Question: Using The Information Provided Answer #8-14 In Details Questions 8-14 Need To Be Answered . The Other Information Is To Help Answer Questions 8-14

Case: Derek Derek is a 52-year-old mortgage loan officer for a regional bank. He is husband to a wife of 30 years and three children-two of which are attending the University of Mississippi. Results from his recent annual physical exam (ie, check-up) indicated that Derek has a family Hx of T2DM, hypertension and premature CVD mortality. As part of his personal health Hx, Derek indicated that he is physically inactive, he continues to take Zebeta and Amaryl as his doctor prescribes. He told his doctor that he feels tired a lot and sometimes has trouble sleeping. Additional results from his doctor visit include: Height = 72 Body Weight – 242 lbs Waist 44 in HR resting = 68 bpm SBP = 136 mmHg DBP. = 92 mmHg Cholesterol = 205 mg/dL. LDL-C-160 mg/dL HDL-C-38 mg/dL TG – 188 mg/dL. Blood Glucosenting = 145 mg/dL HbA1C = 8.4% Alter reviewing his health, his doctor strongly recommended that Derek begin a regular regimen of exercise and increase physical activity in his daily routine. Derek received a medical clearance from his doctor to start an exercise program and sent Derek to see you at the hospital-based wellness center to work with your health care team. The doctor recommended an initial exercise test. Your team conducted a continuously-graded exercise test on a treadmill (Bruce Protocol, pg. 121, GETP10) to determine Derek’s cardiovascular fitness and assess his hemodynamic responses to exercise of increasing intensity Pre Test Seated Rest TIME.(min) HR.(bpm) BPmmit 5:00 68 136/92 Obtained after 5 minutes of quiet rest and seated upright in a chair without legs or arms crossed 1 of 5 Exercise Responses TIME (min) HR.(bpm) RPE BP(mm RPP SPEED (mph) GRADE 1:00 118 9 1.7 10 200 120 11 2.00 13 160/92 20.800 4:00 136 14 25 12 5:00 140 14 6:00 26 15 180.798 26.280 7.00 150 16 24 16 8:00 155 12 8:15 158 19 210./100 33.180 Post-test notes from your exercise specialist Derek quit the test because he said he could no loner continue [He was followed) 157 bpm. Derek reported no pain or abnormal feelings during the test RPE SPEED mph) 17 GRADEC Post Test Active Walking Recovery TIME Canin) MR.Com) BP(umita RPP 1:00 153 17 191/94 3-00 147 16 188/90 5:00 136 15 180/86 7:00 120 12 150/50 Post-test data reduction: This is the process of organizing and visualising your data so that you can readily interpret normal and abnormal exercise responses 8. Is your own words, explain why is PP a elanurement when exercise testing in a clinical settin 9. aterpet Beruk’s cardiovascular responses to rise of increasing intensity in the graphs you have created and the non-reference standards for clinical exercise testing responses (found in GETPO). As part of your interpretation, describe whether his head and responses to exerce and I were within normal limits or were abnormal the test results were abnormal what much the mean for Derek? Be sure to provide evidence for your inte 10. List the primary health related objectives for Derek’s exercise program in order of importance “list” con le point to not respondin porugraph form. NOTEThese con preloverarchinjective welcools at this point) 11. Ike these in Medicine concept to explain to Derekh his exercise behavior can address his primary health objectives 12. Lat the precinitions you will de Derek to take as he begins his physical activity and exercise (2 mom bulle partements. Do not respond in paragraph form) 13. Assuming its safe for Derek to begin exercising in your hospital-based wellness center you and your team calculate wveral target intensities that may be used to estimate work rates for the diferent exercise rent in your facility Create a table identical to the we provided and complete the table ting Derek’s test data Variables Intensity SVOR Hak . BAHRH 404 50% 60% 70% W NVO are there and when there Berthe Metales Pource Document and Grow are cure how to clear wrote VO Your team plans Derek’s initial visit to the wellness center. You will introduce Derek to four different types of sur Over the work can become familiar with each piece of egement and learn what he likes best 14. Your plan is to have Derek exercise for 6 minutes on each type of equipment at different A After a warm-up, you begin Derek’s exercise session by having him walk on a treadmill at 40% What grade would you set for the treadmill Derek selected a walking speed of 25 mph? (Slow your work to receive credit Include the proper eache Alter treadmill walking you have Derek pedal 50 pm on Monare stationary cycle at 50MERR. What stance iting would you choose (Show your work to receive credit Include the proper units of roch) You have Derekrowat 60% of his peakon a stationary rowing machine. What setting will most closely achieve this work ratel (Show your work to receive credit. Include the proper arcach step D. You introduce Derek to the stair stepper machine to complete his first stor. You want Derek to work at an intensity equivalent to 50% of his HRIL What setting will most closely achieve this work ratel Show your work to receive credit include the proper sits at each ES 456 EXERCISE PRESCRIPTION CASE STUDY 2 Case: Derek Derek is a 52-year-old mortgage loan officer for a regional bank. He is husband to a wife of 30 years and three children-two of which are attending the University of Mississippi. Results from his recent annual physical exam (.e., check-up) indicated that Derek has a family Hx of T2DM, hypertension and premature CVD mortality. As part of his personal health Hx, Derek indicated that he is physically inactive, he continues to take Zebeta and Amaryl as his doctor prescribes. He told his doctor that he feels tired a lot and sometimes has trouble sleeping. Additional results from his doctor visit include: Height = 72″ Body Weight = 242 lbs Waist = 44 in HR resting = 68 bpm SBPresting = 136 mmHg DBPosting = 92 mmHg Cholesterol = 205 mg/dL LDL-C = 160 mg/dL HDL-C = 38 mg/dL. TG = 188 mg/dL. Blood Glucose asting = 145 mg/dL HbA1C8.4% After reviewing his health, his doctor strongly recommended that Derek begin a regular regimen of exercise and increase physical activity in his daily routine. Derek received a medical clearance from his doctor to start an exercise program and sent Derek to see you at the hospital-based wellness center to work with your health care team. The doctor recommended an initial exercise test. Your team conducted a continuously graded exercise test on a treadmill (Bruce Protocol pg. 121, GETP10) to determine Derek’s cardiovascular fitness and assess his hemodynamic responses to exercise of increasing intensity, Pre-Test Seated Rest TIME (min) HR (bpm) BP(mmHg) RPP 5:00 68 136/92 Obtained after 5 minutes of quiet rest and seated upright in a chair without logs or arms crossed. 1 of 5 Exercise Responses TIME (min) HR Cbpm) RPE BP mmHg) RPP SPEED (mph) GRADEC 1:00 118 9 1.7 10 2:00 120 11 3.00 130 13 160/92 20.800 4:00 136 14 2.5 12 5.00 140 14 116 180/90 26.280 7:00 150 16 3.4 14 8:00 155 17 8:15 158 19 210/100 32.100 Post-test hotes from your exercise specialist Derek quit the test because he said he could no longer continue (He was fatigued). Mis H=157 bpm.Derek reported no pain or abnormal feeling during the best Post Test Active Walking Recovery TIME min) R. Capm) BRtamila RPP SPEED mph) GRADEC 10 153 17 198/94 17 0 3:00 167 16 188/90 136 15 180/5 7:00 150 / PE 5600 Post-test data reduction. This is the process of organizing and visualizing your data so that you can readily interpret normal and abnormal exercise responses. 8. In your own words, explain why is RPP a useful measurement when exercise testing in a clinical setting 9. Interpret Derek’s cardiovascular responses to exercise of increasing intensity using the graphs you have created and the norm-reference standards for clinical exercise testing responses (found In GETP10). As part of your interpretation, describe whether his hemodynamic responses to exercise (HR and BP) were within normal limits or were abnormal. If the test results were abnormal, what might this mean for Derek? Be sure to provide evidence for your interpretation(s). 10. List the primary health-related objectives for Derek’s exercise program in order of importance. (“List” means bullet point statements. Do not respond in paragraph form. NOTE: These can be general overarching objectives without specific goals at this point) 11. Use the “Exercise is Medicine concept to explain to Derek how his exercise behavior an address his primary health objectives 12. List the precautions you will advise Derek to take as he begins his physical activity and exercise. (“List” means bullet point statements. Do not respond in paragraph form.) 13. Assuming it is safe for Derek to begin exercising in your hospital-based wellness center, you and your team calculate several target intensities that may be used to estimate work rates for the different exercise equipment in your facility. Create a table identical to the one provided and complete the table using Derek’s test data Variables Intensity %HRR: %VOR %HRpeak Vapeak RPE WHRR 40% 50% 60% 70% HOW – WRR and WVO are the exercising heart rates and oxygen consumption of ach targetintenity See the Metabolic Calculations Resource Document and GHTPIOW/you are not sure how to calculate tunger harte or oxygen consumption using HRR and VOR Your team plans Derek’s initial visit to the wellness center. You will introduce Derek to four different types of exercise equipment. Over the next few sessions Derek can become familiar with each piece of equipment and learn what he likes best