The goals of the exercise program, mutually agreed on by the individual and the clinical exercise
professional, are to lose weight and improve body composition, lower blood glucose levels, and reduce
risk for another cardiac event. When asked about interests and hobbies, the individual indicates that he
enjoys traveling, wine tasting, playing with his dog, and classic movies. Participation in a supervised
exercise program and frequent contact with an exercise professional are advised. Mr. SD is instructed to
increase the frequency of blood glucose monitoring to assess the effect of exercise on his blood glucose
levels. He is also advised to monitor his feet daily for redness, sores, or other areas of trauma that must
be treated early to prevent further issues.
Discussion Questions
a. Based on the information provided, what might you consider when determining whether this
patient should perform exercise training, and what benefits would you expect to observe?
b. Are there any signs, symptoms, medications, or other items listed that would need to be considered when assessing this patient for an exercise training program?
c. Develop a 12 wk exercise prescription for cardiorespiratory, resistance, and range of motion training if applicable. Use the FITT principle when developing your prescription.
d. Discuss issues that might affect this individual’s ability to begin and adhere to exercise training.
e. What considerations might affect decisions for exercise workload or intensity progression?
f. Based on the subject’s medical history and test results, identify areas for which the patient should be further educated (e.g., weight control, diet modification). Are there other resources that you
might use?
