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

1. º Informed Consentº Health Screen Questionnaireº PAR Q º Medical Referral SHMD 349

2. AIMS OF FITNESS TESTING • Health condition • Fitness level • Strengths & weaknesses • Info for writing program • Monitor progress

3. Consultations include: • Informed consent • HSQ • CHD risk factors • Cause for referral

4. Informed Consent: 1. Explain test procedure 2. Explain risks involved 3. Patient responsibility 4. Benefits to expect 5. Freedom of consent

5. HSQ • 1. Personal details • 2. Sporting goals • 3. Current training status • 4. Nutritional status • 5. Lifestyle • 6. Physical Health • 7. Medical Health

6. Par - Q • Physical Activity Readiness Questionnaire: • Determine risk for CHD

7. CHD • Coronary arteries: blood vessels  bring oxygenated blood to nourish muscle cells of heart • Atherosclerosis: build up of fat (cholesterol/ plaques) in arteries = makes diameter smaller • CHD – Narrowing of coronary arteries due to atherosclerosis.

8. Effect of CHD on exercise: Physically demanding task. Coronary arteries cant supply heart muscle with enough blood to keep up with O2 demand. Pain in chest – angina. Coronary artery completely blocked = heart muscles die = heart attack.

9. Par Q: CHD risk factors • Lifestyle Factors = risk of CHD: • Diet high in fat & salt • Obesity • Smoking • Excess alcohol consumption • High blood pressure • Type two diabetes • Older age (Non-modifiable) • Male gender (Non-modifiable)

10. 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

11. When to refer: High risk for CHD (≥3risk factors) or Concerns about safety to exerciseRefer to doctor/ GP for medical clearance before training

12. Conditions to refer to a GP: • Muscle injuries • Chest pain or tightness • Light-headedness or dizziness • Irregular or rapid pulse • Joint pain • Headaches • Shortness of breath

13. Questions • Define: • Coronary arteries. 2 • Atherosclerosis. 2 • Coronary heart disease. 2 • Contraindication. 2 • List 5 aims of fitness testing. 5 • List the 4 things you would do when conducting a detailed fitness consultation. 4 • List 5 instructions you would give to a client before the day of the testing. 5 • In your own words, describe what an informed consent form is. 3 • List and briefly explain all the headings in the informed consent form. 10 • List the headings in the health screen questionnaire, and provide a few questions under each heading. 20

14. Questions • List 8 healthy lifestyle recommendations. 8 • What does ‘PAR Q’ stand for? 2 • What is the aim of the initial consultation? 3 • What does ‘CHD’ stand for? 2 • In your own words, what are the implications of CHD to exercise? 5 • List the lifestyle factors which increase the risk of CHD; dividing them into modifiable and non-modifiable. 8 • What effect does exercise have on heart disease? 2 • List 5 contraindications to exercise. 5 • Why would you refer a client to the doctor before commencing with exercise testing? 2 • List 5 conditions which would call for a GP referral. 5