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Question asked by Nancy Korf 2224 days ago

Working with clients with higher health risks

ObesityWeight Loss ProgramRisk ManagementDiabetes

I am in the negotiation phase of an employee wellness program. Some of the employees are very sedentary and I am guessing would be required to have doctor clearance according to the Par-Q that I am proposing to administer as part of the employee assessment.

I am hoping that anyone who needs to see a doctor for clearance will do so. If they refuse, I can't train them.

But let's say that they do receive doctor's clearance for light exercise, which is what I'll be doing onsite.

What additional certifications or trainings would you recommend for working with clients who have higher-than average health risks, including but not limited to morbidly obese, diabetic, and cardiovascular disease. This isn't presently within my scope, but I am willing to undergo further training so that it can fall within scope so I can provide better service to a population of individuals who could benefit from my help.

Thanks!

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Answered by Karin Singleton 2224 days ago
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Hi Nancy

I highly recommend that you look at the Advanced Health and Fitness Specialist certification from ACE. After having passed the exam, the higher-risk clients you are describing will be in your scope of practice.

Karin Singleton
www.meltnc.com
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Answered by Christine Hales 2224 days ago
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Hi Nancy,

I am interested in your question as well....I have worked with clients in some of these categories before and always did my research--more of a "learn as I go" though. But, a specialty background would be more beneficial.

Thanks, Karin for the suggestion.

Christine
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Answered by Nancy Korf 2224 days ago
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Thank you, Karin.

Yes, Christine, that's what I've done as well. If I had a client where we were otherwise a good fit and I felt like I could train them safely, I have done the "learn as I go" approach, with appropriate disclaimers of what I could and could not do.

I'm just a little more leery in this case because I suspect a pretty high number of the employees will have significant health risks, which is why I'm coming onsite and they don't go to the gym.

I think I might follow Karin's suggestion and do some intensive reading over the holiday break! Karin, do you have this cert and if so how long did you study?
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Answered by Karin Singleton 2224 days ago
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Hi Nancy,

I have this certification. It is not a specialty certification but an NCCA accredited one. It was a very tough one to study for. Textbook and online. The test is administered at a testing location where you all but have to disrobe and sit in a cubicle with a computer and a camera lens trained on you. You will have three hours to find 'the best' answer in a multiple choice test. I must confess I was sweating bullets, and when I hit 'Submit' I was not sure whether I had passed or failed. I studied for about 3 or 4 months.

It was well worth the effort, though. I have and had many clients in the high risk category and always felt that I could train them safely but this was a very valuable credential to lend credence to those assertions.

Karin Singleton
www.meltnc.com
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Answered by Nancy Korf 2224 days ago
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Disrobe?!?

My ACE personal training certification was done at a proctored site with a cubicle, a computer, and a person sitting behind glass watching me and one other person.

You also have NASM, right? Which do you think took more study time, and if you had NASM first, did it help? I have ACE PT and have been through the NASM book cover to cover.
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Answered by Karin Singleton 2224 days ago
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Disrobe .... figure of speech :-) Yes, just like the ACE Personal Trainer certification.

No, NASM did not help with the ACE AHFS because that one exclusively talks about medical conditions and has very little specific training recommendations, except, of course, FITT. If anything helped, then it was my familiarity with many of the health conditions from working with clients

Karin Singleton
www.meltnc.com
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Answered by Natalie Smith 2222 days ago
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Hello Nancy Korf,

Protocol should let you train them, just keep them at low intensity. Approval could be as simple as faxing a Doctor's Referral for Client to Exercise form with the person's permission. Think about it, do they walk to work? This is where training becomes enjoyable: thinking on our feet, using what we have been taught to instruct others.
You need many hours of working with special populations to sit for the ACE AHFS exam, so, keep track of the hours you do work with those people in receipt form as proof.
Enjoy your students and take care,
Natalie aka NAPS 2 B Fit.
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Answered by Nancy Korf 2222 days ago
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Thanks for your thoughts, Natalie. The hour requirement is only 300 hours and it can be with apparently healthy OR higher risk individuals. I talked with one of the at ACE and I've more than met that requirement with my individual and small-group hours and as I've had the same manager at one of my clubs for over 10 years, she will attest. But you make a good point. Tracking our training hours can be important.

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Answered by Nancy Korf 2222 days ago
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I forgot to acknowledge your first point, which is to get a doctor's note and permission, then treat them with extra gentle care. True, I can do that, and I've done that in the past on a one on one basis. But it never hurts to learn more, so we may do more good.
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Answered by Nancy Korf 1630 days ago
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I had a chance to look over the ACE manual for health conditions this weekend. I was really impressed with its depth.

Another one I heard about in April was the ACSM medicial exercise specialist training.
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Answered by Louben Repke 1145 days ago
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I personally think that some of those people are the easiest people to work with because the simplest of things is/can be a workout for them. Don't do anything complex, keep it simple.

Some Exercises:
• Marching in place
• Sit to stand (instead of squat have them sit from a bench/chair and then stand)
• Cone walks
• Walking jacks (jumping jacks but without the jump, so walking and waiving the hands)
• Seated medicine ball raises (eventually you can combine this with sit to stand)
• Boxing (this is a BIG ONE) keep the duration short at first to like just 20 seconds. My clients love this
• Battle ropes - one of the best cardio after boxing for people who are extremely limited



Louben,
https://www.repkefitness.com/louben-repke
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