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HESC3504 SARAH ERIMYA z5214082 Client Name: Atticus MAPLE Emergency Contact: Destiny LOVE

Age: 29

Gender: Male M: 0422 222 222

Subjective Client’s Focus: Lose weight for better physical image and appearance; self-referred to see EP, no GP referral Current Medication: NIL reported Family History: Pt. is adopted; unsure of biological family history; adoptive parents both have T2D Activities of Daily Living: 1. Activity: Work is heavily sedentary; 10-hour days predominantly spent sitting; no physical aspect of his work lifestyle 2. Activity: Plays online gaming; further contributes to sedentary lifestyle; Pt. reports trouble with posture which could be attributed to 1 & 2 activities. 3. Activity: iPhone Health app reported 4996 average steps in last week Pt. reported quit heavy smoking about 6 months ago; started smoking at 16; reported childhood asthma Pt. reported eating habits not quite healthy; doesn’t eat vegetables and doesn’t drink water; drinks beers often; eating habits inconsistent and unhealthy Pt. reported sleep < 6 hours; can be attributed to high levels of stress pt. experiences at work Pt. reported no clear motivation for exercise for himself, rather pressured by girlfriend to lose weight; has zero history of exercise; did not enjoy playing sport

Objective Body composition: W 80kg; H 175cm; BMI 27.8 (Overweight); Waist Circ 93 (↑ risk); BF 23% (↑ risk) Resting cardiovascular: HR 72 bpm; BP 118/69 Fasting Biochemical profile: NIL – no regular GP; no pathology tests ever performed Cardiorespiratory Fitness: Predicted VO2max 1.6 L/min (Very poor); Submax 5 th minute HR 160, 6th minute HR 170 Muscular Strength: 1RM Leg press 140kg – Cues: Keep backside and back firmly pressed against pad; hips, knees and ankles aligned; push to straighten hips and knees; DON’T lock knees 1RM Bench press 50kg – Cues: keep shoulders back (& head where possible) on pad; push handles forward DON’T lock elbows; return bend elbows DON’T bend arms beyond torso 1RM Supported row 35kg – Cues: keep chest firm on pad; pull handles back, pulling arms just past torso; fully extend arms on return DON’T lock elbows or allow shoulders to round forward; keep shoulders down and squeeze scapula together 1RM Leg curl 30kg – Cues: align knees with machine pivot point; keep back firm on pad; push down and bend knees; DON’T lock knees when returning to straight Plank Endurance 20 sec

HESC3504 SARAH ERIMYA z5214082

Assessment Client’s Needs: weight loss; increase amount of time spent participating in physical activity; improve sleeping patterns and reduce stress AEP Assessment of Needs: reduce BMI, reduce BF %, reduce waist circ., acquisition of fasting biochemical profile to determine any underlying risk factors; improvement of VO 2 and cardiorespiratory fitness; improvement of muscular strength; largely focus on self-motivation of pt. Short Term Goals:  Increase daily step goal to 5000 per day by 4 th week of program  Increase plank endurance to 45 sec by 4 th week of program  Drink 1L of water per day for 2 weeks  Reduce waist circumference by 2cm by 4th week of program  Adhere to exercise program for 3 days per week Long Term Goals:  Reduce waist circumference by 6cm by 10th week of program  Increase daily step goal to 10,000 per day by 10 th week of program  Increase exercise program to 5 days per week

Plan Treatment Plan: Focus on education and learning of exercise training program, pt. to see AEP 3 times per week for 60-minute sessions to increase motivation and adherence to training for 4 weeks; after 4-week mark re-assess to see if the pt. can begin unsupervised exercise plan to go on for 10 weeks Homework and Self-care: focus on reducing stress and improving sleep up to 8 hours; reduce time spent sitting; find ways to incorporate fruits and vegetables into diet...