Case Study: Ira is a 68-year-old male – He currently weighs 183 lbs

Case Study: Ira is a 68-year-old male. He currently weighs 183 lbs., is 70 inches tall, and his waist circumference is 39 inches. Ira is retired and is recreationally active throughout the day.

Case Study: Ira is a 68-year-old male – He currently weighs 183 lbs

QUESTION 1
Clinical Exercise Testing
For this assignment, you will be given the following case study. Using resources and literature we have provided, and any resources you choose to use, you will need to determine if the participant should be administered a graded exercise test. And, if so, you will need to clarify which test should be used. A variety of tests exist, you can find them in the Maximal Exercise Testing chapter that has been uploaded to canvas.

Case Study: Ira is a 68-year-old male. He currently weighs 183 lbs., is 70 inches tall, and his waist circumference is 39 inches. Ira is retire d and is recreationally active throughout the day. He typically tries to run/walk 1.5 miles a day around his neighborhood and also swims 1-2 times per week for 20-30 minutes. He performs resistance training using free weights and machines 3-4 times a week at the local gym, and he takes his dog for 1-2 long walks each day. Prior to retirement, Ira was a mail carrier in his hometown and did this for 30 years.

Due to his previous work history, he has some joint stiffness and has had several minor knee injuries (e.g. cartilage damage, meniscus tear) that will occasionally make it more challenging for him to exercise.

Ira’s weight has gradually increased since his retirement (15 lbs.) and has noticed that his run/walk and swimming efforts have been slightly more challenging than normal lately.

Overall, Ira is in relatively good health. He only takes atorvastatin for his cholesterol and his physician has suggested he may need to take lisinopril in the future for his blood pressure as well. He has no previous history of abnormalities related to cardiovascular or metabolic disease. His resting blood pressure is 128/82 mmHg and his resting heart rate is 82 bpm. Ira has never performed a graded exercise test before and is a little nervous as to what he may experience. He has had two ECG’s performed in the past that were ordered as a preventive measure by his physician in the past, both came back normal. His estimated VO2 max is 10 METS.

Assignment (Keep in mind the speed, elevation, MET changes, age, potential fitness when answering these questions)
1.      Clearly explain the test you would choose and the rationale for why you chose this particular test.
2.      In addition, choose 1 additional different protocol that you believe would be appropriate and identify 2 protocols that you would not use. Provide a brief explanation for each.

QUESTION 2

For this second discussion, based upon the Cardiac Rehabilitation lecture, I would like for you to discuss/explain your opinion for an appropriate exercise protocol for a standard participant in a Cardiac Rehab program. In other words, what types of exercise would you recommend (e.g., aerobic, strength, yoga, etc.)? How many days a week? How long should they exercise? What exercises would you suggest they perform (e.g., elliptical vs treadmill vs both, free weights vs machines, etc.)? How would you suggest they gauge/measure their exercise intensity?

Key considerations for your discussion post:
·         Keep your answers as short and succinct as possible
·         You are welcome to use information that I have provided, as well as external resources for your explanation. Please document your non-class resources though (URL link to the website will be fine)

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