Physical Assessment Diabetics

Physical Assessment Diabetics

Nathan Biles
Kaplan University
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Physical Assessment Diabetics
Physical Assessment
This physical assessment is of Mr. Connor. As ith the previo!s assessments of the
yo!n"er chil#$ the el#erly la#y$ an# myself % have bro&en it #on into sections. The first co!ple
sections are '!estionnaires an# health screenin"s for any pre(e)istin" con#itions that o!l#
prevent an e)ercise or physical activity pro"ram. % ill also "o over the res!lts of a physical
e)amination from the *oley an# +ran&s ,-../0 te)tboo&$ Fitness Professionals Handbook.
After reviein" these res!lts % ill #isc!ss motivational strate"ies an# recommen#ations for
reachin" Mr. Connors1 "oals. % also "o over the rea#iness for chan"e mo#el as it pertains to Mr.
Connor. % also revie his bo#y composition.
Par-Q
The physical assessment rea#iness '!estionnaire ,Par(20 is a '!estionnaire that is #esi"ne#
to screen for any pre(e)istin" me#ical con#itions that o!l# hin#er yo! from performin"
physical activity. The '!estionnaire o!l# have yo! contact a physician before involvin"
yo!rself in a physical activity pro"ram if yo! anser yes to any of the '!estions in the
'!estionnaire. %n this case his #octor sent Mr. Connor to the facility so therefore he alrea#y has
permission from his #octor to enroll in a physical activity pro"ram.
Health Status Questionnaire
The health stat!s '!estionnaire is a more in #epth loo& at yo!r health stat!s an# is
recommen#e# before participatin" in fitness testin" ,+ran&s 3 *oley$ -../0. The
'!estionnaire is bro&en #on into 4 sections. These sections incl!#e$ me#ical history$ a ris&
factor assessment$ me#ications an# physical activity patterns an# ob5ectives. As ith the Par(2
the #octor has alrea#y recommen#e# enrollin" Mr. Conner in a physical activity pro"ram. There
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Physical Assessment Diabetics
are some &eynotes that % ill "o over tho!"h as they can serve as preca!tions for activity
pro"rams.
General Medical History
6eneral me#ical history consists of heart history$ symptoms an# a##itional health iss!es.
Mr. Conner ansere# yes havin" type - #iabetes$ fati"!e #!rin" e)ertion an# concern abo!t
safety for e)ercisin". There are preca!tions that sho!l# be ta&en for physical activity ith type(-
#iabetes an# fati"!e #!rin" e)ertion. Monitorin" bloo# s!"ar before an# after or&o!ts is
essential. Another note sho!l# be that e)ercise o!l# be set at a pace Mr. Conner is comfortable
ith to avoi# fati"!e$ hea#aches an# other safety concerns.
Risk Factor Assesment and Medications
7is& factor assessment an# me#ications are to separate sections in the health stat!s
'!estionnaire b!t they are #irectly relate# for o!r p!rposes. Mr. Conner ansere# yes to the
'!estions pertainin" to hi"her bloo# press!re$ cholesterol$ inactivity an# aist circ!mference.
*e is ta&in" me#ications for the bloo# press!re an# cholesterol. They ill not prevent
enrollment in an e)ercise pro"ram beca!se his #octor alrea#y cleare# him. *is inactivity ill
help "a!"e a startin" point for the e)ercise pro"ram.
Lifestyle Behaviors and !"ectives
Mr. Conner is physically inactive an# has hi"h stress. *e so!"ht o!t his #octor beca!se of
fati"!e an# hea#aches. These to thin"s co!l# contrib!te to his stress. *is "oals come from his
#octor1s recommen#ation to lose ei"ht in an attempt to loer his bloo# "l!cose. *e en5oys
atchin" football an# baseball. *e has a #o" that he really en5oys as ell.
Body #om$osition
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Physical Assessment Diabetics
Mr. Conner is 419: an# ei"hs -;4lbs. This "ives him a BM% of abo!t 89. A BM% of 8. or
hi"her p!ts in#ivi#!als in the obese cate"ory. A normal ei"ht is less than -4. At Mr. Conner1s
hei"ht he o!l# nee# to ei"h less than 1/.lbs. This means he o!l# have to lose close to
1..lbs to be at a normal BM%.
%utrition
Mr. Conner #oesn1t have a very "oo# #iet. *e #oesn1t eat brea&fast an# he "ets fast foo#
for l!nch beca!se he #oesn1t li&e to pac& a l!nch. The ma5ority of his eatin" comes from a lar"e
#inner an# after #inner snac&in" hile atchin" television. *e also eats a lot of foo# hile
atchin" football an# baseball.
Readiness for #han&e
Mr. Conner came to this facility per his #octors1 or#ers. *e is in the contemplation sta"e
tho!"h he is near the plannin" sta"e. *e is aare that he has a problem ith feelin" fati"!e# an#
havin" hea#aches b!t mi"ht not be completely convince# that e)ercise ill solve the problem.
*e is illin" to "o thro!"h ith the 8(month pro"ram beca!se his #octor tol# him to.
Assessment Results
Mr. Conner score# belo avera"e in all of the physical assessments !se# in the Thy"erson
3 Thy"erson ,-.110 te)tboo&$ Fit to be Well. These tests assess fle)ibility$ stren"th$ en#!rance$
an# a car#iorespiratory assessment. These tests ill help 5!#"e a startin" point for Mr. Conner.
+le)ibility as the first test an# it starte# ith the sit an# reach assessment. *e as more
than fo!r inches from his toes each time. *e faile# to "et ithin an inch of to!chin" his han#s
behin# his bac& for the sho!l#er fle)ibility test as ell. <e #i#n1t rate the other fle)ibility tests
b!t e #i# "o over them for teachin" p!rposes.
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Physical Assessment Diabetics
<e #i#n1t perform a m!sc!lar en#!rance assessment beca!se of the strain from tryin" to #o
p!sh !ps. <e #i# hoever assess his stren"th thro!"h the bench press test. *e as able to press
1=.lbs. This as in the very poor ran"e b!t it is orth pointin" o!t that if he ere in a normal
ei"ht ran"e belo 1/. this o!l# be an avera"e score. +or the car#iorespiratory assessment e
#i# the step test. *e score# a 1-=$ hich as a poor ratin".
Motivational Strate&ies and 'echni(ues
Motivational strate"ies$ as ith all patients$ nee#s to be tailore# to a persons in#ivi#!al
rea#iness for chan"e. 7emin#in" Mr. Conner of the ne"ative health implications associate# ith
#iabetes an# obesity is &ey to &eepin" him on trac& ith or&in" toar#s ma&in" plans to live
healthier. >#!catin" Mr. Conner on the positive affects of e)ercise is &ey as ell. %n re"ar#s to
#iabetes e)ercise benefits in#ivi#!als by improvin" "l!cose tolerance$ improve# ins!lin
sensitivity$ ei"ht control$ re#!ction in bloo# press!re an# it has positive affects on stress
mana"ement as ell ,+ran&s 3 *oley$ -../0.
Recommendations
There are many recommen#ations that % have for Mr. Conner. The to main "oals are to
improve his n!trition an# physical activity levels. % ill "o over n!trition first !sin" the U?DA1s
MyPlate "!i#elines. % fin# them easy to !n#erstan# an# vis!ali@e. % ill also ma&e some
recommen#ations tailore# to Mr. Conners lifestyle. % ill then "o over his physical
activityAe)ercise "oals.
The U?DA1s MyPlate is the replacement for the U?DA1s foo# pyrami#. The #esi"n is
simple an# shos the pict!re of a plate #ivi#e# into fo!r sections. These fo!r sections hi"hli"ht
ro!"hly hat yo!r plate sho!l# loo& li&e. The fo!r sections are !neven b!t the ve"etable foo#
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Physical Assessment Diabetics
"ro!p is the lar"est folloe# by the "rains "ro!p. The fr!it is a little bi""er than the protein
section an# there is also a c!p of #airy ne)t to the plate.
MyPlate."ov is the ebsite an# it provi#es information on #ifferent healthy foo#s from
each "ro!p. Bne thin" that % o!l# li&e to note is that the protein section is not strictly limite# to
meats. Another nice feat!re of the ebsite incl!#es a foo# trac&er if yo! "et serio!s abo!t
trac&in" yo!r foo#. % o!l# recommen# !sin" this trac&er to at least "et a vis!ali@ation of hat
yo! eat so yo! can compare it to hat yo! sho!l# eat.
As far as specific recommen#ations for Mr. Conner % have to specific ones. Bne
a##resses l!nch for or&. >atin" fast foo# may be convenient b!t it certainly isn1t healthy.
Tryin" to pac& a l!nch prepare# ahea# of time can help monitor calories an# help remove
temptation of eatin" fast foo#.
The other recommen#ation % have is tryin" to avoi# eatin" late at ni"ht an# over#oin" it
hen atchin" football an# baseball. Bne thin" that % fin# that or&s ell for most people is
"ivin" yo!rself one #ay or one meal a ee& that yo! can eat hat yo! li&e. % recommen# #oin"
this #!rin" the football "ames since they are once a ee&. This can "ive Mr. Conner somethin"
to loo& forar# to. Ma&in" small chan"es in the #iet help too. Try ba&in" rather than fryin"$ or
#rin&in" ater rather than so#a if possible.
The e)ercise that % o!l# recommen# o!l# be "ra#!al. ?tartin" off e nee# to or& on
bein" more physically active in "eneral. The U?DA recommen#s that a#!lts #o at least -.4 ho!rs
of physical activity a ee&. This can entail many #ifferent activities. <al&in"$ "ar#enin" an#
"olfin" are 5!st a fe e)amples. % o!l# recommen# tryin" to al& the #o" every ni"ht. This
co!l# ta&e some foc!s aay from eatin" late at ni"ht an# "et the physical activity in as ell.
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Physical Assessment Diabetics
%n terms of mo#erate an# hi"her level physical activity % o!l# li&e to "et Mr. Conner into
#oin" an elliptical machine for 8. min!tes three #ays a ee& at mo#erate intensity ,U?DA$
-.1-0. Usin" an elliptical is lo impact so it ont bother the 5oints an# some elliptical machines
have b!ilt in heart rate monitors so e can monitor that for safety concerns.
As for stren"th trainin" % o!l# recommen# or&in" ith a physical trainer on "ettin"
starte# on resistance trainin" e)ercises. % o!l# li&e to try an# "et to of these sessions in a
ee&. These sessions ill foc!s on !pper$ loer an# core m!scle tonin". A"ain e nee# to be
"ra#!al as to not overhelm Mr. Conner.
#onclusion
The #octor or#ere# a three(month e)ercise pro"ram for Mr. Conner. %t is !n&non if Mr.
Conner ill contin!e an e)ercise re"imen after those three months. +eelin" the benefits of bein"
active an# eatin" better sho!l# motivate Mr. Conner to p!t more effort in the f!t!re for livin" a
healthier lifestyle.
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Physical Assessment Diabetics
7eferences
+ran&s$ B. D$ *oley$ >. T. ,-../0 Fitness professionals handbook (5
th
ed.), Champai"n %CD
*!man Kinetics
Thy"erson$ A. C$ Thy"erson$ ?. M$ ,-.110 Fit to be well (2
nd
ed). ?!#b!ry$ MAD Eones 3 Bartlett
Cearnin"$ CCC
U?DA. ,-.1-0. How much phsical acti!it is needed" 7etrieve# from
httpDAA.choosemyplate."ovAphysical(activityAamo!nt.html
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