Question

·     Ralph is a 38-year old male sales representative

·     5'3", weight 185 lbs

·     Blood pressure = 150/80 mmHg

·     Cholesterol = 245.

·     Smokes recreationally

·     Drinks at least two to three beers per day

·     Suffers chronic low back pain for the past 2 years. This low back pain occasionally necessitates his missing work.

·     His father had a double bypass at age 62, and his sister has type II diabetes

·     No current exercise program reported  

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·     Betty is a 59 yrs old secretary

·     Insulin dependent for last 4 yrs

·     Health is controlled through diet, insulin and walking

·     5'2" 105 lbs

·     Cholesterol is over 220

·     She has been a secretary for over 25 yrs

·     Resting HR is 82 bpm

·     Blood pressure = 110/88

·     Father died at 60 of MI

·     Mother is an active insulin dependent diabetic @ 81

·     She had been walking for 45 minutes 3 to 4 times per week (for more than six months) but has not done it this week because she felt lightheaded and dizzy on her last walks. This is one reason she has come to seek your help

Two Separate Clients.

1.Is the client currently active based on ACSM guidelines?

2. CMR present?

3.Are any signs and/or symptoms of CVD present?

4.Do they need Medical Clearance for light to moderate physical activity.

5.Determine risk for CVD. Low or Increased Risk?

Answer 1

Client 1:

Answer 1: No, the client is not active based on ACSM guidelines. Because the AVAM guidelines includes that person should be involved in mild aweobic activities. But the client is not involved.

Answer 2: The CMR is also not present.

Answer 3: Yes, there are several symptoms of CVD present such as high blood pressure, smoking, cholesterol, back pain, family history etc.

Answer 4: It is important for them to get the medical clearance for light to moderate activities.

Answer 5: There is increased risk of CVD because of the smoking, family history etc.