EfS-referral-guidlines-tutorial_Oct2010.doc-LaterLife.docVIP

DIRECTED LEARNING: REFERRAL GUIDELINES AND THE ROLE OF THE EXERCISE INSTRUCTOR (Chapters 7 8) These answers are examples for your reference. If filling this in an exam situation, each point should be accompanied by an explanation unless is intended as a list of items. Use these as reminders test and embed your knowledge learned on the course. More detailed information is available through the course manual or external references mostly available on the student web page. Which medico-legal requirement do exercise instructors need to comply with when participants self-refer to an exercise referral scheme? DoH 2001 publication: Exercise referral systems: A national quality assurance framework .uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009671 What are the key responsibilities of the health care professional (HCP) referring a person to an exercise referral scheme following stroke? A patient-centred approach requiring judging the patients medical status of health, physical impairments , functional abilities and personal social barriers to participation in exercise Motivational interviewing prior to considering for referral Selection of patients and initiation of the referral process The exercise/physical activity assessment Referral documentation Long-term physical activity and support plans Which information should be provided to the exercise instructor by a physiotherapist (or other health care professional) referring a person for exercise after stroke? Summary of impairments related to completing physical activities Medications Contributing barriers to exercise Special risks Example referral form is supplied in the training manual. Which parameters may be useful for self-monitoring in the context of exercise after stroke? Provided outcome measures - 10m walk / 6 min walk, TUAG, VAS. HR – useful for monitoring intensity of effort BMI – for monitoring general health (up or down) BP- for monitoring own stroke/ cardiac risks Reps