CS2-Case Study
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CS2 Client Screening Case Study v1.5 (2018/12/12)
CS2 Client Screening Name
Khoa Le
Email address
Khoa.le2277@gmail.com
Assessment
© 2017 Australian Institute of Personal Trainers Pty Ltd and its licensors (AIPT) Commonwealth of Australia Copyright
Regulations 1969.
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All rights are reserved, and you must obtain the prior written permission of AIPT for the republication or redistribution
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Case Study
Note:
please keep a copy of this assessment as it will be required in further assessments. Task 1a
What follows is Mario’s lifestyle questionnaire. Review the daily dietary intake section, and make recommendations in line with the Healthy Eating Guidelines. In your answer, you must outline the following:
Recommended servings of vegetables per day
Recommended servings of fruit per day
Recommended servings of grains per day
Recommended servings of meat per day
Recommended amount of water intake per day
Recommended servings/amount of sweets/sometimes food
Recommended serving of alcohol per day
Name: Mario Javier Mendes
Sex
M
Address
123 Address St, City, Orange 2121
D.O.B.
4/2/1960
Tel
0400 000 000
Email
mjm@mail.con
In case of emergency, whom can we contact? Maria Mendes
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Business owner
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1
2
3
4
5
6
7
8
x
9
10
How many hours’ sleep do you get every day?
1
CS2 Client Screening Case Study v1.5 (2018/12/12)
6hrs
Are you currently involved in any exercise program? If yes, please list the duration, what type of exercises, and what intensity you participate at.
just walking low intensity
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short
Get food under control and reverse type 2 diabetes
Medium
Increase cardiovascular fitness
Long
Maintain healthy lifestyle
Where are you now in relation to your goal/s?
At the start
What is the biggest challenge you must overcome in attaining your goal/s?
Preparing food and lack of knowledge
On a scale of 1 to 10 (1=not committed, 10=very committed), please rate how committed you are to achieving your goal/s.
1
2
3
4
5
6
7
8 x
9
10
Training preferences
When do you prefer to exercise?
Before work
x
Lunch time
Afternoon
Evening
How many days can you train per week?
1–2
2–3
3–4
4+ x
How long per session can you train?
<30 minutes
30–45 minutes x
45–60 minutes
What type of exercise do you enjoy or prefer?
I am open to new exercises and activities
Do you follow, or have you recently followed, any specific dietary intake plan and, in general, how do you feel about your nutritional habits?
I need help and advice of what to eat
2
CS2 Client Screening Case Study v1.5 (2018/12/12)
Daily dietary intake
Portions of milk, yoghurt, cheese: 1
Portions of vegetables, legumes, beans: 2
Portions of fruit: 1
Portions of meat, poultry, fish, eggs, tofu, nuts, seeds:
1
Portions of grain (cereal) foods: 5
Glasses of water: 7
Alcohol: 0
No. of cups of coffee/tea: 3
Glasses of Coke/soda: 2
Sweets: 2
Other: Recommendations/advice
All information on this form is correct to the best of my knowledge. I have sought and followed any necessary medical advice.
Signature:
MM
Date:
14/11/2017
Task 1b
During the screening process, you suggest to Mario that the support and advice that he requires is
above your scope of practice. You mention to Mario that a referral to an allied health professional
is required. You are to review the referral letter and document the two missing pieces of information that is compulsory before sending it to the allied health professional. 1.
BMI
2.
Dizziness during physical activity
3
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CS2 Client Screening Case Study v1.5 (2018/12/12)
Mary Ramy
Dietitians are Us
Orange, NSW 2121
Dear Mary Ramy,
Re: Client name: Mario Javier Mendes
Client address:
123 Address St, City, Orange, 2121
Client DOB:
4/2/1960
My client Mario Mendes has presented to my with the goal of increasing his cardiovascular fitness and controlling his type 2 diabetes. As the second goal is out of my scope of practice, can you please advise Mario on the nutritional advice he will need to make this goal realistic and achievable?
Mario’s information and measurements recorded during the pre-exercise screening include the following:
Current Physical activity level
Sessions/week: 5
Notes: Minutes/week: 150
Intensity: low
Resting HR
65BPM
Resting BP
135/82
Weight
79kg
BMI
Waist Circ
91cm
In response to Mario’s screening results, I am requesting your guidance in relation to his condition to enable me/us to ensure the delivery of a safe and effective exercise program.
Based on Mario’s goals, I intend to have him commence an exercise program consisting of low/moderate-intensity resistance and cardiovascular training sessions for 30 minutes at a time.
Thank you for seeing Mario. I look forward to speaking with you further regarding your advice.
Kind regards, Fitness Instructor
4
Date:
CS2 Client Screening Case Study v1.5 (2018/12/12)
Task 2a
What follows is Alison’s lifestyle questionnaire. Review the daily dietary intake section, and make recommendations in line with the Healthy Eating Guidelines. In your answer, you must outline the following:
Recommended servings of vegetables per day
Recommended servings of fruit per day
Recommended servings of grains per day
Recommended servings of meat per day
Recommended amount of water intake per day
Recommended servings/amount of sweets/sometimes food
Recommended serving of alcohol per day
Name Alison Nosila
Sex
F
Address
124 Address St, City
D.O.B.
2/2/1957
Tel
0400 000 000
Email
ali@mail.con
In case of emergency, whom can we contact? Allen Nosila
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Part time primary teacher
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1
2
3
4
5
6
7
8
9 x
10
How many hours’ sleep do you get every day?
7hrs
Are you currently involved in any exercise program? If yes, please list the duration, what type of exercises, and what intensity you participate at.
swim, cycle, and run (triathlon training); resistance training
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short
Overcome unexplained fatigue, and personalised support and training with resistance sessions Medium
Compete in upcoming Mooloolaba triathlon in April
Long
Maintain healthy lifestyle and continue to compete in Olympic distance triathlons
Where are you now in relation to your goal/s?
Regularly training need help with unexplained fatigue
5
CS2 Client Screening Case Study v1.5 (2018/12/12)
What is the biggest challenge you must overcome in attaining your goal/s?
Need help with food management and overcoming unexplained fatigue
On a scale of 1 to 10 (1=not committed, 10=very committed), please rate how committed you are to achieving your goal/s.
1
2
3
4
5
6
7
8
9
10 x
Training preferences
When do you prefer to exercise?
Before work x
Lunch time
Afternoon
Evening
How many days can you train per week?
1–2
2–3
3–4
4+ x
How long per session can you train?
<30 minutes
30–45 minutes
45–60 minutes x
What type of exercise do you enjoy or prefer?
Swim, cycle, and run (triathlon training); resistance training
Do you follow, or have you recently followed, any specific dietary intake plan and, in general, how do you feel about your nutritional habits?
I need help and advice of what to eat as I am on a vegan diet
Daily dietary intake
Portions of milk, yoghurt, cheese: 1
Portions of vegetables, legumes, beans: 3
Portions of fruit: 2
Portions of meat, poultry, fish, eggs, tofu, nuts, seeds:
1
Portions of grain (cereal) foods: 3
Glasses of water: 10
Alcohol: 1
No. of cups of coffee/tea: 3
Glasses of Coke/soda: 1
Sweets: 1
Other: protein bar x 1
Recommendations/advice
According to the Australian Dietary Guidelines for your age, I recommend you increase or reduce the servings to the following:
-Vegetables 5
-Fruit 2
-Grains 4
-Protein 2
-Glasses of water 10
-Limit sweets, soft drinks and alcohol to only 1 6
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CS2 Client Screening Case Study v1.5 (2018/12/12)
All information on this form is correct to the best of my knowledge. I have sought and followed any necessary medical advice.
Signature: AN
Date:
14/11/2017
Task 2b From your findings of Alison’s pre-exercise screening and lifestyle questionnaire, and as a fitness instructor, who are the two allied health professionals or fitness professionals whom you will need to refer Alison to for further advice and support? In your answer, you will need to justify why you have chosen these professionals.
The student must select two AHP’s in line with Alison’s goals.
1.
I have chosen to refer you to a Dietician to give you advice on a vegan diet and can advise
you on what nutrients will benefit your training.
2.
I recommend that you speak with your General Practitioner to provide you advice on your
unexplained fatigue.
Task 2c
You have identified the allied health professionals or fitness professionals whom you need to refer
Alison to. You are now required to complete the following referral letter by choosing one of these professionals and documenting the missing compulsory information therein.
In your answer, you must outline the following:
Student can use imaginary name/details for the fitness professional chosen.
Student must obtain client’s information from the lifestyle questionnaire in task 2a. If information is not supplied it is not required for the referral letter.
Student must identify client’s specific dietary requirements within the referral letter.
7
CS2 Client Screening Case Study v1.5 (2018/12/12)
AHP name: AHP business name: 321 Healthy St, Orange, NSW 2121
Dear Muscle Chef ,
Re:Vegan Diet for Triathlon Athlete Client name:Alison Nosilia Client address: 124 Address St, City, Orange, 2121
Client DOB:2/2/1957 My client Alison Nosilia
has presented to my facility with the goal of increasing her/his Resistance training for a triathlon
and controlling her/his
Vegan Diet
As these goals are out of my scope of practice, can you please advise my client on the
Nutritional advice
he/she will need to make this
goal realistic and achievable?
Alison’s information and measurements recorded during the pre-exercise screening include the following:
Current physical activity level
Sessions/week (:5)
Notes: Minutes/week :300)
Intensity: low/mod/high(:Moderate)
Resting HR
70
Resting BP
125/85
Weight
66Kg
BMI
21.8
Waist Circumference
N/A
In response to Alison’s screening results, I am requesting your guidance in relation to her condition
and to enable her to exercise safely and effectively without unexplained fatigue.
I have supplied her daily dietary intake for your viewing.
Thank you for seeing Alison.
Kind regards, 8
Referral date: 14/11/2017
CS2 Client Screening Case Study v1.5 (2018/12/12)
Fitness Instructor
9
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CS2 Client Screening Case Study v1.5 (2018/12/12)
Task 3 John is a 67-year-old man who is fiercely independent. Since a terrible car accident in his early life,
he has made use of crutches and a prosthetic leg. These have allowed him to be mobile in his day-
to-day life. Despite the amputation of his right leg, john is very strong in his upper body and has high cardiovascular fitness. He recently joined the gym and wants an exercise program written by you. You have performed a pre-exercise screening and lifestyle questionnaire.
Evaluate the following questionnaire, and identify the gaps in John’s daily dietary intake using the Healthy Eating Guidelines. In your answer, you must outline the following:
Recommended servings of vegetables per day
Recommended servings of fruit per day
Recommended servings of grains per day
Recommended servings of meat per day
Recommended amount of water intake per day
Recommended servings/amount of sweets/sometimes food
Recommended serving of alcohol per day
Name John Ode
Sex
M
Address
132 Address St, City
D.O.B.
4/2/1950
Tel
0400 000 001
Email
jode@mail.con
In case of emergency, whom can we contact?
Joan Ode
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Lawyer
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1
2
3
4
5
6
7 x
8
9
10
How many hours’ sleep do you get every day?
6hrs
Are you currently involved in any exercise program? If yes, please list the duration, what type of exercises, and what intensity you participate at.
Rowing ergometer, stationary bike, resistance training
10
CS2 Client Screening Case Study v1.5 (2018/12/12)
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short
Overcome dizziness and nutrition guidance
Medium
Walking the great wall of China (overseas holiday)
Long
Maintain healthy lifestyle and continue with increased independence
Where are you now in relation to your goal/s?
Regularly training now need help with nutrition
What is the biggest challenge you must overcome in attaining your goal/s?
Need help with nutrition intake and overcoming unexplained dizziness
On a scale of 1 to 10 (1=not committed, 10=very committed), please rate how committed you are to achieving your goal/s.
1
2
3
4
5
6
7
8
9
10
x
Training preferences
When do you prefer to exercise?
Before work
Lunch time
Afternoon
Evening
x
How many days can you train per week?
1–2
2–3
3–4
x
4+
How long per session can you train?
<30 minutes
30–45 minutes
x
45–60 minutes
What type of exercise do you enjoy or prefer? Rower, stationary bike, resistance training
Do you follow, or have you recently followed, any specific dietary intake plan and, in general, how do you feel about your nutritional habits? I feel my dizziness is related to my poor intake of food. I need help to sort this out
11
CS2 Client Screening Case Study v1.5 (2018/12/12)
Daily dietary intake
Portions of milk, yoghurt, cheese: 1
Portions of vegetables, legumes, beans: 2
Portions of fruit: 1
Portions of meat, poultry, fish, eggs, tofu, nuts, seeds:
1
Portions of grain (cereal) foods: 3
Glasses of water: 6
Alcohol: 2
No. of cups of coffee/tea: 4
Glasses of Coke/soda: 2
Sweets: 2
Other: multivitamin tablets
Recommendations/advice
According to the Australian Dietary Guidelines for your age, I recommend you increase or reduce the servings to the following:
-Vegetables 5.5
-Fruit 2
-Grains 6
-Meats 2.5
-Glasses of water 10
-Limit sweets to 1
-Limit alcohol to 1 All information on this form is correct to the best of my knowledge. I have sought and followed any necessary medical advice.
Signature:
JO
Date:
14/11/2017
Task 3b
During the screening process, you mention to John that the reason for the dizziness he experiences at times could potentially be due to the lack of a balanced diet. You therefore recommend that he seek the guidance of a dietitian. The following exercise involves you planning the referral letter to the dietitian. You need to document the remaining compulsory information. Your task is to identify and document the six missing elements of information required for your referral letter.
Student must obtain client’s information from the lifestyle questionnaire in task 3a. If information is not supplied, it is therefore not required for the referral letter.
12
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CS2 Client Screening Case Study v1.5 (2018/12/12)
Mary Ramy
Dietitians are Us
321 Healthy St
Orange, NSW 2121
Dear Mary Ramy,
Re: Nutritional recommendations
Client name: John Ode
Client address:
124 Address St, City, Orange, 2121
Client DOB:
4/2/1950
My client John Ode has presented to my facility with the goal of increasing his strength and controlling/identifying the causes of his dizziness. After completing a daily dietary intake, I have identified that he requires nutrition advice. As nutrition advice is out of my scope of practice, can you please advise him on a balanced diet and discuss further the reasons for the dizziness?
John’s information and measurements recorded during the pre-exercise screening include the following.
Current Physical activity level
Sessions/week : 4
Notes: DURATION
Minutes/week:180 minutes
LEVEL OF EXCERCISE
Intensity: low/mod/high:
Moderate
Resting HR
65bpm
Resting BP
130/85
Weight
85kg
BMI
27.4
Waist Circumference
102cm
In response to John’s screening results, I am requesting your guidance in relation to his condition and to enable him to exercise safely and effectively.
I have supplied his daily dietary intake for your viewing.
Thank you seeing John.
Kind regards,
Fitness Instructor
13
14/11/2017
CS2 Client Screening Case Study v1.5 (2018/12/12)
14
CS2 Client Screening Case Study v1.5 (2018/12/12)
Task 4a Kate is a 55-year-old who has been menopausal for the last couple years and who has led a sedentary life. She recently joined the gym and wants an exercise program written by you. You have performed a pre-exercise screening and lifestyle questionnaire. Evaluate the following questionnaire, and identify the gaps in Kate’s daily dietary intake using the Healthy Eating Guidelines. In your answer, you must outline the following:
Recommended servings of vegetables per day
Recommended servings of fruit per day
Recommended servings of grains per day
Recommended servings of meat per day
Recommended amount of water intake per day
Recommended servings/amount of sweets/sometimes food
Recommended serving of alcohol per day
Name
Kate Keat
Sex
F
Address
142 Address St, City
D.O.B.
4/2/1962
Tel
0400 000 100
Email
etak@mail.con
In case of emergency, whom can we contact? None
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Semi-retired
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1
2
3
4 x
5
6
7
8
9
10
How many hours’ sleep do you get every day?
6hrs
Are you currently involved in any exercise program? If yes, please list the duration, what type of exercises, and what intensity you participate at.
Walking
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short
Increase energy levels and reduce body fat BMI
Medium
Doing a lot of walking on overseas holiday
Long
Maintain healthy lifestyle and continue with increased independence
Where are you now in relation to your goal/s?
At the start, need help with nutrition 15
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CS2 Client Screening Case Study v1.5 (2018/12/12)
What is the biggest challenge you must overcome in attaining your goal/s?
Need help with nutrition intake and sore lower back
On a scale of 1 to 10 (1=not committed, 10=very committed), please rate how committed you are to achieving your goal/s.
1
2
3
4
5
6
7
8
9
10 x
Training preferences
When do you prefer to exercise?
Before work
Lunch time x
Afternoon
Evening
How many days can you train per week?
1–2
2–3
3–4 x
4+
How long per session can you train?
<30 minutes
30–45 minutes x
45–60 minutes
What type of exercise do you enjoy or prefer? Rower, stationary bike, resistance training, boxing
Do you follow, or have you recently followed, any specific dietary intake plan and, in general, how do you feel about your nutritional habits? No
Daily dietary intake
Portions of milk, yoghurt, cheese: 1
Portions of vegetables, legumes, beans: 3
Portions of fruit: 1
Portions of meat, poultry, fish, eggs, tofu, nuts, seeds:
2
Portions of grain (cereal) foods: 2
Glasses of water: 3
Alcohol: 0
No. of cups of tea: 5–6 green tea
Glasses of Coke/soda: 0
Sweets: 1
Other: multivitamin tablets
Recommendations/advice
According to the Australian Dietary Guidelines for your age, I recommend you increase or reduce the servings to the following:
-Vegetables 5
-Fruit 2
-Grains 4
16
CS2 Client Screening Case Study v1.5 (2018/12/12)
-Meats 4
-Glasses of water 10
-Limit sweets to 1
17
CS2 Client Screening Case Study v1.5 (2018/12/12)
All information on this form is correct to the best of my knowledge. I have sought and followed any necessary medical advice.
Signature:
KK
Date:
14/11/2017
Task 4b
During the screening process, you mention to Kate that, for the nutrition advice she may need due
to both the menopause and her diet intake, seeking the guidance of a dietitian would be suitable. You are planning the referral letter to the dietitian, and you need to document the remaining compulsory information. Your task is to identify and document the body of the referral letter using the templates from the previous simulations. Student must obtain client’s information from the lifestyle questionnaire in task 4a. If information is not supplied, it is therefore not required for the referral letter.
Student must include in the body of the letter the following:
Client’s name
Client’s D.O.B.
Reason for referral
Screening/fitness appraisal results in the table
They must also outline methods of exercise that they plan to program for Kate’s exercise program.
18
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CS2 Client Screening Case Study v1.5 (2018/12/12)
Mary Ramy
321 Healthy St
Orange, NSW 2121
Dear Mary Ramy,
Re: Nutritional recommendations
Client name: Kate Keat
Client address:
124 Address St, City, Orange, 2121
Client DOB:
4/2/1962
My client Kate Keat has presented to my facility with the goal of increasing her energy levels and reducing body fat BMI. After completing a daily dietary intake I have identified he requires nutrition
advice. As nutrition advice is out of my scope of practice, can you please advise my client on a balanced diet and discuss further the reasons for increasing her energy levels.
Kate information and measurements recorded during the pre-exercise screening include the following.
Current Physical activity level
Sessions/week : 3
Notes: DURATION
Minutes/week: 90
LEVEL OF EXCERCISE
Intensity: low/mod/high:
Moderate
Resting HR
65bpm
Resting BP
Unknown
Weight
70kg
BMI
26.7
Waist Circumference
102cm
In response to Kate’s screening results, I am requesting your guidance in relation to her condition and to enable her to exercise safely and effectively.
I have supplied her daily dietary intake for your viewing.
Thank you seeing Kate.
Kind regards,
Fitness Instructor
19
Referral date: 14/11/2017
CS2 Client Screening Case Study v1.5 (2018/12/12)
Task 5.
Julian is a semi-retired professional who only works two days a week and recently joined the fitness facility. You are aware from the pre-exercise screening session that this is his first time joining a facility of this nature. You have noticed that Julian has been attending the facility in the afternoon peak periods and that, the last two times, he has left in a hurry and upset. You access Julian’s program card and observe that he has not completed his program in it’s entirely since joining the facility. Trying to piece the puzzle together with the information you have, you suspect that he is unable to access certain equipment due to the peak periods. You approach Julian the next time he attends the facility to discuss his potential unresolved concerns and seek a solution and plan of action. 1. Identify three communication strategies that you could implement when approaching Julian regarding your observations.
Be polite and ask Julian about the observations, Listen to Julian’s concerns, Make eye contact and use body language to re-assure your attention.
As you begin the conversation, Julian raises his voice and confirms your suspicions regarding accessing the equipment. Julian raises a point that he believes the facility is always in peak periods
and is not aware that there are quiet periods during mid-morning, lunch time, and early afternoon. 2. Identify one way you should respond to Julian when he raises his voice. Respectfully ask him to lower his voice in a calm manner, continue to listen and understand his concerns. Make Julian aware of the quieter periods for his consideration. 3. After Julian has confirmed your suspicions regarding access to equipment, identify two solutions from the information given in the scenario. -Discuss with Julian about his schedule during the quitter mid-morning, lunch time and early afternoon times
-Discuss alternative exercises that can be done during the peak hours dependent on his goals and if he cannot re-schedule his gym times
4. Julian is appreciative that you took the time to proactively support him and find a resolution. Provide the steps you would take to record the scenario and its resolution under client management
Make the club manager aware of the client and the incident.
Make note in the customer’s file about the incident detailing the concerns, the discussion and the customer satisfaction of the solution.
20
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