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GP U2 Pro Practice
S8: The principles of risk stratification in exercise referral
| Question | Answer |
|---|---|
| The purpose of exercise referral is ? | to help people with medical conditions increase their activity levels, reduce health deterioration and help with disease management, through structured, supervised exercise sessions |
| which stratification helps us to assess the level of risk attached to exercise | Risk stratification |
| Risk stratification covers various factors which include.... | medical condition type, medication side effects, age and the severity and likelihood of the risk |
| medical condition type, medication side effects, age and the severity and likelihood of the risk are the factors covered under which stratification ? RS | Risk stratification |
| Which stratification factors determine whether a client is classed as low-, moderate- or high-risk | Risk stratification |
| 5 key principles of Risk management are ? ERIC | Eliminate the risk Reduce it Isolate it Control it |
| What is the screening tool is used by most exercise professionals | PAR-Q |
| Which screening tool is the extension of the PAR-Q | Par-MedX |
| Which screening tool is used by most exercise professionals for clients with medical conditions | Par-MedX |
| The absolute contraindications for exercise include....... | Acute cardiac event, Resting BP of 180/100mmHg, Rapidly progressing terminal illness, Resting tachycardia ≥ 100 bpm, Pain, dizziness or excessive breathlessness, Febrile or fever illness, Any unstable, uncontrolled condition |
| The risks are higher for people who have..... | Been inactive for a long time. A chronic health condition. Signs and symptoms, or a diagnosis of cardiovascular disease |
| Which is the contraindication for exercise: Stage 2 Hypertension 160/90 Anxiety & Depression Type 2 Diabetes not currently controlled Obesity | Type 2 Diabetes |
| Type 2 diabetes not currently controlled or stable would be a contraindicationfor exercise. TRUE or FALSE | TRUE - When her diabetes is managed she could be referred to exercise |
| A combination of conditions and coronary heart disease risk factors (smoking, family history, Type 2 diabetes, obesity, inactivity) may place her at a high risk during exercise, who would she be best advised to work with ? | a specialist exercise professional (Level 4) or clinical specialist |
| In the Risk stratification pyramid clients have two or fewer coronary heart disease risk factors (which can include inactivity) or other minor, stable health conditions that do not significantly limit mobility are classed as what risk. | Low-risk - These clients should attend an exercise referral scheme and work with a level 3 Instructor. |
| Which clients should attend an exercise referral scheme and work with a level 3 Instructor. | Low-risk - clients have two or fewer coronary heart disease risk factors (which can include inactivity) or other minor, stable health conditions that do not significantly limit mobility are classed as what risk |
| Moderate- to medium-risk clients are those who have significant limitations related to chronic disease or disability. These clients attend an exercise referral scheme to work with whom ? | a specialist instructor e.g. phase IV cardiac rehabilitation. |
| a specialist instructor e.g. phase IV cardiac rehabilitation would work with which risk type of client ? | Moderate- to medium-risk - clients are those who have significant limitations related to chronic disease or disability. |
| which referred client need highly adapted exercise and close clinical supervision, such as phase III cardiac rehabilitation. | High-risk clients have severe diseases or disabilities |
| Which risk stratification tool is used to recommend the type of programme and instructor for each different level of risk ? RSP | Risk stratification pyramid |
| Most of the population is apparently healthy with no physical limitation and no more than one coronary heart disease risk factor can attend classes run by what level fitness instructor. | Level 2 |
| Another commonly used risk stratification model was developed by the American College of Sports Medicine Logic know as the ? LM | Logic Model |
| The Logic Model suggests that a person’s health and medical history should be reviewed to check FIRST for cardiovascular, pulmonary or metabolic what | cardiovascular, pulmonary or metabolic "DISEASE" |
| The Logic Model suggests that a person’s health and medical history should be reviewed to check SECOND for cardiovascular, pulmonary or metabolic what ? | "SIGNS OR SYMPTONS" of cardiovascular, pulmonary or metabolic disease |
| The Logic Model suggests that a person’s health and medical history should be reviewed to check LASTLY for cardiovascular, pulmonary or metabolic what ? | any cardiovascular heart disease "RISK FACTORS" |
| CV disease Peripheral vascular disease COPD Asthma Cystic fibrosis Diabetes Thyroid disorders Stroke Myocardial infarction, bypass surgery, coronary angioplasty, angina Metabolic disease | are all High-risk conditions in the Logic Model: |
| (type 1 and 2 diabetes, thyroid, renal and liver disease) are known as which type of disease ? MD | Metabolic disease |
| Anginal pain Dizziness or syncope and shortness of breath while resting or undergoing mild exertion. Ankle oedema. Palpitations or tachycardia. Intermittent claudication. Heart murmur. Unusual fatigue or shortness of breath with usual activities | People who have experienced the following symptoms are also considered high-risk in the Logic Model: |
| What kind of supervised exercise would be recommended for High Risk Clients ? | Clinically supervised exercise is recommended |
| CV risk factors from which model ? Aged over 45 (male) or 55 (female). Inactivity. Smoking. Hypertension. High cholesterol. Obesity. Family history of CV disease. | the logic model |
| Via the logic model - Two or more cardiovascular heart disease risk factors is considered is ? MR | Moderate-risk |
| Via the logic model - Fewer than two cardiovascular heart disease risk factors is ? LR | Low-risk: |
| what disease is when your bones are weaker than normal but not so far gone that they break easily as in osteoporosis | Osteopenia |
| Via Irwin and Morgan Risk stratification tool what condition risk do diet controlled Type 2 Diabetes & Osteopenia come under | Low Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do medical controlled type 2 diabetes & Osteoporosis come under ? | Moderate Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do Type 2 diabetes with autonomic neuropathy & osteoporosis in frail older adults come under | High Risk |
| which Risk stratification tool uses a traffic light system for Low/Moderate & High categories ? I&M | – Irwin and Morgan |
| Via Irwin and Morgan Risk stratification tool what condition risk do over 65 with 1 coronary heart disease factor & being de-conditioned due to inactivity come under ? | Low Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do COPD with no ventilatory limitations & moderate to severe anxiety come under ? | Moderate Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do recent strokes & rheumatoid arthritis with flare up, come under ? | High Risk |
| what condition can make you feel dizzy or lightheaded, and maybe even cause you to faint ? OH | Orthostatic hypotension (or postural hypotension) |
| Via Irwin and Morgan Risk stratification tool what condition risk do being overweight or a smoke with no complications come under ? | Low Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do mild to moderate depression & chronic fatigue come under ? | Moderate Risk |
| Via Irwin and Morgan Risk stratification tool what condition risk do COPS with ventilator limitations & orthostatic hypotension come under ? | High Risk |
| what does parq stand for ? | Physical Activity Readiness Questionnaire |
| what does PARmed-X stand for | Physical Activity Readiness Medical Examination |
| which screening tool consists of a physical activity-specific checklist, developed for physicians to use with patients who have had positive responses (answered ‘yes’) to the PAR-Q ? | PARmed-X |
| which tool models offers a guide for assessing clients and gauging the level of risk that their condition presents under the stress of physical activity | risk stratification model |
| Who’s responsibility is it to ensure that their client remains safe and benefits from the referral programme. | exercise referral instructor’s |
Created by:
LeeNelson
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