Lecture 16 - Health/Fitness Assessment Flashcards
(39 cards)
Lecture 16:
Why is health & fitness assessment important for all populations?
- provides baseline data (comparisons with reassessments)
- acts as basis for exercise prescriptions
Lecture 16:
Why is health & fitness assessment especially important for cancer patients?
- safety
- strengths & weaknesses of patient
Lecture 16:
What is the assessment standard for cancer survivors?
No established assessment procedures right now
Lecture 16:
What institute has developed validated assessment techniques?
Based in Colorado, Rocky Mountain Cancer Rehabilitation Institute (RMCRI) have developed validated assessment techniques
*all other info is based on their findings
Lecture 16:
What are the 2 steps of Health & fitness Assessment?
Step 1 = Pre-assessment
Step 2 = Assessment
Lecture 16:
Step 1: Pre-Assessment; what is the first step (part a) & its importance?
Physician Referral:
- important for primary care physicians/oncologists to work together with specialists
- safety, limitations, & special concerns are discussed
Lecture 16:
Step 1: Pre-Assessment; what is the second step (part b) & what is included?
Pre-Assessment Mailings which include;
- cancer & medical history
- diet
- depression
- fatigue
- Quality of Life
- Lifestyle
*also blood profile from physician
Lecture 16:
Is there any normative data for Physiological outcome assessments?
No normative data available for physiological outcomes of cancer patients
- thus, we use normative data for the general population & account for some variation due to the cancer diagnosis
Lecture 16:
For step 2: Assessment; what are the 7 steps/tests for Physiological Outcomes?
1.) Preliminary Assessments
2.) Body Composition
3.) Pulmonary Function
4.) Circumference Measurements
5.) Cardiovascular Endurance
6.) Flexibility & ROM
7.) Muscular Endurance & Strength
Lecture 16:
When discussing physiological outcomes measured in step 2; What are the 6 types of Preliminary Assessments used?
1.) Resting HR
2.) Resting BP (right side, unless surgery done to that side)
3.) Pulse Oximetry
4.) Resting blood values (lab work done prior)
5.) Height & Weight
6.) Physical Examination
Lecture 16:
What is a Pulse Oximetry test?
Assesses the % of hemoglobin saturated with oxygen
- the finger monitor press
Lecture 16:
When discussing physiological outcomes measured in step 2; What are the 4 ways to measure body composition?
1.) Skin folds
2.) Hydrostatic weighing
3.) Bioelectric Impedence (BIA)
4.) DEXA machine
Lecture 16:
When measuring Body composition through skin folds, what do you need to be careful of?
Careful for sites near surgical incisions, ports, & prostheses
Lecture 16:
When measuring Body composition through hydrostatic weighing, when is it used or not?
Not really used due to risk of infection
Lecture 16:
When measuring Body composition through bioelectric Impedence, what is a limitation of it?
Lack of accuracy = limiting factor as dehydration may also be a factor so it’s not the most accurate due to varying hydration levels
Lecture 16:
When measuring Body composition through a DEXA machine, what makes this a great choice?
Excellent choice if available as it is very accurate, however it os very expensive & requires a technician to operate it
- machine quickly sweeps over body using light radiography & then gives you %BF, %FM, & %FFM
Lecture 16:
How is Pulmonary function measured in Step 2 of physiological assessment?
Measured using a dry spirometer
Lecture 16:
What 2 things are measured during Pulmonary function measurements in Step 2 of physiological assessment?
1.) Forced Expiratory Volume
2.) Forced vital capacity
- important to know these because of possible negative effects of radiation & chemotherapy on pulmonary function
Lecture 16:
What is forced expiratory volume?
The strength of the exhalation in the first second
Lecture 16:
What is Forced Vital Capacity?
The total volume of air exhaled
Lecture 16:
How are circumferences measurements taken in Step 2 of physiological assessment?
Taken using an Anthropometric tape to take measurements on both sides of body
- changes in lymphedema & general edema
Lecture 16:
When measuring Cardiovascular Endurance in step 2, what are the 4 critical things to monitor?
Especially important to monitor survivors that are on treatment
1.) Pulse Oximeter
2.) Blood Pressure
3.) Heart Rate
4.) Rate of Perceived Exertion
Lecture 16:
During Cardiovascular Endurance measurements, What level should patients not exceed on the RPE scale?
Should not exceed 11-13 for survivors on chemotherapy for submaximal testing
Lecture 16:
During Cardiovascular Endurance measurements, What are 2 types of submaximal exercise tests?
1.) Bruce Treadmill Protocol
2.) YMCA Bicycle Protocol
