Assignment Task
- Formulate a suitable plan for the treatment for the non-communicable disease which covers the following tasks:
- Examine and describe the disease and its pathophysiological process.
- Identify any possible comorbidity associated with the disease.
- Identify and describe the main risks of exercise participation within the disease and possible comorbidities.
- Identify
and describe the main adaptations to:
- Endurance, aerobic and cardiorespiratory training
- Muscle strengthening
- Balance, coordination and proprioception.
- From the selected case study devise a 4 week descriptive treatment plan including the required FITT principles to be included in your appendix.
- Justify your exercise prescriptions with contemporary evidence base.
- Read the case to contextualise your assignment:
Case study: A 42-year-old male, visited his GP as he was routinely becoming thirsty and kept feeling like he needed to go to the toilet. He had been very active until the age of 35 and played a lot of sport in particularly rugby and badminton. Recently however he felt that he was unhealthy as his diet has been poor for a while, drinking lots of alcohol and takeaway food regularly each week. He has not been doing any routine exercise for the last 5 years. Due to this lifestyle change he has been putting on a lot of weight. He has also recently found it hard to concentrate and has found doing simple tasks such as walking from the train to work difficult. His father is diabetic and had an MI 5 years ago. The patient works long hours as a Conservation Officer for the council.
S: ‘I have been feeling really weak recently and am constantly thirsty. I just want to have more energy.’
O: Vitals
Height: 1.82m
Weight: 105 kgs
BMI: 31.6 kg/m2
RHR: 85 bpm
BP: 137/87 mmHg
Medications: Metformin,
Lab Blood Results
Fasting Glucose: 10 mmol/L
Total cholesterol: 5.3 mmol/L
HDL: 0.8 mmol/L
LDL: 3.4 mmol/L
A: Type 2 diabetes mellitus
Decreased ROM of the left knee
Points to consider
- Talk briefly on other types of diabetes
- (Mitochondrial dysfunction & impairment of insulin)
- Prevalence of diabetes (where? Population?)
- NHS on diabetes (e.g financial plan and how much funds is being allocated)
- Diabetes leads to hypertension and other various implications
- Argue the difference between “balance, coordination and proprioception”
- Check the government guidelines for diabetes
- Benefits of physical activity.
- 5.5 < normal < 13.0 mmol/L
Grading scheme
| Criteria | Exceptional (80+) | Excellent (70-79) |
| Introduction | Demonstration of an impressive understanding and accurate overview of the patient. An exceptional overview of the patient including their relevant medical history, vitals physical activity/exercise history and any other relevant information. Exceptional, accurate and precise clear discussion of the selected disease pathology and pathophysiology with exceptional use of a range of evidence to support this section | Excellent introduction to the non-communicable disease selected. Very clear and accurate overview of the patient including their relevant medical history, vitals physical activity/exercise history and any other relevant information. Excellent, accurate and very clear discussion of the selected disease pathology and pathophysiology with excellent use of a range of evidence to support this section. |
| Justification of a safe effective exercise treatment plan discussing the chronic physiological adaptations. | Advanced identification and description of the main risks of exercise participation within the disease. Exceptional in depth explanation of the processes that you would put in place to minimise risk. Impressive justification with very strong underpinning knowledge and research presented of your selected exercise treatment plan intervention, including correct and very up to date FITT principles. Exceptional identification and in depth description of the chronic adaptations to your treatment plan covering endurance, aerobic and cardiorespiratory training, muscle strengthening, balance, coordination and proprioception. | Excellent identification and description of the main risks of exercise participation within the disease. Excellent in depth explanation of the processes that you would put in place to minimise risk. Excellent justification with strong underpinning knowledge and research presented of your selected exercise treatment plan intervention, including the correct FITT principles. Excellent identification and in depth description of the chronic adaptations to your treatment plan covering endurance, aerobic and cardiorespiratory training, muscle strengthening, balance, coordination and proprioception. |
| Conclusion | Exceptional presentation of clear, concise and convincing conclusion(s) with exceptional summation of your work giving a sense of completion. You have done what you said you were going to do in the introduction offering an exceptional point of view in the light of the evidence, opinions, ideas or theories that have been examined in the assignment. | Presentation of clear, concise and convincing conclusion(s) with excellent summation of your work giving a sense of completion. You have done what you said you were going to do in the introduction. You have offered an excellent point of view in the light of the evidence, opinions, ideas or theories that have been examined in the assignment. |
| Written English | Writing is at an advanced level with an outstanding command of written English. No or very little spelling, grammar and syntax errors. | Writing is clear, concise and well organised with excellent sentence and paragraph construction. Minimal spelling, grammar and syntax errors. |
