Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
GP U2 Pro Practice
S2: Roles and responsibilities within an exercise referral scheme
| Question | Answer |
|---|---|
| name the 7 stages of exercise referral | 1. Patient visits GP 2. GP assesses patient 3. Scheme Coordinator 4. Exercise Pro consultation with patient 5. Patient takes part in supervised activity 6. Program End 7. Follow ups |
| At what stage does a GP/Health Pro need to gain the person’s informed consent for transferring information before passing the relevant information onto the scheme coordinator | Stage 2 - In the GP/Health Pro's Assessment |
| Who checks through the GP/Health Pro's info & what stage | Stage 3 - scheme coordinator |
| At what stage does the exercise professional consult with the person to assess their motivation, readiness to exercise and general well-being. They also conduct health assessments, such as blood pressure and heart rate. | Stage 4 |
| At what stage does the patient take part in supervised, structured physical activity with the exercise professional and for how long | Stage 5 - for 12/16 weeks |
| At what stage is the patient referred to a suitable exit route programme to maintain their activity levels. | Stage 6 |
| at what periods will the patient be contacted for follow-up reviews to ensure that they are maintaining their levels of activity. | Follow Ups are six and 12 months after the programme |
| What determines the number of people involved and variety of discrete working roles. | The size of the referral scheme |
| Who sets up the referral scheme | scheme manager |
| Who's job is it to develop the policies and procedures, and to enlist the support of GPs and other health professionals who refer the clients | scheme manager |
| which boards & bodies are needed to fund the referral scheme and support the operation; | Local health boards and commissioning bodies |
| Who's job is it to build connections with Local health boards and commissioning bodies | scheme manager |
| which professionals deliver the exercise referral programme | Exercise professional |
| who is responsible for planning and delivering a safe, effective exercise programme, which meets the client’s needs, medical condition and medication | Exercise professional |
| which body provides a job description for exercise referral instructors, to outline the specific responsibilities and duties that are part of the role. | The Register of Exercise Professionals (REPs) |
| Whos Job ? Conducting initial client consultation Plan & deliver safe, effective exercise programmes which suit the client’s needs & medical condition Monitor, record & report clients progress Maintaining records, in accordance with legislation | Exercise professional |
| During the initial consultation with the client, give examples of standard health assessments that maybe used, | blood pressure and heart rate |
| When Planning and delivering safe, effective exercise programmes which suit the client’s needs and medical condition or conditions what should we be aware of ? | more than one condition (known as co-morbidities) – and accounting for the side effects of any medication |
| a client with more than one condition is known as | co-morbidities |
| co-morbidities is when a client has what | a client with more than one condition |
| Who's job is it to Monitor, record and report on client progress | Exercise professional |
| whos's role includes Maintaining appropriate records, in accordance with legislation, such as data protection, confidentiality and information governance. | Exercise professional |
| See slide for Exercise Referral Instructors scope of practice | see slide |
| Exercise Pro's scope of practice are ? | 2 or more CHD risk factors Obeseity, Hypertension, Hypercholesterolaemia Diabetes, Risk of Osteoporosis Controlled asthma, mild chronic obstructive pulmonary disease Low back pain, osteoarthritis or rheumatoid arthritis Moderate Depression & anxiety |
| AGE The risk factors for coronary heart disease are: Men over what age & Women over what age | men over 45 - women over 55 |
| FAMILY HISTORY The risk factors for coronary heart disease are: Cardiovascular event or death before: age ?? (paternal parent or first degree make relative) or age ?? (maternal parent or first degree female relative) | men 55 - women 65 |
| PHYSICAL ACTIVITY The risk factors for coronary heart disease are: Less than ?? minutes of physical activity a day for last three months. | 30 MINS |
| OBESITY BMI The risk factors for coronary heart disease are: Male BMI> ?? Female BMI > ?? | 30 men and women |
| OBESITY BMI The risk factors for coronary heart disease are: Male Waist> ?? Female Waist > ?? | Men - Waist > 40 inches Women - Waist >35 inches |
| SMOKING The risk factors for coronary heart disease are: | Current smoker or only recently quit smoking (6 months) or exposed to smoking environment |
| DIABETES The risk factors for coronary heart disease are: Fasting blood sugar levels > ?-?mmol.L but < ?-?? mmol.L. Oral glucose tolerance test >?-??mmol.L but <??-??mmol.L. Confirmed on at least two occasions | Fasting blood sugar levels > 5.5mmol.L but <6.93mmol.L. Oral glucose tolerance test >7.70mmol.L but <11.00mmol.L Confirmed on at least two occasions |
| HIGH BP The risk factors for coronary heart disease are: Systolic > ??? Diastolic > ?? Confirmed on at least two occasions or taking medication to manage hypertension. | Systolic > 140. Diastolic > 90. |
| HIGH CHOLESTEROL The risk factors for coronary heart disease are: LDL cholesterol profile > ?-??mmol.L HDLcholesterol profile < ?-??mmol.L Total cholesterol 5.18 mmol.L Or taking medication for lowering cholesterol | LDL (low density lipoprotein) cholesterol profile > 3.37mmol.L. HDL (high density lipoprotein) cholesterol profile < 1.04mmol.L. Total cholesterol 5.18 mmol.L. Or taking medication for lowering cholesterol. |
| Which density lipoprotein cholesterol profile lowers CVD risk when its levels are high | HDL (high density lipoprotein) |
| A person with two risk factors or less is considered what risk ?? | LOW |
| A person with more than two risk factors is what risk. | MODERATE |
| How to deal with a patient with a medical condition outside the scope of practice | Be sensitive to the client’s frustration. Be assertive. Explain reasons clearly. Tell them about further actions. Be apologetic. Accept responsibility. Ask if they would like to be kept up-to-date. |
| If you are referred a client whose condition falls outside your scope of practice as a level 3, you need to direct them back to who ? | the referring professional, managed by a level 4 instructor or directed to another specialist health pro |
| name four conditions outside a L3 scope of practice are ? | 1. not meeting scheme criteria 2. Too high Risk 3. Contraindicated (poss harmful) conditions eg Stage3 hypertension, tachycardia 4. Not currently stable or controlled by medication, such as unstable angina or uncontrolled diabetes. |
| Why should Clients who have been refused a referral from a health professional not be accepted, | as their health may be at further risk from exercise |
| A client with stable angina or any other heart conditions should be referred to ?? | cardiac rehabilitation or referred to exercise with a British Association of Cardiac rehabilitation (BACR Level 4) instructor |
| what does BACR Level 4 instructor stand for | British Association of Cardiac rehabilitation |
| A client who is at risk of falls should be referred to the falls prevention service where their exercise programme will be managed by a level 4 what | postural stability and falls instructor. |
| A client diagnosed with bipolar 1 disorder should be referred to an instructor who which level 4 qualification | activity and mental health |
| Appropriate referrals: Clients with two or fewer risk factors for coronary heart disease are considered what risk. | Low - within L3 scope Appropriate referral |
| Appropriate referrals: Clients with more than two risk factors for coronary heart disease are considered what risk. | Medium - or moderate-risk - within L3 scope Appropriate referral |
| Appropriate referrals: people with significant physical limitations related to chronic disease are considered what risk. | Medium - or moderate-risk - within L3 scope Appropriate referral |
| Inappropriate referrals: people with severe disease or disability, who should only take part in medically supervised or specialist exercise sessions with a clinical exercise lead are considered what risk. | High-risk - outside L3 Scope Inappropriate referral |
| Inappropriate referrals: People with stage 3 hypertension, tachycardia and any unstable or uncontrolled conditions are considered what risk. | High-risk - outside L3 Scope Inappropriate referral |
| Any heart conditions or condition not listed on the scheme criteria is which referral type ? | Inappropriate |
| What is the medical term for a heart rate over 100 beats per minute | Tachycardia |
| Generally speaking, diseases in their early stages and well-managed conditions carry which risk. | Low - within L3 scope Appropriate referral |
| Clients with deteriorating conditions or co-morbidities may be considered in which risk category. | High-risk - outside L3 Scope Inappropriate referral |
| If you have any concerns about a client’s risk, or if the client has concerns, the best action is to refer them back to their | GP |
| Tachycardia is the medical term for a heart rate over ?? beats per minute | 100 |
| which conditions may increase risk stratification | co-morbid conditions |
| who has the final say on which conditions are considered appropriate and inappropriate | scheme manager, normally person leading the referral scheme |
| Any condition that is unstable, uncontrolled or described as ‘severe’ or at stage 3 would be outside of what ? as these tend to carry severe physical limitations | High-risk - outside L3 Scope |
| Any condition diagnosed as mild, moderate, controlled or managed or at stage 1 would within what ? | Low - within L3 scope |
| Severe depression describes a level of diagnosis which is beyond moderate and therefore high-risk; sufferers may be able to exercise but only under the supervision of what ? | a clinical lead |
| What are Professional boundaries essential in defining for each person in a referral scheme | their scope of practice |
| L3 Exercise referral PT's can handle clients in which risk category range ? | Low to Moderate |
Created by:
LeeNelson
Popular Fitness sets