Multiple Question and Answer Based on Nursing

 

Q1.    In the box below, design an effective Pre Exercise Questionnaire Form. Your Pre Exercise Questionnairemust contain all of the following dot points:
•    7 compulsory questions that identify an individual’s known history of disease, or signs or symptoms of disease, and may be at a higher risk of an adverse event during physical activity/exercise.
Note:    Clients should be able to answer this set of questions at minimum as Yes or No. 
•    Date of birth
•    Name 
•    Referral to allied health professional required: YES/NO. If yes, follow-up date
•    Gender
•    Date of assessment
•    Exercise history    •    Resting heart rate
•    Personal trainer’s name
•    Short-term and long-term goal
•    Maximum heart rate
•    Blood pressure
•    Other consideration section
•    Signature of client

James Spade visited you recently to commence training.  You hadn’t met him before, and there was no prior record of his attendance in your facility.  Upon completing his pre-exercise questionnaire with him, you found the following information:
•    James is 57 years old
•    Born 12 June 1959
•    No diagnosed heart conditions or chest pains.  Resting heart rate is 90 bpm.
•    Feels dizzy when he gets up too quickly
•    No signs of shortness of breath, but his blood pressure is 136/86.
•    Played Australian Rules Football in earlier life.
•    Wears prescription glasses.
•    Not been to the gym in 3 months, and wants to reduce his protruding belly.
•    Not seen the doctor in 36 months because he takes multivitamins.
•    Smokes on weekends and skips breakfast.
    Using your PEQ form from question 1 in this assignment, enter the information you gathered from James (listed here).  
Q3.    Within your scope of practice as a personal trainer, explain to James Spade the findings of his PEQ.
Q4.    You referred James to his doctor, and the doctor has cleared him for exercise with the following guidelines:
•    Low fitness level program to begin with, one that is focused around a fat-burning or weight loss, heart rate training zone.
•    Endurance training zone for resistance exercises.
•    4 x 30-minute training sessions with a trainer per week.
    Task: Design a Program Suitable for James that meets the suggested guidelines provided by the doctor using the following template. The session must include:
•    Resistance exercises that require equipment
•    At least one cardiovascular machine
Q5.    James Spade has taken a liking to the gym and has asked you to show him more exercises. 
•    Using your knowledge of ESIC, complete the tables for each exercise. 
•    Write down this information as you would if you were verbally communicating to James.
•    Please answer this activity with dot points to provide your information.

Q6.    James has really enjoyed the variety of exercises you’ve shown him from the previous question. What are some signs/symptoms of exercise intolerance or inappropriate intensities, you may observe of James during his session?
   List FIVE methods below.

 

 

Q1.    

In the box below, design an effective Pre Exercise Questionnaire Form. Your Pre Exercise Questionnairemust contain all of the following dot points:
•    7 compulsory questions that identify an individual’s known history of disease, or signs or symptoms of disease, and may be at a higher risk of an adverse event during physical activity/exercise.
Note:    Clients should be able to answer this set of questions at minimum as Yes or No. 
•    Date of birth
•    Name 
•    Referral to allied health professional required: YES/NO. If yes, follow-up date
•    Gender
•    Date of assessment
•    Exercise history    •    Resting heart rate
•    Personal trainer’s name
•    Short-term and long-term goal
•    Maximum heart rate
•    Blood pressure
•    Other consideration section
•    Signature of client
[•    Date of birth -: 30th June 1956
•    Name   Retired -:  General Bakshi
•    Referral to allied health professional required: YES/NO. If yes, follow-up date -: Yes
•    Gender-: Male
•    Date of assessment-:  20.04.2018
•    Exercise history -: moderate just walks
•    Resting heart rate-: 120
•    Personal trainer’s name-:  Joseph Valikin
•    Short-term and long-term goal-:  To curb on the excess weight along with curbing the diabetes and the hypertension.
•    Maximum heart rate- 150
•    Blood pressure-: 150/ 100
•    Other consideration section-: high blood pressure patient
•    Signature of client-: sssjjjj
 
 

Q2.  

James Spade visited you recently to commence training.  You hadn’t met him before, and there was no prior record of his attendance in your facility.  Upon completing his pre-exercise questionnaire with him, you found the following information:
•    James is 57 years old
•    Born 12 June 1959
•    No diagnosed heart conditions or chest pains.  Resting heart rate is 90 bpm.
•    Feels dizzy when he gets up too quickly
•    No signs of shortness of breath, but his blood pressure is 136/86.
•    Played Australian Rules Football in earlier life.
•    Wears prescription glasses.
•    Not been to the gym in 3 months, and wants to reduce his protruding belly.
•    Not seen the doctor in 36 months because he takes multivitamins.
•    Smokes on weekends and skips breakfast.
    Using your PEQ form from question 1 in this assignment, enter the information you gathered from James (listed here).  

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Q3.    

Within your scope of practice as a personal trainer, explain to James Spade the findings of his PEQ.
He has an erratic heart beat and a sage of restlessness. Feels uneasy upon getting up along with issue of excess weight around the tummy area.  He takes multi vitamins without getting prescription along with occasional smoking and not eating breakfast. All this results in low or high blood pressure and also needs to take care of diabetes.

 

Q4.    

You referred James to his doctor, and the doctor has cleared him for exercise with the following guidelines:
•    Low fitness level program to begin with, one that is focused around a fat-burning or weight loss, heart rate training zone.
•    Endurance training zone for resistance exercises.
•    4 x 30-minute training sessions with a trainer per week.
    Task: Design a Program Suitable for James that meets the suggested guidelines provided by the doctor using the following template. The session must include:
•    Resistance exercises that require equipment
•    At least one cardiovascular machine
Client name:     James     Client age:     57
Session length:     30 minutes workout    Goal:     fat-burning or weight loss, heart rate training zone.
Warm-up/preparation phase:
Conditioning phase: 
Exercise    Intensity 1RM%    Sets    Reps    Rest    Notes
1.Jogging    moderate    1-2    1    5 secs    Jog and relax and gain strength
2.Power walking    moderate    1-2    1    5 secs    Walk and relax and gain strength
3. Low weight lifts    moderate    15    5    5 secs    relax and gain strength
4.                    
5.                    
6.                    
Exercise    Intensity MaxHR%    Time    Dist.    Rest    Notes
1.Aerobics    High    10 mins    NA    5 SECS    Slow and then work fast
2.Swimming    high    20 mins    5 km    10 SECS    Pace high
3.                    
Cool-down phase:
Notes for next session:  
Prepare for next and cool down in between 

 

Q5.    

James Spade has taken a liking to the gym and has asked you to show him more exercises. 
•    Using your knowledge of ESIC, complete the tables for each exercise. 
•    Write down this information as you would if you were verbally communicating to James.
•    Please answer this activity with dot points to provide your information.
Exercise:     Bodyweight squat 
Explain    Helps in lowering and toning the weight around tummy, thighs and butts.
Show/Shhh    Slow and then repeat
Instruct    Go easy with weights and then increase the weights
Cue/Correct    See mirror and follow
Exercise:     Push-up
Explain    Strengthens the tummy, chest, hands and legs area
Show/Shhh    Slow and repeat
Instruct    Take a cool down for 5 secs and repeat
Cue/Correct    Focus on strength
Exercise:     Bench tricep dip
Explain    Helps in toning tummy, hips, thighs and arms.
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    Follow the instruction and go easy
Exercise:     Seated dumbbell shoulder press
Explain    Strengthens the tummy, chest, hands and legs area
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow
Exercise:     Deadlift 
Explain    Helps in toning overall
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow
Exercise:     Static lunge 
Explain    Ton thighs and tummy
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    Follow the instruction and go easy

Exercise:     Prone back extension 
Explain    Strengthens the tummy, chest, hands and legs area
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow
Exercise:     Prone hover (abdominal plank) 
Explain    Helps in toning overall
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow
Exercise:     Hamstring stretch  
Explain    Strengthens the tummy, chest, hands and legs area
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow
Exercise:     Cross-trainer (cardio machine)  
Explain    Helps in toning overall
Show/Shhh    Slow
Instruct    Steady and increase repetition
Cue/Correct    See mirror and follow

 

Q6.    

James has really enjoyed the variety of exercises you’ve shown him from the previous question. What are some signs/symptoms of exercise intolerance or inappropriate intensities, you may observe of James during his session?
  List FIVE methods below.
James was able to enjoy with the weights lifts and combined with the light walking. He liked the variety and would be adaptive with the speed intensity.  The signs of exercise intolerance showed heavy breathing and getting tired of the small distances. Sometimes, he feels exhausted and would require motivation to re-begin. His mix of workout is slow and moderate combinations of the heavy lifting and cardiovascular exercises.
Five methods involves-:
Heavily breathing
Muscles pulling
Signs of exhaustion or stress
Feels physically drained after short work out
Increased sweating 

Q7.  

 Six weeks have passed, and James is feeling like he can do more!
    James has engaged you to write two new programs. These programs should be similar to the initial one you set out, but they should have the following considerations.
a.    Program One – The home program
•    James would like to exercise at home when he finds 30 minutes a couple of times a week.
•    There is no gym equipment at his house, but he has a large backyard and a large lounge room with lots of floor space.
•    He does NOT want to purchase any equipment for his home session.
•    His goal of losing excess abdominal fat is still a priority, but there is good news: results are showing a reduction since he started six weeks ago. 
•    His resting heart rate has decreased by 12 BPM. 
•    His blood pressure has decreased from 136/86 to 129/84.
    Modify your original workout from Question 4 so that the technical requirements suit his home environment.
Program One – Home program 
Client name:     James     Client age:     57
Session length:     30 mins    Goal:     To  reduce tummy and lower the thighs along with toning
Warm-up/preparation phase:
Conditioning phase: 
Exercise    Intensity 1RM%    Sets    Reps    Rest    Notes
1.Running    moderate    1-2    1    5 secs    Jog and relax and gain strength
2.Power walking    moderate    1-2    1    5 secs    Walk and relax and gain strength
3. weight lifts    moderate    15    5    5 secs    relax and gain strength
4. Yoga    moderate    15    5    5 secs    relax and gain strength
5. Jogging    moderate    15    5    5 secs    relax and gain strength
6. Small lifts and warm up    moderate    15    5    5 secs    relax and gain strength
Exercise    Intensity MaxHR%    Time    Dist.    Rest    Notes
1.    Weights Power     High    10 mins    NA    5 SECS    Slow and then work fast
2.Swimming    high    20 mins    5 km    10 SECS    Pace high
2.    Aerobics    High    10 mins    NA    5 SECS    Slow and then work fast
Cool-down phase:
 10 mins break and change next exercise
Notes for next session:  
Take a deep breath, relax and then repeat
Client feedback:
It worked well
b.    Program Two – The gym program (progressed from question 4)
•    His goal of losing excess abdominal fat is still a priority, and since he started six weeks ago he has been working towards that goal, with loss of girth in this area.
•    Because James’s capabilities have increased, so can the technicality of his programmed movements from question 4.
•    His resting heart rate has decreased by 12 BPM. 
•    His blood pressure has decreased from 136/86 to 129/84.
Program Two – The gym program (progressed from question 4)
Client name:     James    Client age:     57
Session length:     30mins    Goal:     To increase movement and flexibility along with losing weight
Warm-up/preparation phase:
streches
Conditioning phase: 
Exercise    Intensity 1RM%    Sets    Reps    Rest    Notes
1.    Power lifting    moderate    1-2    1    5 secs    relax and gain strength
2.Power walking    moderate    1-2    1    5 secs    Walk and relax and gain strength
3. weight lifts    moderate    15    5    5 secs    relax and gain strength
4. Running    moderate    1-2    1    5 secs    Jog and relax and gain strength
5.                    
6.                    
Exercise    Intensity MaxHR%    Time    Dist.    Rest    Notes
1.    Hydro water exercise    High    10 mins    NA    5 SECS    Slow and then work fast
2.Swimming    high    20 mins    5 km    10 SECS    Pace high
3.Power lifting    High    10 mins    NA    5 SECS    Slow and then work fast
Cool-down phase:
Repeat and slow
Notes for next session:  
30 secs prepare and the repeat next session
Client feedback:
Results in heaviness and puffiness.

Q8.    

 

As mentioned in question 7, James has had the following progress since the completion of his first 6 week program with you:
•    His waist has reduced by 10cm since he started six weeks ago. 
•    His resting heart rate has decreased by 12 BPM. 
•    At the beginning of his journey, James had a blood pressure reading of 136/86. This has now decreased to 129/84.
Using motivational techniques, explain for James what each of the outcomes mean for his health and lifestyle. Explain to James what each of these results means referring to the physiological changes he has undergone and the impact this may have on his health.

It would help in toning the tummy area along with the controlling the irregular heart beat, fatigue and controls the excess weight. Lowers the chronic ailments and long term process.


 

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