13/2/2012

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º Informed Consent º Health Screen Questionnaire º PAR Q º Medical Referral. SHMD 139 13/2/2012. Aims of fitness testing:. Pg 171. Ensure person’s health is in a condition where it is safe for them to continue to exercise. Note what their current level of fitness is. - PowerPoint PPT Presentation

Transcript of º Informed Consent º Health Screen Questionnaire º PAR Q º Medical Referral

Page 1: º  Informed Consent º  Health Screen Questionnaire º  PAR Q  º  Medical Referral

º Informed Consentº Health Screen Questionnaire

º PAR Q º Medical Referral

SHMD 13913/2/2012

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Aims of fitness testing:• Ensure person’s health is in a condition where

it is safe for them to continue to exercise.• Note what their current level of fitness is.• Identify their strengths and weaknesses.• Gain information for writing a training

program.• Be able to monitor any changes in fitness level.• Show a professional and caring approach.

Pg 171

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Conduct a detailed fitness consultation

– Informed consent form (Example pg 165)– Health screening questionnaire (Example pg 162)– Identification of coronary heart disease risk factors

(PAR-Q pg 241-2)– Identification of any causes for medical referrals

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Pre-test Instructions• Wear appropriate clothing.• Should not have a heavy meal 3hrs before testing.• Have a good nights sleep.• No training on day of test.• Avoid stimulants (Tea, coffee, smoking etc.) for 2hrs

before test.• Have a friend or family member with them to drive

them home as the tests may be fatiguing.

Pg 171

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An informed consent form is a document that has been signed to show that your subjects have been informed of the test (told what is

going to happen) and have given their consent (agreed to undertake the test).

Informed Consent Form

Pg 165

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1. Explanation of the tests.

You will perform a series of tests which will vary in their demands on your body. Your progress will be observed during the tests and stopped if you show signs of undue fatigue. You may stop the tests at any time if you feel unduly uncomfortable.

Pg 165 Informed Consent Form

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2. Risks of exercise testing.

During exercise certain changes can occur, such as raised blood pressure, fainting, raised heart rate, and in a very small number of cases, heart attacks or even death. Every effort is made through screening to minimize the risk of these occurring during testing. Emergency equipment and relevantly trained personnel are available to deal with any extreme situation that occurs.

Pg 165 Informed Consent Form

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3. Responsibility of the patient.

You must disclose all information in your possession regarding the state of your health or previous experiences of exercise, as this will affect the safety of the tests. If you experience any discomfort or unusual sensations, it is your responsibility to inform your trainer.

Pg 165 Informed Consent Form

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4. Benefits to expect.

The results gained during your testing will be used to identify any illnesses and the types of activities that are relevant for you.

Pg 165 Informed Consent Form

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5. Freedom of consent.

Your participation in these tests is voluntary and you are free to deny consent or stop a test at any point.

I have read this form and understand what is expected of me and the tests I will perform. I give my consent to participate.

Clients signature Trainer’s signaturePrint name Print nameDate Date

Pg 165 Informed Consent Form

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Section 1: Personal Details

NameAddress

Home telephoneMobile telephoneEmailOccupationDate of birth

Pg 162-165Health-screen questionnaire

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Section 2: Sporting Goals

1. What are your long term sporting goals over the next year or season?

2. What are your medium-term goals over the next three months?

3. What are your short-term goals over the next four weeks?

Pg 162-165Health-screen questionnaire

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Section 3: Current Training Status

1. What are your main training requirements?a. Muscular strength.b. Muscular endurance.c. Speed.d. Flexibility.e. Aerobic fitness.f. Power.g. Weight loss or gain.h. Skill-related fitness.i. Other (Please state).

Pg 162-165Health-screen questionnaire

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Section 3: Current Training Status Continued

2. How would you describe your current fitness status?

3. How many times a week will you train?

4. How much time do you have available for each training session?

Pg 162-165Health-screen questionnaire

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Section 4: Your Nutritional Status1. On a scale of 1 to 10 (1 being very low quality and 10 being

very high quality), how would you rate the quality of your diet?

2. Do you follow any particular diet?a. Vegetarian.b. Vegan.c. Vegetarian and fish.d. Gluten-free.e. Dairy-free.

Pg 162-165Health-screen questionnaire

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Section 4: Your Nutritional Status Continued

3. How often do you eat? Note down a typical day’s intake.

4. Do you take any supplements? If so, which ones?

Pg 162-165Health-screen questionnaire

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Section 5: Your Lifestyle1. How many units of alcohol do you drink in a typical week?

2. Do you smoke? If yes, how many a day?3. Do you experience stress on a daily basis?4. If yes, what causes your stress (if you know)?

5. What techniques do you use to deal with your stress?

Health-screening questionnaire Pg 162-165

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Section 6: Your Physical Health1. Do you experience any of the following?

a. Back pain or injury.b. Knee pain or injury.c. Ankle pain or injury.d. Swollen joints.e. Shoulder pain or injury.f. Hip or pelvic pain or injury.g. Nerve damage.h. Head injuries.

2. If yes, please give details.

Pg 162-165Health-screening questionnaire

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Section 6: Your Physical Health Continued3. Are any of these injuries made worse by exercise?

4. If yes, what movements in particular cause the pain?

5. Are you currently receiving any treatment for any injuries? If so, what?

Pg 162-165Health-screening questionnaire

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Section 7: Medical History1. Do you have or have you had any of the following medical

conditions?a. Asthma.b. Bronchitis.c. Heart problems.d. Chest pains.e. Diabetes.f. High blood pressure.g. Epilepsy.h. Other.

2. Are you taking any medication? If yes, state what, how much and why.

Pg 162-165Health-screening questionnaire

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Lifestyle Recommendations• Eat 5 small meals a day.• Reduce high fat intake.• Reduce alcohol intake.• Reduce salt intake.• Drink 2L of water a day.• Stop smoking.• Exercise to manage stress.• Exercise at least 3x per week, for 45 minutes at a moderate

intensity to improve health.

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Effect of Lifestyle on Performance

Poor eating habits

Diet high in fat

Smoking

High alcohol intake

Inadequate sleep

Poor Performance

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Physical Activity Readiness Questionnaire

The aim of the PAR Q and the initial consultation is to identify any potential contraindications and then decide what needs to be done about them to minimize their chances of being a

risk.

Pg 241-242PAR-Q

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PARQ: Risk of CHD

• Coronary heart disease (CHD) – leading cause of death in Western world

• 1/3rd deaths due to no physical activity

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CHD• Coronary arteries – blood vessels that bring

oxygenated blood to nourish the muscle cells of the heart muscle.

• Atherosclerosis – build-up of fatty material (cholesterol/plaque) in the coronary blood vessels, which makes their diameter smaller.

• CHD – Narrowing of coronary arteries due to atherosclerosis.

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Implications of CHD to exercise

• Physically demanding task.

• Coronary arteries may not be able to supply heart muscle with enough blood to keep up oxygen demand.

• Leads to pain in chest – angina.

• Coronary artery completely blocked – heart muscle will die - heart attack.

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PARQ: Risk of CHD

• Lifestyle Factors that increase risk of CHD:– Diet high in fat & table salt– Obesity– Smoking– Excess alcohol consumption– High blood pressure– Type two diabetes– Older age (Non-modifiable)– Male gender (Non-modifiable)

Pg 166

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CHD

REGULAR EXERCISE REDUCES THE RISK OF HEART DISEASE

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Yes No

1 Do you have a bone or joint problem which could be made worse by exercise?

2 Has your doctor ever said that you have a heart condition?

3 Do you experience chest pains on physical exertion?

4 Do you experience light-headedness or dizziness with exertion?

5 Do you experience shortness of breath during light exertion?

6 Has your doctor ever said that you have a raised cholesterol level?

7 Are you currently taking any prescription medication?

8 Is there a history of coronary heart disease in your family?

9 Do you smoke, if so, how many?

10 Do you drink more than 21 units of alcohol per week for a male, and 14 units for a female?

Pg 241-242PAR-Q

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Yes No

11 Are you diabetic?

12 Do you take physical activity less than 3 times a week?

13 Are you pregnant

14 Are you asthmatic

15 Do you know any other reason why you should not exercise?

Pg 241-242

If you have answered yes to any questions, please give more details.

If you have answered yes to one or more questions, you will have to consult with your doctor before taking part in a program of physical exercise.If you answered no to all questions, you are ready to start a suitable exercise program.I have read, understood and answered all the questions honestly and confirm that I am willing to engage in a program of exercise that has been prescribed to me.

Name: SignatureTrainer’s name: Signature Date

PAR-Q

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Contraindications to exercise:• High BP• Excess body fat• High resting heart rate• Medication for a heart

condition• Diabetes• Lung disorders• Coronary heart disease• Joint conditions

• Above 160/100mmHg• 40%+ F; 30%+ M• 100+ bpm• e.g. Beta blockers

Pg 166

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Medical Referral

If the person has a high risk for CHD, or you have any doubt regarding their safety to exercise, it

is best to refer to a GP/Doctor for clearance before you test/train them.

Pg 166

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• If your client has any of the following they should be referred to a GP:

– Muscle injuries– Chest pain or tightness– Light-headedness or dizziness– Irregular or rapid pulse– Joint pain– Headaches– Shortness of breath

Pg 166

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1. Define:a. Coronary arteries. 2b. Atherosclerosis. 2c. Coronary heart disease. 2d. Contraindication. 2

2. List 5 aims of fitness testing. 53. List the 4 things you would do when conducting a detailed fitness consultation. 44. List 5 instructions you would give to a client before the day of the testing. 55. In your own words, describe what an informed consent form is. 36. List and briefly explain all the headings in the informed consent form. 107. List the headings in the health screen questionnaire, and provide a few questions

under each heading. 20

Questions

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9. List 8 healthy lifestyle recommendations. 810. What does ‘PAR Q’ stand for? 211. What is the aim of the initial consultation? 312. What does ‘CHD’ stand for? 213. In your own words, what are the implications of CHD to exercise? 514. List the lifestyle factors which increase the risk of CHD; dividing them into

modifiable and non-modifiable. 815. What effect does exercise have on heart disease? 216. List 10 questions found in a PAR Q form. 1017. List 5 contraindications to exercise. 518. Why would you refer a client to the doctor before commencing with

exercise testing? 219. List 5 conditions which would call for a GP referral. 5

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Questions