CS2 Client Screening Case Study: Health and Fitness Assessment

This document presents a comprehensive case study focused on client screening and fitness assessment, providing a detailed analysis of three different client scenarios. The case studies involve reviewing lifestyle questionnaires, evaluating daily dietary intake against healthy eating guidelines, and making recommendations for improvement. The assignment requires the identification of gaps in clients' nutritional habits and the creation of referral letters to allied health professionals when necessary. The solutions demonstrate the ability to apply knowledge of fitness assessment, nutritional guidelines, and the scope of practice for fitness professionals. The case studies cover diverse client needs, including individuals with type 2 diabetes, vegan diets, and physical disabilities, emphasizing the importance of personalized exercise programming and appropriate referrals for comprehensive client care.

CS2 Client Screening
Case Study v1.5 (2018/12/12)
CS2 Client Screening
Name
Email address
Assessment
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Case Study
Note: 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
Address 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.
1 2 3 4 5 6 7 8 x 9 10
How many hours’ sleep do you get every day?
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
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.
Signature: 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
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Date:

CS2 Client Screening
Case Study v1.5 (2018/12/12)
Task 2a
What follows is Alison’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 Alison Nosila Sex F
Address 124 Address St, City D.O.B. 2/2/1957
Tel [phone] Email [e-mail]
In case of emergency, whom can we contact? Allen Nosila
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Part time primary teacher
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1 2 3 4 5 6 7 8 9 x 10
How many hours’ sleep do you get every day? 7hrs
Are you currently involved in any exercise program? If yes, please list the duration, what type of
exercises, and what intensity you participate at.
swim, cycle, and run (triathlon training); resistance training
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short Overcome unexplained fatigue, and personalised support and training
with resistance sessions
Medium Compete in upcoming Mooloolaba triathlon in April
Long Maintain healthy lifestyle and continue to compete in Olympic distance
triathlons
Where are you now in relation to your goal/s?
Regularly training need help with unexplained fatigue
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
What is the biggest challenge you must overcome in attaining your goal/s?
Need help with food management and overcoming unexplained fatigue
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 9 10 x
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 45–60 minutes x
What type of exercise do you enjoy or prefer?
Swim, cycle, and run (triathlon training); resistance training
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 as I am on a vegan diet
Daily dietary intake
Portions of milk, yoghurt, cheese: 1
Portions of vegetables, legumes, beans: 3
Portions of fruit: 2
Portions of meat, poultry, fish, eggs, tofu, nuts,
seeds: 1
Portions of grain (cereal) foods: 3
Glasses of water: 10
Alcohol: 1
No. of cups of coffee/tea: 3
Glasses of Coke/soda: 1
Sweets: 1
Other: protein bar x 1
Recommendations/advice
All information on this form is correct to the best of my knowledge. I have sought and followed any
necessary medical advice.
Signature: AN Date: 14/11/2017
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
Task 2b
From your findings of Alison’s pre-exercise screening and lifestyle questionnaire, and as a fitness
instructor, who are the two allied health professionals or fitness professionals whom you will
need to refer Alison to for further advice and support?
In your answer, you will need to justify why you have chosen these professionals.
The student must select two AHP’s in line with Alison’s goals.
1. General physician to recommend a specific healthcare professional .
2. Nutritionist to fix a specific diet for better muscle recovery
Task 2c
You have identified the allied health professionals or fitness professionals whom you need to refer
Alison to. You are now required to complete the following referral letter by choosing one of these
professionals and documenting the missing compulsory information therein.
In your answer, you must outline the following:
 Student can use imaginary name/details for the fitness professional chosen.
 Student must obtain client’s information from the lifestyle questionnaire in task 2a. If
information is not supplied it is not required for the referral letter.
 Student must identify client’s specific dietary requirements within the referral letter.
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
AHP name:
AHP business name:
321 Healthy St, Orange, NSW 2121
Dear ,
Re:
Client name:
Client address: 124 Address St, City, Orange, 2121
Client DOB:
My client has presented to my facility
with the goal of increasing her/his
and controlling her/his .
As these goals are out of my scope of practice, can you please advise my client on the
he/she will need to make this
goal realistic and achievable?
Alison’s information and measurements recorded during the pre-exercise screening include the
following:
Current physical
activity level
Sessions/week Notes:
Minutes/week
Intensity: low/mod/high
Resting HR 70
Resting BP 125/85
Weight
BMI
Waist Circumference N/A
In response to Alison’s screening results, I am requesting your guidance in relation to her condition
and to enable her to exercise safely and effectively without unexplained fatigue.
I have supplied her daily dietary intake for your viewing.
Thank you for seeing Alison.
Kind regards,
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Referral date:

CS2 Client Screening
Case Study v1.5 (2018/12/12)
Fitness Instructor
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
Task 3
John is a 67-year-old man who is fiercely independent. Since a terrible car accident in his early life,
he has made use of crutches and a prosthetic leg. These have allowed him to be mobile in his day-
to-day life. Despite the amputation of his right leg, john is very strong in his upper body and has
high cardiovascular fitness. He recently joined the gym and wants an exercise program written by
you. You have performed a pre-exercise screening and lifestyle questionnaire.
Evaluate the following questionnaire, and identify the gaps in John’s daily dietary intake using 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 John Ode Sex M
Address 132 Address St, City D.O.B. 4/2/1950
Tel [phone] Email [e-mail]
In case of emergency, whom can we contact? Joan Ode
Occupation: Please explain your position along with the physical and mental responsibilities involved.
Lawyer
On a scale of 1 to 10 (1=not active, 10=very active), please rate how active you are on a daily basis.
1 2 3 4 5 6 7 x 8 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.
Rowing ergometer, stationary bike, resistance training
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CS2 Client Screening
Case Study v1.5 (2018/12/12)
Goal setting
Please list three fitness/health-related goals (using the SMART acronym)
Short Overcome dizziness and nutrition guidance
Medium Walking the great wall of China (overseas holiday)
Long Maintain healthy lifestyle and continue with increased independence
Where are you now in relation to your goal/s?
Regularly training now need help with nutrition
What is the biggest challenge you must overcome in attaining your goal/s?
Need help with nutrition intake and overcoming unexplained dizziness
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 9 10 x
Training preferences
When do you prefer to exercise?
Before work Lunch time Afternoon Evening x
How many days can you train per week?
1–2 2–3 3–4 x 4+
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?
Rower, stationary bike, resistance training
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 feel my dizziness is related to my poor intake of food. I need help to sort this out
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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: 3
Glasses of water: 6
Alcohol: 2
No. of cups of coffee/tea: 4
Glasses of Coke/soda: 2
Sweets: 2
Other: multivitamin
tablets
Recommendations/advice
All information on this form is correct to the best of my knowledge. I have sought and followed any
necessary medical advice.
Signature: JO Date: 14/11/2017
Task 3b
During the screening process, you mention to John that the reason for the dizziness he
experiences at times could potentially be due to the lack of a balanced diet. You therefore
recommend that he seek the guidance of a dietitian. The following exercise involves you planning
the referral letter to the dietitian. You need to document the remaining compulsory information.
Your task is to identify and document the six missing elements of information required for your
referral letter.
 Student must obtain client’s information from the lifestyle questionnaire in task 3a. If
information is not supplied, it is therefore not required for the referral letter.
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