What barriers does Janii face to becoming more physically active? Be very specific in your notes and explain why? For example, if she has a specific medical condition, discuss why this presents a problem?
How can Janii overcome any challenges she faces and what is the solution. There’s one particular step that needs to be taken in this process that you will need to discuss. Again, be specific with the steps you will take as if you were going to train Janii.
If you were to design Janii’s exercise program, how would you structure this knowing what you know about her medical history. Pages 380-381 of your text will provide some guidance on MET values and exercise intensity.
Case Study
Today, at age 65, Janii can’t even walk a half-mile to the post office without feeling winded. She now has full-blown high blood pressure, in addition to asthma. At 5’5″ tall and 200 pounds, she is also now obese.
Janii shakes her head in dismay at what has happened to her. “Six years ago I was 50 pounds lighter and had my blood pressure under control with medication. I walked a lot and I ate regular, healthy meals. I went to the community center two times a week for exercise. But when I left my job downtown to stay home and take care of my mother, everything went to pot.” Instead of being able to go to exercise class on her way home from work, Janii’s schedule revolved around her mother’s needs. “And now that my mother is gone,” Janii says, “I want to be active again, but I just don’t have the energy.” Janii recently stopped in at the community center to inquire about exercise classes. “They had me fill out something called a PAR-Q, and they didn’t like my answers to questions 2, 4, and 6. So now I have to go to my doctor again.”
