You have a new client which you will be training two times a week for 30 minutes a session. Review the client health status of Mary Julia and answer the questions below
Client Health Status
Mary Julia 49 yo female 4 weeks post radiation for Breast Cancer, 10 weeks post chemo
Diagnosed with Invasive breast carcinoma IBC, completed a unilateral mastectomy right side to remove cancer. Completed chemo and radiation without event, other than tiredness and feels some depression and anxiety over the whole cancer experience and losing a breast. Her doctor has prescribed Diazepam prn, but Mary Julia doesn’t like to take it because of the side effects. Her hormonal treatment is tamoxifen.
Right arm shows some lymphedema and she has been advised to use a sleeve while doing repetitive movements with her arms. Her range of motion is almost back to normal in her right arm.
She also has exercise induced asthma for which she uses an inhaler – Fluticasone Mary’s asthma bothers her more with outside exercise.
Mary Julia also has borderline hypertension
Her weight is up about 10 pounds and she wants to lose that.
Blood Pressure – 140/90 Resting Heart Rate – 72 Height 5’4” 140lbs
Her exercise test show some right side strength deficits. Her overall level of conditioning is average after her treatments, but before cancer she was very active. She wants to get back to regular exercise, but her anxiety over cancer and worry about it coming back gets her off track.
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