You are an exercise physiologist at a hospital-based wellness facility.

In: Nursing

You are an exercise physiologist at a hospital-based wellness facility. A client, Drew, recently joins your…

 

 

You are an exercise physiologist at a hospital-based wellness facility. A client, Drew, recently joins your facility. Drew is a 47-yr-old male. He currently weighs 315 lb. and is 5 ft 11 in tall. His waist circumference is currently 127 cm. Due to his waist girth and weight; body composition estimation was not possible via skinfolds. He currently does no regular physical activity. At his initial consultation with you, you measured his resting heart rate (HRrest) at 58 bpm, and his resting blood pressure (BP) was 138/72 mm Hg. At his most recent doc- tor visit, his fasting blood measures were the following: total cholesterol= 192 mg/dL, high-density lipoprotein cholesterol (HDL-C)= 41 mg/dL, low-density lipoprotein (LDL)= 117 mg/dL, triglycerides= 169 mg/dL, and glucose= 137 mg/dL. On his health history questionnaire, he states that he has previously been diagnosed with high cholesterol, high BP, and diabetes mellitus. He is currently on several medications including Lipitor (statin for cholesterol), atenolol (beta-blocker for BP), and metformin (biguanide for glucose control). He reports that his father previously was diagnosed with diabetes in his 40s and had a nonfatal heart attack at age 52 yr. He also reports that no symptoms suggestive of ischemia.

During your initial consultation with Drew, he discussed his desire to improve his overall health and to try to prevent a premature myocardial infarction (MI). He realizes that he is not in good health and not physically active. He wishes to make the necessary changes to lose weight, to improve his risk factor profile, and hopefully not go down the same path as his father

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