Question

In: Nursing

·     69 yr old male retired from the Police force ·     5'9" 210 lbs ·     BP = 140/80 ·     Cholesterol...

·     69 yr old male retired from the Police force

·     5'9" 210 lbs

·     BP = 140/80

·     Cholesterol = 260mg/dL

·     Had an heart attack 6yrs ago

·     Mother died of MI @ 70

·     Father developed hypertension @ 70

·     He smokes a pack of cigarettes per day

·     Drinks vodka daily

·     lifts weights at home irregularly

·     walks the dog in the morning for 20 minutes and at night for 10 minutes at a moderate pace. He has been doing this since he has the dog 3 years ago

1.Is the client currently active based on ACSM guidelines?

2. CMR present?

3.Are any signs and/or symptoms of CVD present?

4.Do they need Medical Clearance for light to moderate physical activity.

5.Determine risk for CVD. Low or Increased Risk?

Solutions

Expert Solution

1. According to the ACSM he is active .he walks daily 30minutes in moderate pace since 3years.The ACSM says that healthy adult should participate moderate intensity aerobic physical activity for minimum of 30 minute on five days pet week. Do he is active according to this guildlines.

2 Cardiovascular magnetic resonance is available nowadays.

It is used to assess cardiac morphology, function ,perfusion, viability, coronary and peripheral arteries.etc..

3. According to his history he don't have any present signs and symptoms of CVD .

4. At present there is no need of medical Clarence because he is asymptomatic.

But participation of screening programs is very important to prevent CVD.

5. He is under heavy risk for heart disease.

  1. Past history of attack
  2. Family history of hButeart attack.
  3. Blood pressure is high 140/80
  4. Family history of high blood pressure.
  5. High cholesterol level.
  6. Uncontrolled weight will induce to worsen other risk factors.
  7. He is smoking.apack cigarette daily.

8 He is drinking vodka.

9. Irregular exercise

All these are shows he is under high risk to get heart disease.


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