CS2 Client Screening Case Study

CS2 Client Screening
Case Study v1.5 (2018/12/12)
CS2 Client Screening
Name
Email address
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Case StudyNote: please keep a copy of this assessment as it will be required in further
assessments.
Task 1a
What follows is Mario’s lifestyle questionnaire. Review the daily dietary intake
section, and make recommendations in line with the Healthy Eating Guidelines.
In your answer, you must outline the following:
 Recommended servings of vegetables per day
 Recommended servings of fruit per day
 Recommended servings of grains per day
 Recommended servings of meat per day
 Recommended amount of water intake per day
 Recommended servings/amount of sweets/sometimes food
 Recommended serving of alcohol per day
Name: Mario Javier Mendes Sex M
Addres
s
123 Address St, City, Orange
2121
D.O.B. 4/2/1960
Tel [phone] Email [e-mail]
In case of emergency, whom can we
contact? Maria Mendes
Occupation: Please explain your position along with the physical and mental
responsibilities involved.
Business owner
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are
on a daily basis.
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
1 2 3 4 5 6 7 8 x 9 10
How many hours’ sleep do you get every
day? 6hrs
Are you currently involved in any exercise program? If yes, please list the duration,
what type of exercises, and what intensity you participate at.
just walking low intensity
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short Get food under control and reverse type 2 diabetes
Medium Increase cardiovascular fitness
Long Maintain healthy lifestyle
Where are you now in relation to your
goal/s?
At the start
What is the biggest challenge you must overcome in attaining your goal/s?
Preparing food and lack of knowledge
On a scale of 1 to 10 (1=not committed, 10=very committed), please rate how
committed you are to achieving your goal/s.
1 2 3 4 5 6 7 8 x 9 10
Training preferences
When do you prefer to exercise?
Before work x Lunch time Afternoon Evening
How many days can you train per week?
1–2 2–3 3–4 4+ x
How long per session can you train?
<30 minutes 30–45 minutes x 45–60 minutes
What type of exercise do you enjoy or
prefer?
I am open to new exercises and
activities
Do you follow, or have you recently followed, any specific dietary intake plan and, in
general, how do you feel about your nutritional habits?
I need help and advice of what to eat
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
Daily dietary intake
Portions of milk, yoghurt, cheese:
1
Portions of vegetables, legumes, beans:
2
Portions of fruit:
1
Portions of meat, poultry, fish, eggs,
tofu, nuts, seeds:
1
Portions of grain (cereal) foods:
5
Glasses of water:
7
Alcohol:
0
No. of cups of coffee/tea:
3
Glasses of Coke/soda:
2
Sweets:
2
Other:
Recommendations/advice
All information on this form is correct to the best of my knowledge. I have sought
and followed any necessary medical advice.
Signatur
e:
MM Date
:
14/11/2017
Task 1b
During the screening process, you suggest to Mario that the support and
advice that he requires is above your scope of practice. You mention to Mario
that a referral to an allied health professional is required.
You are to review the referral letter and document the two missing pieces of
information that is compulsory before sending it to the allied health
professional.
1. BMI
2. Current medication and medication history
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
Mary Ramy
Dietitians are Us
Orange, NSW 2121
Dear Mary Ramy,
Re:
Client name: Mario Javier Mendes
Client address: 123 Address St, City, Orange, 2121
Client DOB: 4/2/1960
My client Mario Mendes has presented to my with the goal of increasing his
cardiovascular fitness and controlling his type 2 diabetes. As the second goal is
out of my scope of practice, can you please advise Mario on the nutritional
advice he will need to make this goal realistic and achievable?
Mario’s information and measurements recorded during the pre-exercise
screening include the following:
Current Physical
activity level
Sessions/
week: 5
Notes:
Minutes/week:
150
Intensity: low
Resting HR 65BPM
Resting BP 135/82
Weight 79kg
BMI
Waist Circ 91cm
In response to Mario’s screening results, I am requesting your guidance in
relation to his condition to enable me/us to ensure the delivery of a safe and
effective exercise program.
Based on Mario’s goals, I intend to have him commence an exercise program
consisting of low/moderate-intensity resistance and cardiovascular training
sessions for 30 minutes at a time.
Thank you for seeing Mario. I look forward to speaking with you further
regarding your advice.
Kind regards,
Fitness Instructor
4
Date: