Exercise Refferal Case Study For Rheumatoid Arthritis, Depression & Elderly
Summary of clients details
Name: Ms. Lewis
Gender: Female
Age: 66
Contact No: 01234 5678910
Next of Kin: Mrs Levenhulme
Referral reason: Rheumatoid Arthritis, Depression & elderly
Medication: Acelofenac & Nortriptyline
Physiological Information
Blood Pressure (seated): 122/82 mmHG
Resting Heart Rate: 64 bpm
Predicted VO2max: 24 ml/kg/min
Present physical activity:
Very low, essentially sedentary
Patient’s statement regarding state of change:
“I want to exercise, and I think I can do it, but I will need some support” (Preparation)
Medical conditions
Rhematoid Arthritis – Is an autoimmune disease which can cause chronic inflammation of body`s organs, joints, and the surrounding tissue of the joints. It can be defined as:
“a disease of synovial tissue, i.e. a joint linings, tendons, tendon sheaths and associated structure. So widespread is the inflammatory process that inflammatory nodules may form almost anywhere, the extensor surfaces of the limbs being most common, such as elbow and forearm nodules, but nodules may also form in the lungs and other visceral tissue”
(Wright Foundation Exercise referral manual, 2008)
The onset of Rheumatoid Arthritis is generally between 45-65 years (Stenstrom & Minor, 2003)
Specific inclusion criteria –Mild to moderate severity
Specific exclusion criteria – Severe severity
Depression – “An illness that involves the body, mood, and thoughts, that affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. Without treatment, symptoms can last for weeks, months, or years.”
(http://www.medterms.com/script/main/art.asp?articlekey=2947)
Specific inclusion criteria –Mild to moderate severity
Specific exclusion criteria – Severe severity
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