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GP U2 Pro Practice
S1: The role and importance of exercise referral and related policies & key docs
| Question | Answer |
|---|---|
| When a GP or other healthcare professional refers a person to take part in a structured exercise programme is known as | Exercise Referral |
| Why are People are referred to exercise programmes | To manage their condition and prevent further deterioration using physical activity |
| What do both the referring health professionals and the exercise referral instructors have to sign | a service level agreement |
| What does a service level agreement outline | roles, responsibilities, client selection criteria and procedures for information transfer |
| what would contain the following ? (SLA) roles, responsibilities, client selection criteria and procedures for information transfer | service level agreement |
| who's job is it to encourage long-term commitment to an active, healthy lifestyle | Fitness Referral Instructor |
| which sector does exercise referral offer a way to improve health outcomes and reduce the financial burden of chronic health conditions on the NHS | Health sector |
| which sector does exercise referral help to get more people to increase their activity levels, by providing supervised and supported exercise. | fitness sector |
| which two Government white papers both describe and evidence the benefits of physical activity for disease risk reduction and management ? SASA & BABH | The Start Active, Stay Active (2011) report for all home countries and the Be Active, Be healthy (2009) |
| which group of peoples condition tends them to have poorer physical health. | Mental Health Condition |
| How many people out of 4 have mental health probs ? | one |
| what are the the most common conditions which affect 8-12% of the UK population | depression and anxiety |
| The Most common conditions of depression and anxiety effect which % of the UK population | 8-12% |
| which disability is predicted by the World Health Organisation to be the second greatest by 2020 | Depression |
| The following procedures and protocols are recommended for additional reading: The NICE (2006) Review of the effectiveness of exercise referral. The BHFNC (2010) Toolkit. The Professional Operational Standards for Exercise Referral. | Read them !!! |
| Potential hazards of referred clients include | strains and sprains, overuse injuries, fractures, dizziness and fainting, cramps, hypoglycaemia, hyperthermia, exercise induced asthma and even heart attack. |
| One solution to poor referrals was a ‘toolkit’ for exercise referral, prepared by whom in 2010. | the British Heart Foundation National Centre for Physical Activity and Health in 2010 |
| an advisory group was formed to prepare the Professional and Operational Standards for Exercise Referral in what year | 2011 |
| Considerations when evaluating the role of exercise: Toolkit used for Procedures and protocols | The BHFNC (2010) Toolkit |
| Considerations when evaluating the role of exercise: Name two exercise referral potential risks | dizziness or heart attacks. |
| Considerations when evaluating the role of exercise: The effectiveness of exercise. | clear monitoring and reporting on health outcomes |
| Considerations when evaluating the role of exercise: The benefits of activity | health improvements. |
| What is stated in all chief medical officer health reports as being instrumental in many chronic health conditions, including coronary heart disease | Inactivity |
| which report found that inactivity was the fourth highest risk factor for worldwide deaths, along with high blood pressure, smoking and high blood glucose. | The ‘Start Active, Stay Active Report’ 2011 |
| Inactivity carries cost implications for the NHS and the wider economy, with the cost of treating related conditions believed to be around how many billion a year ? | £1.06 billion a year. |
| Lost working days through sickness absence cost around how many billion per year ? | £5.5 billion per year |
| The premature death of working individuals costs an additional how many billion per year | £1billion per year |
| The four leading risk factors for worldwide deaths are: | High blood pressure (13%). Smoking (9%). High blood glucose (6%). Inactivity (6%). |
| Among the Government’s white papers that have championed exercise as a way of reducing risk and managing health conditions are: ‘At Least Five a Week’ (2004), ‘Be Active, Be Healthy’ (2009) and ‘Start Active, Stay Active’ (2011). | Read Them !! |
| a shortage of time, work and family commitments, as well as lack of money, interest, confidence and motivation can also be the cause of what | Low activity levels |
| Adults over 16: what % of men and women meet the recommended activity guidelines. | Only 40% of men and 28% of women |
| what % of men and women were classed as being insufficiently active to benefit their health. | 30% of men and 36-38% of women |
| what levels are said to decline with age and seniority. | Activity |
| Adults over 50: what % of men and women met the recommended activity guidelines. | Only 22% of older men and 16% of older women (over 50) |
| Adults over 50: what % of men and women are insufficiently active to benefit their health | 28% of older men and 27% of older women |
| Adults over 50: % of men and women classed as being inactive | 40% of older men and 58% of older women |
| Adults over 75: % of men and women meet the activity guidelines. | Only 8% of men and 3% of women |
| Minimum targets: How many minutes of moderate-intensity exercise over five days (can be done in 10-minute bouts) | 150mins |
| Minimum targets: How many minutes of high-intensity exercise over three days | 75mins |
| Minimum targets: How many days of muscle strengthening | 2 days |
| Minimum targets: How many times a week for Additional balance and co-ordination exercises for older adults | twice a week |
| People with chronic health conditions are advised to be as active as ? | as their condition permits. |
| The guidelines for physical activity of Recommended weekly activity levels, their supporting evidence base and other recommendations are available from which 2011 report | the Start Active, Stay Active (2011) report. |
| The key points of government policies relating to exercise referral schemes: Light exercise should feel | activities are easy, gentle and effort is minimal. "Not Much Effort" |
| The key points of government policies relating to exercise referral schemes: Moderate exercise should feel | activities make you warm and slightly breathless. "Warm & Breathless" |
| The key points of government policies relating to exercise referral schemes: Vigourous exercise should feel | make you hot, sweaty and breathe more heavily. "Hot & Sweaty" |
| three or four on the Borg (0-10) Rating of perceived exertion scale would be classed as which exercise activity level | Moderate "Warm & Breathless" |
| brisk walk, a game of golf (playing and carrying clubs), sweeping a floor and a social game of badminton are classed as which exercise activity level | Moderate "Warm & Breathless" three or four on the Borg (0-10) Rating of perceived exertion scale |
| Vigorous-intensity activities make you hot, sweaty and breathe heavily. Activities would include: | running, playing most sports, an aerobics class and swimming |
| In what year did The Joint Consultation Forum and Exercise Referral Advisory Group compiled the Professional Operational Standards for Exercise Referral | 2010 |
| Key areas in the Professional Operational Standards regarding the 2010 Professional Operational Standards for Exercise Referral are | Patient selection & risk stratification. Qualifications and standards of instructors. The referral process & monitoring Record keeping Quality assurance – monitoring & evaluating Liability & medico-legal considerations Service management & operation |
| refer to other professionals yes/no ? Conditions classified as a high-risk | yes |
| refer to other professionals yes/no ? Conditions which are contraindicated (such as stage 3 hypertension, tachycardia). | yes |
| refer to other professionals yes/no ? Conditions which are unstable or uncontrolled (e.g. not managed by medication). | yes |
| refer back to GP yes/no ? unstable angina | yes |
| refer back to GP yes/no ? severe depression | yes |
| refer back to GP yes/no ? uncontrolled diabetes | yes |
| refer back to GP yes/no ? stage 1 osteoporosis | no |
| refer back to GP yes/no ? stage 1 hypertension | no |
| Absolute contraindications for exercise referral yes/no ? Pain, dizziness or breathlessness during exertion. | yes |
| Symptomatic severe aortic stenosis is what ? | heart's aortic valve narrows |
| Absolute contraindications for exercise referral yes/no ? Symptomatic severe aortic stenosis | yes |
| pulmonary infarction is what ? | lung artery blockage |
| Absolute contraindications for exercise referral yes/no ? pulmonary infarction (lung artery blockage) | yes |
| Absolute contraindications for exercise referral yes/no ? | yes |
| Absolute contraindications for exercise referral yes/no ? Resting systolic blood pressure ≥ 180mmHg or DBP ≥ 100mmHg | yes |
| Absolute contraindications for exercise referral yes/no ? Uncontrolled resting tachycardia ≥ 100 bpm. | yes |
Created by:
LeeNelson
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