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The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included. |
Medical or allied health professional may include: | sports physician sports doctor general practitioner physiotherapist accredited exercise physiologist occupational therapist remedial massage therapist chiropractor osteopath accredited practising dietician psychologist aboriginal health worker. |
Client may include: | older sedentary overweight and obese presenting with additional medical or psychological conditions. |
Metabolic condition must include: | dyslipidaemias obesity hyperglycaemia hyperinsulinaemia pre-diabetes hyperparathyroidism diabetes Type I or Type II: controlled polycystic ovary Hyperthyroidism and or Graves Disease Hypothyroidism |
Relevant legislation may include: | Occupational Health and Safety duty of care privacy codes of practice fair trading. |
Organisational policies and procedures may include: | Occupational Health and Safety emergency procedures risk management use of client record systems collection and use of client information equipment use and maintenance client supervision incident reporting client screening procedures client referral procedures. |
Risk factors may include: | family history such as diabetes smoking hypertension; systolic blood pressure of =140 mm hg or diastolic =90 mm hg confirmed by measurement on at least two separate occasions, or taking any antihypertensive medication hypercholesterolaemia; total serum cholesterol of >200 mg/dl [5.2 mmol/l] or high density lipoprotein cholesterol of <35 mg/dl [0.9 mmol/l], or on lipid-lowering medication impaired fasting glucose; fasting blood glucose of =110mg/dl confirmed by measurements on at least 2 separate occasions obesity; body mass index of =30kg/m2 or waist girth of > 100cm for males, = 88cm for women or waist/height ration of = 0.5 cm sedentary lifestyle; persons not participating in a regular exercise program or accumulating 30 minutes or more of moderate physical activity most days of the week heart conditions. |
Goals and needs analysis may include: | timeframes appropriate exercise program adjustments barriers motivation. |
Methods to enhance exercise adherence may include: | rewards for attendance and participation statement of intent perceived choice goal setting. |
Potential barriers may include: | perceived versus actual barriers initial low fitness level and probable overweight or obesity time and access to facilities self-consciousness in client concerns for health. |
Fitness assessment may include: | range of movement strength girth measurements body mass. waist to height ratio. |
Muscular conditioning may include: | muscular strength muscular power muscular endurance. |
Records may include: | electronic hand written. |
Exercise program may include: | exercise selection exercise sequence exercise variety logical progression. |
Exercise equipment may include: | cardiovascular equipment: stepper rowing machine stationary bicycle treadmill free weight equipment resistance training machines hydraulic machines aquatic equipment resistance bands. |
Monitor client responses may include: | rating of perceived exertion (RPE) heart rate measures 'talk test' possible fluctuations in blood glucose levels and dehydration. |
Symptoms requiring intervention may include: | shortness of breath at rest or with mild exertion dizziness or syncope orthopnea or paroxysmal nocturnal dyspnea palpitations or tachycardia symptoms of hypoglycaemia and hyperglycaemia intermittent claudication unusual fatigue or shortness of breath with usual activities illness or sickness unaccustomed lack of functional strength soreness or strain pain on movement of any body part. |
Procedures to respond to symptoms requiring intervention must include: | cessation of activity first aid emergency medical assistance referral. |
Signs of unstable condition may include: | fatigue and weakness cardiac pain breathlessness oedema palpitations claudication pain dizziness. |
Negative health effects may include: | eating disorders: bulimia anorexia obesity diabetes hypertension cardiovascular disease cancer joint degeneration. |
Lifestyle modifications may include: | moderation of alcohol consumption cessation of smoking increased incidental activity stress reduction provision of health eating guidelines provision of healthier choices. |
Endocrine system may include: | role and function of the endocrine system endocrine glands pituitary adrenal parathyroid pancreas gonads thymus hormones types hormone transport in the blood hormone action control of hormone action control of hormone secretion abnormal secretion role of endocrine system in stress and disease effects of ageing on the endocrine system disorders or homeostatic imbalances diabetes. |
Hormones may include: | human growth hormone anti-diuretic hormone (vasopressin) calcitonin aldosterone insulin. |
Nervous system may include: | divisions: central nervous system peripheral nervous system: somatic nervous system autonomic nervous system central nervous system: brain spinal cord peripheral nervous system: cranial nerves spinal nerves peripheral nerves plexus neurons: afferent efferent motor sensory histology of nerve tissue: neuron: axon dendrites nucleus cell body node of ranvier neurilemma myelin sheath scwann cell neuroglia brain: structure brain stem cerebral hemispheres ventricles cranial nerves meninges cerebrospinal fluid blood supply: sensory areas and pathways motor areas and pathways nerve impulses: resting membrane potentials graded potentials action potentials refractory period subthreshold stimulation all or none law summation: spatial temporal neuromuscular transmission: neuromuscular junction transmission synaptic transmission: synapse excitation at synapse inhibition at synapse spinal reflexes: reflex arc receptors reflex action types of reflexes spinal cord: structure spinal nerves peripheral nerves: cervical plexus brachial plexus lumbosacral plexus regeneration and repair of nervous tissue effects of ageing on the nervous system disorders of the nervous system: multiple sclerosis epilepsy nerve injuries cerebrovascular accident sensory receptors: interoreceptors exteroreceptors sensory organs: eye: structure accessory organs vision: formation of image proprioreceptors: visual acuity visual fields visual pathways visual defects ear: structure hearing conduction of sound auditory pathway hearing defects equilibrium |
Moderate risk clients may include: | chronic disease state medical condition or injury under prescribed medication symptoms of cardiorespiratory disease those identified by medical or allied health professionals older and sedentary. |
Digestive system may include: | structure: mouth oesophagus stomach small intestine large intestine rectum anus sphincters glands: salivary glands pancreas liver gall bladder blood supply innervation role in energy production digestion: breakdown motor functions: mastication peristalsis segmentation deglutition gastric motility intestinal motility secretion of enzymes secretion of juices enzymes: secretion function absorption: carbohydrate lipids protein water and electrolytes vitamins chemical composition of foods metabolism of foodstuffs: oxidation of food by-products storage regulation of metabolism: choice of metabolic pathway carbohydrate metabolism fat metabolism protein metabolism |
Medical conditions and disorders may include: | conditions affecting the endocrine system: diabetes conditions affecting the nervous system: retinopathy peripheral neuropathy quadriplegia paraplegia cerebral palsy muscular dystrophy Parkinson's disease |