Exercise Refferal Case Study for Rheumatoid Arthritis, Depression & Elderly

5315 words 22 pages
Summary of clients details
Name: Ms. Lewis
Gender: Female
Age: 66
Contact No: 01234 5678910
Next of Kin: Mrs Levenhulme

Referral reason: Rheumatoid Arthritis, Depression & elderly
Medication: Acelofenac & Nortriptyline

Physiological Information
Blood Pressure (seated): 122/82 mmHG
Resting Heart Rate: 64 bpm
Predicted VO2max: 24 ml/kg/min

Present physical activity:
Very low, essentially sedentary

Patient’s statement regarding state of change:
“I want to exercise, and I think I can do it, but I will need some support” (Preparation)
Medical conditions
Rhematoid Arthritis – Is an autoimmune disease which can cause chronic inflammation of body`s organs, joints, and the surrounding tissue of the joints. It can
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Drowsiness, orthostatic hypotension, urinary retention, rapid or irregular heartbeat.

Implications of exercise prescription Avoid using heart rates as markers and make sure exercise activity is comfortable. Pay close attention to client and constantly assess.


Specific / Clinical Objectives CV/CR Conditioning; Musculo-skeletal conditioning; Hand / Grip Strength; Falls prevention; LBM; C Control / Co-ordination; Balance; B.F (possibly); Social interaction; Mood; SE; Anxiety/ Depression; CHD risk & risk of physical illness; Inactivity; Joint Function/ROM; QOL / Management of condition.
Modes Aerobic NWB/PWB/Low impact/ Large muscle Groups e.g. Cycling, Walking2, water aerobics1& 3. WB/ Group based7 e.g. X-Training/ Rowing
( Ability to perform ADL specifically yoga4,6, Tai chi,