Chapter 9: Client Consultation and Health Appraisal Flashcards Preview

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Flashcards in Chapter 9: Client Consultation and Health Appraisal Deck (38)
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1

Scope of Practice

Legal boundaries that determine the extent of a personal trainer’s professional duties. (NSCA CPT, pg. 165)

2

Health Appraisal

Process to screen a client for risk factors and symptoms of chronic cardiovascular, pulmonary, metabolic, and orthopedic diseases in order to optimize safety during exercise testing and participation. (NSCA CPT, pg. 166)

3

PAR-Q

An assessment tool to initially screen apparently healthy clients who want to engage in low-intensity exercise and identify clients who require additional medical screening. (NSCA CPT, pg. 167)

4

Coronary Risk Factors

A characteristic, trait, or behavior that affects the probability of developing cardiovascular disease. (NSCA CPT, pg. 167)

5

Assumption of Risk

A defense for the personal trainer whereby the client knows that there are inherent risks with participation in an activity but still voluntarily decides to participate. (NSCA CPT, pg. 168)

6

Coronary Artery Disease

A condition or dysfunction of the cardiovascular system (e.g., atherosclerosis, myocardial infarction, angina). (NSCA CPT, pg. 169)

7

Atherosclerosis

A progressive degenerative process through which the interior lining of the arterial walls becomes hardened and inelastic. (NSCA CPT, pg. 169)

8

Myocardial Infarction

A result of the death of heart tissue due to an occluded blood supply; also referred to as a heart attack. (NSCA CPT, pg. 169)

9

Chronic Obstructive Pulmonary Disease

A condition or dysfunction of the pulmonary system (e.g., chronic bronchitis, emphysema, asthma). (NSCA CPT, pg. 173)

10

Thrombotic Occlusion

Blockage due to a blood clot. (NSCA CPT, pg. 173)

11

Sudden Cardiac Death

Death occurring unexpectedly and instantaneously or within 1 hour of the onset of symptoms in a patient with or without known preexisting heart disease. (NSCA CPT, pg. 173)

12

Hypertrophic Cardiomyopathy

Condition of unknown cause resulting in thickening in a part of the muscle of the heart. (NSCA CPT, pg. 173)

13

Aortic Stenosis

Narrowing of the aorta. (NSCA CPT, pg. 173)

14

Marfan Syndrome

Genetic disorder of the connective tissue; symptoms include irregular and unsteady gait, tall lean body type with long extremities including fingers and toes, abnormal joint flexibility, flat feet, stooped shoulders, and dislocation of the optic lens. Complications include a weakened aorta, which may rupture if not treated. (NSCA CPT, pg. 173)

15

Mitral Valve Prolapse

Valvular heart disease characterized by the displacement of an abnormally thickened mitral valve leaflet into the left atrium during systole. (NSCA CPT, pg. 173)

16

Myocarditis

Inflammation of the heart muscle. (NSCA CPT, pg. 173)

17

Medical Clearance

Approval by a physician indicating that the client is fit for exercise. (NSCA CPT, pg. 177)

18

Risk Stratification

A method to initially classify clients as being at low, moderate, or high risk for coronary, peripheral vascular, or metabolic disease. (NSCA CPT, pg. 176)

19

M in MATER

personal trainers MOTIVATE performance and compliance. (NSCA CPT, pg. 166)

20

A in MATER

personal trainers ASSESS health status. (NSCA CPT, pg. 166)

21

T in MATER

personal trainers TRAIN clients safely and effectively to meet individual objectives. (NSCA CPT, pg. 166)

22

E in MATER

personal trainers EDUCATE clients to be informed consumers. (NSCA CPT, pg. 166)

23

R in MATER

personal trainers REFER clients to health care professionals when necessary. (NSCA CPT, pg. 166)

24

Client Consultation Steps

1. Schedule interview appointment.
2. Conduct interview.
3. Implement and complete health appraisal forms.
4. Evaluate for coronary risk factors, diagnosed disease, and lifestyle. 5. Assess and interpret results.
6. Refer to an allied health professional when necessary.
7. Obtain medical clearance and program recommendations. (NSCA CPT, pg. 166)

25

Lifestyle inventory

Usually consisting of questions to evaluate personal choices and patterns related to dietary intake, stress management, physical activity, and other health practices. (NSCA CPT, pg. 168)

26

Informed Consent

Gives clients information about the content and process of the program delivery system. (NSCA CPT, pg. 168)

27

Age positive risk factor criteria

Men ≥45 years; women ≥55 years. (NSCA CPT, pg. 170)

28

Family history positive risk factor criteria

Myocardial infarction, coronary revascularization, or sudden death before 55 years of age in biological father or other male first-degree relative, or before 65 years of age in biological mother or other female first-degree relative. (NSCA CPT, pg. 170)

29

Cigarette Smoking positive risk factor criteria

Current cigarette smoker or someone who quit within the previous six months, or
exposure to environmental tobacco smoke. (NSCA CPT, pg. 170)

30

Sedentary Lifestyle positive risk factor criteria

Not participating in at least 30 min of moderate intensity (40-60% V O2Reserve) physical activity on at least three days of the week for at least three months (47). (NSCA CPT, pg. 170)