ELEMENT

PERFORMANCE CRITERIA

1. Consult with referred clients presenting with stable metabolic conditions.

1.1. Receive exercise referral from an accredited exercise physiologist or relevant medical or allied health professional.

1.2. Confirm exercise referral has sufficient detail to allow flexibility for modifications to accommodate progression of the client.

1.3. Become familiar with typical adverse signs and symptoms that may arise during exercise for this pathology.

1.4. Consult with a relevant medial or allied health professional as necessary.

1.5. Discuss with the client their complete exercise history and their metabolic condition and co-morbidities and record information according to relevant legislation and organisational policies and procedures.

1.6. Explain the physiology of the metabolic condition and associated risk factors to the client in simple terms and confirm client understanding.

1.7. Explain to the client the causes and consequences of the different components of the metabolic condition in the context of their effect on exercise capacity and condition.

1.8. Explain to the client the role of physical activity in managing metabolic conditions and enhancing health.

1.9. Confirm the outcomes of goals and needs analysis in collaboration with the client and the medical or allied health professionals if appropriate.

1.10. Explain to the client their need to be referred back to a medical or allied health professional if their condition becomes unstable.

1.11. Identify any potential barriers to exercise and discuss methods to enhance exercise adherence with the client.

1.12. Clarify any areas of concern with the referring accredited exercise physiologist, or relevant medical or allied health professional in conjunction with the client.

1.13. Obtain the informed consent of the client and maintain the client's records according to relevant legislation and organisational policies and procedures.

2. Deliver prescribed exercise programs.

2.1. Undertake appropriate fitness assessments as required.

2.2. Work with medical or allied health professionals to deliver an exercise plan in accordance with recognised exercise recommendations, fitness test results, client limitations, and potential interactions of medications.

2.3. Explain to the client the role of muscular conditioning, and the reasons for their inclusion as part of the client's exercise prescription.

2.4. Apply instructional techniques to ensure safe and appropriate application of the exercise program by the client.

2.5. Explain to the client the exercise variables to be delivered in the context of managing their specific metabolic conditions.

2.6. Demonstrate the safe and appropriate use of selected exercise equipment and report or address any unsafe equipment according to organisational policies and procedures.

3. Monitor and review clients responses to the prescribed exercise program

3.1. Monitor perceived exercise intensity and make adjustment as required.

3.2. Assess the client's performance and explain and correct any unsafe exercise procedures.

3.3. Monitor client responses for any typical signs and symptoms requiring intervention that may occur during exercise.

3.4. Apply procedures to respond to signs and symptoms requiring intervention as required according to relevant legislation and organisational policies and procedures.

3.5. Recognise signs of an unstable condition and refer the client back to a relevant medical or allied health professional.

3.6. Report outcomes to the referred source as well as the client.

3.7. Revise the client's record and advise the referral source of suggested changes to the exercise program if required.

4. Provide advice regarding additional lifestyle modifications to enhance the management of the condition.

4.1. Obtain information about the client's current lifestyle.

4.2. Identify to client appropriate and non-appropriate methods of managing body composition.

4.3. Explain to the client the negative health effects of poor management of body composition.

4.4. Provide information in accordance with healthy eating guidelines to improve general health and enhance the management of the metabolic condition.

4.5. Discuss the physiological mechanisms of decreasing adipose tissue in a method that is understandable to the client.

4.6. Explain the importance of healthy eating for body composition management to the client.

4.7. Explain the effect of exercise on management of body composition.

4.8. Recommend other lifestyles changes to improve current disease status.

4.9. Discuss possible barriers to behaviour change and implementation of healthy eating practices.

5. Apply extensive knowledge of the anatomy and physiology of the endocrine system to the delivery of exercise programs for moderate risk clients

5.1. Apply knowledge of the structure and function of the endocrine system to the delivery of exercise for relevant medical conditions or injuries.

5.2. Apply knowledge of the effects ofhormoneson metabolism and energy production when providing information to clients regarding exercise, healthy eating and body composition management.

5.3. Explain the interrelationship between the nervous system and the endocrine system to control body systems to moderate risk clients.

5.4. Explain the effects of some of the medical conditions and disorders on homeostasis of the endocrine system.

6. Apply knowledge of the structure and function of the digestive system when providing advice about healthy eating and body composition to moderate risk clients

6.1. Explain clearly the structure and function of the digestive system when providing advice relating to healthy eating, metabolism and body composition management to clients.

6.2. Use an understanding of the process of digestion and absorption of food in relation to energy production when providing information to clients.