P lan How they are going to get active and stay active Ask them about

P lan how they are going to get active and stay

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P lan How they are going to get active and stay active. Ask them about conditions they may have, meds, fears, etc. Assessment Seniors Fitness Test: Human Kinetics - Tested against gold standard measures (lab measures) - Easily administered in any setting. - Provides u with reference values to be able to compare the results with standards (to know what areas u need to work on, etc.) Cardiovascular Risks In individuals under age 40 years, exercise-related cardiovascular events are largely a result of congenital cardiovascular abnormalities. In patients over 40 years of age, CAD is the predominant cause of adverse cardiovascular events, due to its higher prevalence with advancing age.
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Engaging in cardiovascular activity = putting yourself at greater risk for an adverse cardiovascular event = 0.01% risk. Under 40, usually due to congenital abnormality, not easily screened. Manifests itself before 40, especially if engaging in vigorous activity. Over 40 risk for cardiovascular event is due to having a heart attack while exercising. In OA over 75, engaging in vigorous activity = risk increases a little bit. But benefits outweigh risks. Studies of risk associated with exercise in supervised environments, like cardiac rehabilitation, while not zero, are very small (of having another heart attack). Risk is higher = 11%. They are already in cardio rehab – so they have a higher risk to begin with. How to reduce risk? To influence their QOL. Cardiovascular screening. Exclude high risk subjects from vigorous exercise. (can still do light or mod, usually done in supervised setting). Cardiac rehabilitation. Exercise Related Injuries and Older Adults Are older adults at an increased risk for exercise related injuries? You have to take it easy or you will get injured, have to be supervised, etc. Answer = no (not higher in OA). you aren’t at an increased risk. It’s the same for younger people too at 16% chance of being injured . Change this perception = this is a barrier for OA’s to exercise. 23/167 reported an injury = 14% You can reduce rate a little. But it has more to do with type of exercise, not b/c it’s an OA. Type : Overuse muscle strain (type to cause more risk of injury, most often = male being over- zealous at the gym, has to do with technique issues). Activity : Walking (modality they would get injured the most. Walking is what they liked to do, but it’s what they are most able to do too). Location : Walking path/sidewalk Severity : 70% (of the 23) required medical attention 44% were not able to continue in their exercise routine. Severity was not related to being old, it was just due to rest time they needed. Environmental Factors & Risks for Older Adults Increases the risk of heat-related illnesses such as heat stroke, heat exhaustion, and heat cramps. OA have harder time temperature-regulating like in extreme cold or warm env’ts. Older adults should take precautionary measures on hot and humid days and should refrain from strenuous outdoor physical activities.
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  • Summer '19
  • Aerobic exercise, strength training

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