Ginger is a 78-year old female who is coming to your Pulmonary Rehab. Program for her first session, referred by her pulmonologist. Her history is as follows: Medical History: COPD, Chronic bronchitis, past smoker- 2 packs per day x 50 years- quit 3 weeks ago, Type II Diabetes, Hypertension Medications: Atenolol (beta blocker, slows heart rate and decreases blood pressure), Lasix (diuretic, decrease blood pressure), Albuterol inhaler (for opening airways, COPD), Serevent inhaler (longer lasting but not for quick needs if short of breath) 1. As a clinical exercise physiologist in Pulmonary Rehab., list any type of pre-exercise assessment you & your co-workers would want to do with Ginger before her first bout of exercise. She already has diagnostic tests done (PFT’s, arterial blood gasses), so those are out of your realm and something you can review, but not performed in rehab setting. 2. What special considerations do you take into account for Ginger as someone with COPD in terms of exercise. Below you give the recommendations from FITT principle but here in this question, state what else should be considered for safety and best outcomes specifically for someone with her condition? 3. Write the exercise prescription for Ginger. You can give ideas from the FITT principle for Aerobic and then for other components (Strength, Flexibility and any other) but explain what is different vs. regurgitating the entire FITT for each. Note the intensities and time/type mentioned in FITT and any additional, different exercise components that stand out for you. 4. Reflect on this section on Pulmonary Disorders. State what was new for you or what made you think differently about how to work with these clients. What seemed like review or even what NEEDS more review to help you understand this section better.
Ginger is a 78-year old female who is coming to your Pulmonary Rehab. Program for her first session, referred by her pulmonologist. Her history is as follows:
Medical History: COPD, Chronic bronchitis, past smoker- 2 packs per day x 50 years- quit 3 weeks ago, Type II Diabetes, Hypertension
Medications: Atenolol (beta blocker, slows heart rate and decreases blood pressure), Lasix (diuretic, decrease blood pressure), Albuterol inhaler (for opening airways, COPD), Serevent inhaler (longer lasting but not for quick needs if short of breath)
1. As a clinical exercise physiologist in Pulmonary Rehab., list any type of pre-exercise assessment you & your co-workers would want to do with Ginger before her first bout of exercise. She already has diagnostic tests done (PFT’s, arterial blood gasses), so those are out of your realm and something you can review, but not performed in rehab setting.
2. What special considerations do you take into account for Ginger as someone with COPD in terms of exercise. Below you give the recommendations from FITT principle but here in this question, state what else should be considered for safety and best outcomes specifically for someone with her condition?
3. Write the exercise prescription for Ginger.
You can give ideas from the FITT principle for Aerobic and then for other components (Strength, Flexibility and any other) but explain what is different vs. regurgitating the entire FITT for each. Note the intensities and time/type mentioned in FITT and any additional, different exercise components that stand out for you.
4. Reflect on this section on Pulmonary Disorders. State what was new for you or what made you think differently about how to work with these clients. What seemed like review or even what NEEDS more review to help you understand this section better.
(write at least 1-2 sentences, more is fine)
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