Dean Hancock
201 Fearns Avenue
Bradwell
Newcastle
Staffordshire
ST5 8NN
Email deanhancockdh8@hotmail.co.uk
Daytime No: 01782 660 610
Mobile No: 07786 540 626
Course Details: Manchester, Davy Hulme 14 – 18th September 2009
Lecturer: Gavin Loze
Exercise Referral Foundation Course Assessment 2: Case Study Report
1. Summary of the client details
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Additional Information
BMI 29
BF 31%
Weight 85kg
Peak Flow 400
BMD 2.5 SD Norm (vertebrae, Wrist)
TYPE 1 Osteoporosis
Smoking (10 per day) decided to stop
Sedentary lifestyle
Poor diet
Low self efficacy
Low self esteem
2. Medical conditions
Hypertension (HTN)
Blood pressure is the pressure the blood exerts on the artery walls. The pressure increases when the heart contracts and decreases as the heart relaxes. Systolic blood pressure (SBP) is the pressure exerted during the contraction phase of the heart where as diastolic blood pressure (DBP) is the pressure exerted when the heart relaxes. This pressure is recorded as SBP over DBP and is measured in millimetres of mercury Lawrence (2006). The British Hypertension Society has classified levels of BP as highlighted below in Table 1. As blood flows it has to overcome various variables including that of total peripheral resistance (TPR) which may include fatty deposits. Internal forces may stop the rate of flow and cause pressure to rise and over time without lifestyle changes and PA can ultimately lead to clotting and heart attack (MI)
HTN or high blood pressure (HBP) can be defined as “having a sustained blood pressure of 140/90mmHg or above”. The implications for having such a condition can be very serious. HBP if not controlled or ignored can lead to other issues such as the development of CHD. Individuals who have a BP > 160/95mmHg have up to a 300% higher incidence rate for developing such heart conditions when
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