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Exercise Referral Foundation Course Assessment 2: Case Study Report

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Exercise Referral Foundation Course Assessment 2: Case Study Report
COVER SHEET

Dean Hancock
201 Fearns Avenue
Bradwell
Newcastle
Staffordshire
ST5 8NN

Email deanhancockdh8@hotmail.co.uk
Daytime No: 01782 660 610

Mobile No: 07786 540 626

Course Details: Manchester, Davy Hulme 14 – 18th September 2009
Lecturer: Gavin Loze

Exercise Referral Foundation Course Assessment 2: Case Study Report

1. Summary of the client details
[pic]

Additional Information

BMI 29
BF 31%
Weight 85kg
Peak Flow 400
BMD 2.5 SD Norm (vertebrae, Wrist)
TYPE 1 Osteoporosis
Smoking (10 per day) decided to stop
Sedentary lifestyle
Poor diet
Low self efficacy
Low self esteem

2. Medical conditions

Hypertension (HTN)

Blood pressure is the pressure the blood exerts on the artery walls. The pressure increases when the heart contracts and decreases as the heart relaxes. Systolic blood pressure (SBP) is the pressure exerted during the contraction phase of the heart where as diastolic blood pressure (DBP) is the pressure exerted when the heart relaxes. This pressure is recorded as SBP over DBP and is measured in millimetres of mercury Lawrence (2006). The British Hypertension Society has classified levels of BP as highlighted below in Table 1. As blood flows it has to overcome various variables including that of total peripheral resistance (TPR) which may include fatty deposits. Internal forces may stop the rate of flow and cause pressure to rise and over time without lifestyle changes and PA can ultimately lead to clotting and heart attack (MI)

HTN or high blood pressure (HBP) can be defined as “having a sustained blood pressure of 140/90mmHg or above”. The implications for having such a condition can be very serious. HBP if not controlled or ignored can lead to other issues such as the development of CHD. Individuals who have a BP > 160/95mmHg have up to a 300% higher incidence rate for developing such heart conditions when


References: Beashel, P and Taylor, J. (1996) Advanced Studies in Physical Education and Sport. 194 – 198 Bloomfield, S.A British National Formulary (2009) 47. 84 – 85, 351 - 352 Cappuccio, F.P Cox, R.H. (1994) Sports Psychology Concepts and Applications 3rd Edition 363 Dishman, R.K Donaldson, C.L Hulley, S.B. (1970) Effects of prolonged best rest on bone mineral density. Metabolism 1071 - 1072 Gorley, T Huddleston, A.L. Rockwell, D. (1980) Bone mass in lifestyle tennis athletes. Journal of the American Medical Association 1107 Franklin, B.A and Pescatello, L.S (2004) ASCM position stand, Exercise and hypertension Kelley, G.A. (2002) Aerobic Exercise and Bone Density at the Hip IN Postmenopausal women: A Meta Analysis. Preventive Medicine. 798 Lawrence, D Marcus, R. and C. Harter (1991) Exercise, bone mineral density, and osteoporosis. Exercise Sport Science Review. 351 Marcus, B.H Moran, A.P. (2004) Sport and Exercise Psychology A critical introduction 246 – 250 Norris, C.M Prochaska, J.O. Marcus, B.H (1994) The Transtheoretical model: Applications to exercise. Advances in Exercise Adherence, 161 Human Kinetics Toft, B Wheeler, D. Vishen, M.D. (2003) Effects of Exercise on Bone Density, Balance, and Self Efficacy on middle aged women. Biological Research for Nursing. Vol 4 Abstract. Whelton, S.P. Chin, A. (2002) Effect of aerobic exercise on blood pressure: a meta analysis of randomized controlled trials. Journal of International Medicine 493 World Health Organisation Williams, J.M. (2001) Applied Sport Psychology Personal Growth to Peak Performance 4th Edition 507 Websites
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