Risk Stratification Assessment Report

RiskStratification Assessment Report

CourseInstructor

Areport of the interview of Edgar Davies assessing his riskstratification category using the ACSM manual in the form of aquestionnaire carried out on 20th January 215 at his home.

Thewidespread need and use of exercising to improve health by manypeople in the world is highly encouraged. However, due to the manyhealth threats that can be brought about by the vigorous physicalactivities, specialist in the physical exercise and clinical healthare becoming cautious on the type of activity to engage thoseinterested. This is done in order to avoid the possibility ofcomplicating the existing health condition and developing the rightphysical exercise program for these people at risk.

Thisbrings about the concept of risk stratification. As the namesuggests, risk stratification refers to the categorization ofindividuals who are interested in participating in physicalfitness/exercise program into different categories and prescribingthe necessary activities for each category. For vigorous activities,there are different needs and circumstances which make it necessaryto categorize these individuals. Different categories are defined bymany institutions concerned with the health and physical exercise asfollows: high-risk category, moderate risk individuals’ category,and low-risk individual’s category (Kokkinos,2010).

Methodsand Findings

Icarried out an interview with Edgar Davies to study his individualstrata using his health and personal information. The following is anidentically completed questionnaire summarizing the survey.

Riskstratification assessment

EdgarDavies Test date: 20/1/2015 Age: 57 Gender (M) (F)

Age (yes) (no)

Familyhistory(yes)(no) if yes, who/what

Cigarettesmoker(yes) (no)

Hypertension(yes)(no) Testing BP – 123/79 mmHG medication(yes)(no)

Hypercholesterolemia (yes) (no) LDL- 104 mg dl-1 medication (yes)(no)

HDL-52 mg dl-1

Impairedfasting glucose(yes) (no) FG- 88 mg dl-1 medication (yes)(no)

Obesity (yes)(no) BMI- 27 kg dl-1waist- 35 cm

Physicalinactivity (yes) (no)Vig. PA 20 min/ 3days(yes) (no)Mod. PA 30 min/5 days (yes)(no)

HighHDL (yes)(no)

Signsand symptoms of cardiovascular/ pulmonary diseases (check all thatapply)

Chestdiscomfort [yes] —paroxysmal noc.Dyspnea —ankle edema

Shortnessof breath[yes] —known heart murmur —syncope

Intermittentclaudication —palpitations/tachycardia —unusual fatigue—none

Medicalhistory

Cardiac:(yes)(no) if yes, explain

Pulmonary (yes)(no)if yes, explain

Metabolic (yes)(no)if yes, explain

Listof medications

UnderOTC ibuprofen as the needed

Riskstratification(mark one): low-riskmoderaterisk high-risk

Therisk stratification class of the person in the survey is the moderaterisk.

MichaelSnowfield20th Jan 2015

Testingstaff name date

Thefinding can attest that the individual is in the moderate riskcategory.

Analysis

Thereis not much in the finding to analyze because Edgar is not in seriousmedical condition to warrant much attention if he honestly answeredthe issue in the questionnaire. There is neither known disease normajor sign or and symptom to suggest presence or absence ofcardiovascular/ pulmonary diseases. However, the fact that there areno symptoms does not exclusively mean that he is risk-free. A closerlook at the finding is more or less likely to reveal more. The firstissue is his age. He is 57 years of age, and this is one of the riskfactors. Above the age of 45, male are at a high risk and as suchneeds attention before they enroll in a vigorous physical exerciseprogram. Age is a factor since physical activity slows down with age.At age 57, it is expected that people are almost to retire whileothers are in retirement and are, for this reason, not involved inhigh energy activities. Participating in a vigorous activity mayresult in unseen and unwanted health effects (Labarthe,2011).

Smokingis the other hazard that is so much associated with cardiovascularand pulmonary diseases. At age 57, the responded admitted being anactive smoker. Smoking is one of the factors and leading contributorsto cardiovascular diseases in the world. To add on to that, it wasobserved from the responds that the respondent has some signs andsymptoms of cardiovascular and or pulmonary diseases. He admittedhaving some chest discomfort during the physical activities hepartakes. A short breathing lapse was a characteristic he felt alwayswhen he had a physical activity or exercise. Other factors revealedduring the interview were that the father died at the age of 87 whilehis mother died two years later at the age of 83. Both lives are saidto have been claimed by cancer (Kaminsky,2014).

Recommendation

Followingthe results of the interview, the following would be myrecommendation to Edgar.

  • At the moment, he is not quite safe to participate in any vigorous physical activity.

  • If the need is, Edgar should restrict his physical exercise activities to low and moderate activities.

  • He should seek some assistance from the medical specialist and physical fitness profession in order to be really sure about his situation. This can help to have a clear plan of his physical fitness/exercise program.

References

Kaminsky,L. (2014). ACSM`shealth-related physical fitness assessment manual.Philadelphia: Wolters Kluwer Health/Lippincott Williams &ampWilkins.

Kokkinos,P. (2010). Physicalactivity and cardiovascular disease prevention.Sudbury, Mass.: Jones and Bartlett.

Labarthe,D. (2011). Epidemiologyand prevention of cardiovascular diseases.Sudbury, Mass.: Jones and Bartlett Publishers.

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