Expert Answer:ISSA Nutrition Limiting Factors Behavioral and Out

  

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Continuing with the case study, let’s now identify the client’s
outcome goals and assign behavior goals.
Your answers should be concise, complete, and typed in a Microsoft
Word document. When you are finished, upload the Word
document to be graded using the dropbox below.
This week’s assignment: (0 pts.)
Meet with your client to discuss his or her goals. From this
discussion determine a specific, measurable, and time-sensitive
outcome goal. Describe the step-by-step process you use and
ultimately the goal you and your client have established.
Next, identify the client’s limiting factors. Using these limiting
factors, develop behavior goals for your client that facilitate the
achievement of the outcome goal. Describe the step-by-step
process you use and ultimately the behavior goals that you and
your client have established.
Teacher response
Thanks Alyssa!
You did a good job breaking down your client’s goal while also
providing some key behavioral strategies to compliment the
limiting factors that you list. I would like to see more detail in
regard to important strategies including deadlines, realistic
expectations, motivations and keeping it both specific and
measurable based on the “picture of the client” you have (data
collected thus far). In terms of the level you placed your client at,
an analysis, on behavioral goals that you present to your client
would be useful to avoid issues with adherence, being
overwhelmed/frustrated, and discuss the stages or cycles that
these goals could be implemented in based off of your client’s
progress using the tools to measure that you discussed in your
previous assignment. Your limiting factors and behavioral goals
hit the key areas most people struggle with, but we want you to
be able to individualize this process, so that strategies (behavior
goals) are easier to identify and accomplish each day for your
specific client.
Remember, stay as specific as possible with your client’s behavior
goals, as this will improve efficacy
ION
PRO
Specialist in Fitness Nutrition
IS
FE
SS
IO
I
NAL D
V
Client Forms and Handouts
Actively certified ISSA Specialists in Fitness Nutrition
(SFNs) are granted permission to photocopy and distribute
these forms in accordance with their scope of practice.
Misrepresntation of ISSA credentials or other affiliation with the ISSA will result in
revocation of membership and possible criminal charges.
© 2009 International Sports Sciences Association
Physical Activity Readiness Questionnaire
A Questionnaire for People Aged 15 to 69
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very
safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you
are between the ages of 15 and 69, the Physical Activity Readiness Questionnaire (PAR-Q) will tell you if you should check with your doctor
before you start. If you are over 69 years of age and you are not used to being very active, check with your doctor.
Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check
YES or NO.
YES
NO


1. Has your doctor ever said that you have a heart condition and that you should only do physical








2. Do you feel pain in your chest when you do physical activity?
activity recommended by a doctor?
3. In the past month, have you had chest pain when you were not doing physical activity?
4. Do you lose your balance because of dizziness, or do you ever lose consciousness?
5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse
by a change in your physical activity?


6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or


7. Do you know of any other reason why you should not do physical activity?
heart condition?
YES to one or more questions
if
Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a
fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES.
you
answered
❑ You may be able to do any activity you want—as long as you start slowly and build up gradually. Or, you may need to
restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activities you wish to
participate in and follow his/her advice.
❑ Find out which community programs are safe and helpful for you.
NO to all questions
If you answered NO honestly to all PAR-Q questions, you can be
reasonably sure that you can:
❑ Start becoming much more physically active—begin slowly and
build up gradually. This is the safest and easiest way to go.
❑ Take part in a fitness appraisal—this is an excellent way to
determine your basic fitness so that you can plan the best way
for you to live actively. It is also highly recommended that you
have your blood pressure evaluated. If your reading is over
144/94, talk with your doctor before you start becoming much
more physically active.
DELAY BECOMING MUCH MORE ACTIVE:
❑ If you are not feeling well because of a temporary illness
such as a cold or a fever—wait until you feel better; or
❑ If you are or may be pregnant—talk to your doctor before
you start becoming more active
PLEASE NOTE: If your health changes so that you then answer YES to
any of the above questions, tell your fitness or health professional. Ask
whether you should change your physical activity plan.
Informed use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical
activity, and if in doubt after completion of this questionnaire, consult your doctor prior to physical activity.
NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal
or administrative purposes.
“I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.”
Elvis Corban
NAME: _____________________________________________________________________________
January 23, 2019
SIGNATURE: ________________________________________________________________________
DATE: ________________________________________
SIGNATURE OF PARENT: ______________________________________________________________
or GUARDIAN (for participants under the age of majority)
WITNESS:_____________________________________
Dorothy
NOTE: This physical activity clearance is valid for a maximum of 12 months form the date it is completed and
becomes invalid if your condition changes so that you would answer YES to any of the seven questions.
ParQ_SPN_0807
© 2009 International Sports Sciences Association
1015 Mark Avenue • Carpinteria, CA 93013
1.800.892.4772 (toll-free) • 1.805.745.8111 (international)
International Sports Sciences Association
© 2009 International Sports Sciences Association
www.ISSAonline.edu
Medical History and Present Medical Condition Questionnaire
Name
January 23,2019
Date
Elvis Corban
Page 1 of 3
In order for you to gain the most benefit from this program, we encourage you to answer all of the following questions. If you are uncomfortable
with answering a particular question, feel free to leave it blank. Please explain all YES answers at the end of this questionnaire.
PERSONAL MEDICAL HISTORY
Have you have ever had any of the following conditions?
Y
N
Y
N
Y
N
1. Allergies
11. Ulcer
21. Loss of consciousness
2. Loss of hearing
12. Heart attack
22. Epilepsy
3. Asthma
13. Heart murmur
23. Convulsions/seizures
4. Kidney disease
14. Positive stress test
24. Stroke
5. Prostatitis
15. Heart valve abnormality
25. Diabetes
6. Colitis
16. Angina
26. Thyroid trouble
7. Hepatitis
17. Heart failure
27. Anemia
8. Liver disease
18. High cholesterol
28. Eczema
9. Elevated liver enzyme test
19. High blood pressure
29. Cancer (including skin cancer)
10. Pancreatitis
20. Arthritis/Rheumatism
30. Sleep apnea
REVIEW OF SYMPTOMS
Do you currently have or have you recently had any of the following?
EYES, EARS, NOSE, THROAT
Y
N
Y
N
GENITO-URINARY
Y
N
31. Difficulty with night vision
40. Shortness of breath
45. Bladder trouble
32. Change in vision
41. Chronic or frequent cough
46. Blood in urine
33. Blurred or double vision
42. Brown/Blood-tinged sputum
47. Irregular vaginal bleeding
34. Bleeding gums
43. Chest tightness
48. Currently pregnant
35. Frequent nosebleeds
44. Wheezing
36. Frequent sinus trouble
49. Difficulty starting or stopping
urination
37. Recent Hoarseness
50. Urinating 3 times per night
38. Ringing/Buzzing ears
51. Frequent or painful urination
39. Earaches
52. Problems with sexual function
GASTROINTESTINAL
Y
PULMONARY
N
CENTRAL NERVOUS SYSTEM
Y
N
HEART/VASCULAR
Y
N
53. Vomited blood
63. Fainting spells
71. Palpitation (irregular heartbeat)
54. Persistent diarrhea
64. Recurrent dizziness
72. Pain or discomfort in chest
55. Persistent constipation
65. Frequent headaches
73. High cholesterol
56. Frequent abdominal pain
66. Tremors
74. Swelling of feet
57. Frequent nausea
67. Memory loss
75. Leg pain while walking
58. Frequent indigestion/heartburn
68. Loss of coordination
76. Painful varicose veins
59. Black/Bloody bowel movement
69. Difficulty concentrating
60. Hemorrhoids
70. Numbness/Tingling extremities
61. Trouble swallowing
62. Hernia
MUSCULOSKELETAL.
Y
N
MISCELLANEOUS
Y
N
Y
N
77. Back trouble/pain
81. Bleeding/Bruising easily
86. Night sweats
78. Neck trouble/pain
82. Enlarged glands
87. Undesired weight loss
79. Joint injury/pain/swelling
83. Rashes
88. Snoring
80. Carpal tunnel syndrome
84. Unexplained lumps
89. Difficulty sleeping
85. Chronic fatigue
90. Low blood sugar
Please note: possession of this form does
not indicate that its
distributor is actively
certified with the
ISSA. To confirm certification status, please
call 1.800.892.4772
(1.805.745.8111 international). Information
gathered from this
form is not shared
with ISSA. ISSA is not
responsible or liable
for the use or incorporation of the information contained in
or collected from this
form. Always consult
your doctor concerning your health, diet,
and physical activity.
1015 Mark Avenue • Carpinteria, CA 93013
1.800.892.4772 (toll-free) • 1.805.745.8111 (international)
© 2009 International Sports Sciences Association
www.ISSAonline.edu
International Sports Sciences Association
Medical History and Present Medical Condition Questionnaire
Name
Page 2 of 3
Elvis Corban
ADDITIONAL HEALTH AND LIFESTYLE QUESTIONS
Please answer the following questions honestly:
Y
N
91. Are you experiencing any stresses, mood problems, relationship difficulties, or substance-related problems for which you would like
resource or referral information on a confidential basis?
92. Do you occasionally use or are you currently taking any prescription or over-the-counter medications? List name, dosage, and the
reason the medication is used on the next page.
93. Have you had any surgical operations in the last 10 years?
94. Has anyone in your immediate family developed heart disease before the age of 60?
95. Do any diseases run in your family?
96. Do you currently have a cold/cough, or have you had any in the last two weeks?
97. Have you ever been hospitalized? If yes, list date, length of stay, and reason on the next page.
98. Are you currently under a doctor’s care? If yes, please describe what you are being treated for on the next page.
99. Have you had a change in the size or color of a mole, or a sore that would not heal in the past year?
100. Do you have any special concerns regarding your health that you would like to discuss with the doctor?
101. Are you a current cigarette smoker?
A. How many packs of cigarettes do you smoke a day? _________
B. How long have you been smoking? _________
102. Are you an ex-smoker?
A. How many years did you smoke? _________
B. How many packs a day? _________
C. When did you quit? _________
103. Have you used chewing tobacco or smoked cigars/pipe in the last 15 years?
No
no
104. I drink ____ beers _____ ounces of hard liquor _____ ounces of wine per week.
October
2017
December Pneumovax ___________
105. When were your most recent immunizations? Tetanus _________ Flu shot ___________
106. When were you most recent health maintenance screening tests?
N/A
N/A
N/A
1.4 mmol/L PSA (Prostate) _________
N/A
Cholesterol 2016
_________ Results? _________
Results? _________
Mammogram _________
Results? _________
N/A
N/A
N/A
N/A
Sigmoidoscopy _________
Results? _________
Pap Smear _________
Results? _________
107. Describe any hobbies or recreational activities that have exposed you to noise, chemicals, or dust:
Hiking, electronic music production, skating, playing video games, attending music concerts,
108. Please describe typical weekly exercise or physical activities including any exercise at work:
50 push-ups a day, 200 pull-ups a week, cycling twice per week,
109. My current diet could be best characterized as (check all that apply):
____ Low fat
___ Low carb
___ High protein
___ Vegetarian/Vegan
____No special diet
Please note: possession of this form does
not indicate that its
distributor is actively
certified with the
ISSA. To confirm certification status, please
call 1.800.892.4772
(1.805.745.8111 international). Information
gathered from this
form is not shared
with ISSA. ISSA is not
responsible or liable
for the use or incorporation of the information contained in
or collected from this
form. Always consult
your doctor concerning your health, diet,
and physical activity.
1015 Mark Avenue • Carpinteria, CA 93013
1.800.892.4772 (toll-free) • 1.805.745.8111 (international)
International Sports Sciences Association
© 2009 International Sports Sciences Association
www.ISSAonline.edu
Medical History and Present Medical Condition Questionnaire
Name
Page 3 of 3
Elvis Corban
Please Explain All YES Answers Here. List the question number, and add details.
QUESTION NUMBER DETAILS AND DATES OF OCCURRENCE
1
I have an allergic reaction to drugs that contain sulphur and pollen
55
I usually undergo days where constipation is a problem and then it disappears for a few days then starts again
58
heartburn occurs on a regular basis for me, I usually try to avoid foods that I have identified but it still persists
60
hemorrhoids develop sometimes but not regularly
65
constant headaches, occurs on the forehead and left side of the head
78
I experience strains on the left side of the neck during the day
84
I have a lump on the upper side of my wrist which appears and disappears regularly
86
Sometimes I sweat at night especially when I’m working on a project for work
91
Recently started a design project for a client with a tight deadline and other commitments are getting affected
95
There is a history of diabetes and arthritis in my family, my grandma
89
It usually takes me a long time, usually an hour after being in bed to sleep
Please note: possession of this form does
not indicate that its
distributor is actively
certified with the
ISSA. To confirm certification status, please
call 1.800.892.4772
(1.805.745.8111 international). Information
gathered from this
form is not shared
with ISSA. ISSA is not
responsible or liable
for the use or incorporation of the information contained in
or collected from this
form. Always consult
your doctor concerning your health, diet,
and physical activity.
© 2009 International Sports Sciences Association
1015 Mark Avenue • Carpinteria, CA 93013
1.800.892.4772 (toll-free) • 1.805.745.8111 (international)
© 2009 International Sports Sciences Association
www.ISSAonline.edu
International Sports Sciences Association
Comprehensive Client Information Sheet
Name
Page 1 of 3
Date
Elvis Corban
January 23, 2019
Instructions
This is your comprehensive client information sheet. With this sheet, we will ask you to provide some relevant personal information. The answers to these questions are essential in order to allow us to design an optimized individual fitness program for you.
Please answer all questions in the most accurate manner possible while being as concise as possible.
Disclaimer
Please recognize the fact that it is your responsibility to work directly with your physician before, during, and after seeking
fitness consultation. As such, any information provided is not to be followed without the prior approval of your physician. If
you choose to use this information without the prior consent of your physician, you are agreeing to accept full responsibility
for your decision.
Basic Information
Male 2) What is your age? 26
3) What is your date of birth (month/day/year)?
4) What is your height? 5 feet 9 inches
5) What is your weight (measured as of this morning)? 160 lbs
6) What is your body fat percentage (have this taken before submitting this sheet)? 20 percent
12/19/1993
1) What is your gender?
7) Please provide the following skinfold measures (mm).
Abs
Triceps
Chest
Mid-axillary
1.7 mm
2.5 mm
18 mm
16 mm
Subscapular
8) Please provide the following girth measurements (in or cm).
2.5 mm
14 mm
15 mm
Suprailiac
Thigh
Neck
Shoulder
Waist
Thigh
15.in
17 in
31 in
19 in
Chest
34 in
12.6 in
36 in
14 in
Biceps
Hips
Calf
9) What are your specific goals (rank these goals according to importance with 1 being the most important and 8 being the least)?
Improved health
1
Increased strength
Improved endurance
Sport specific*
2
3
Increased muscle mass
8
Increased power
5
6
Fat loss
4
Weight gain
7
*Please provide the sport or athletic event you are training for:
10) Is there a specific timeline for achieving a specific goal?
I don’t have immediate plans for a sporting event
I would like to have increased muscle in 6 or so months
11) Circle which of the two are of greater importance:
a. Immediate progress that’s less easily maintained
Please explain:
b. Maintainable progress that may not be as rapid
Since I’m not training for a particular event, I only want to maintain a fit frame and
be healthy. I want the results to be for the long term.
Exercise Information
12) Rate your ability in the following exercises (check the box that corresponds with your ability):
Exercises:
Advanced
Intermediate
Novice
Unfamiliar
Compound movements
Barbell squats
Barbell deadlift
Barbell bench press
Bent-over barbell row
Barbell Shoulder Press
Pull-up
Barbell hack squat
Olympic movements
Snatch
Clean
13) Are you currently exercising regularly (at least 3x per week)? circle one
YES
If you answered YES, continue on to question 14.
NO
If you answer NO, continue on to question 18.
14) How long have you been consistently doing so without a break?
Please note: possession of this form does
not indicate that its
distributor is actively
certified with the
ISSA. To confirm certification status, please
call 1.800.892.4772
(1.805.745.8111 international). Information
gathered from this
form is not shared
with ISSA. ISSA is not
responsible or liable
for the use or incorporation of the information contained in
or collected from this
form. Always consult
your doctor concerning your health, diet,
and physical activity.
1015 Mark Avenue • Carpinteria, CA 93013
1.800.892.4772 (toll-free) • 1.805.745.8111 (international)
© 2009 International Sports Sciences Association
www.ISSAonline.edu
International Sports Sciences Association
Comprehensive Client Information Sheet
Name
Page 2 of 3
Elvis Corban
15) On the following chart, fil …
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