Level 4 Obesity & Diabetes
Assessment Guidance & Documentation

You must complete the following:  

 

Section 1 - Provide a summary of your client’s medical history and current medical status. 

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Section 2 - Details of any medication your client may be taking, including the reason for taking the medication, the effect, the potential side effects, and the implications for exercise prescription. [ Example Table Template > Link  ; NHS Medication > Link ​]

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Section 3 - Provide statements of the appropriate clinical objectives. Each objective must be accompanied by the underlying reason, or multiple reasons, for selection. [Section 3 Discussion Notes > Link ]

 

Section 4 - A six-week plan of Physical Activity (PA), gym-based or utilizing appropriate PA programming, to introduce an increase of approx 200 kcals per day energy expenditure averaged over the six-week period. [See Case Study Template For Examples]

 

Section 5 - Consider all psychological issues you feel are relevant in dealing with your client, in order to effect positive lifestyle change(s) and provide details of which behavioral strategies you feel would be appropriate. 

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Section 6 - A summary of pre-post physiological measurements with a rationale for each measurement and, where appropriate, a rationale for not taking a specific measurement (i.e. fat mass); you must include classifications. [Example Table Template > Link]

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Section 7 - An assessment of your client’s BMR and average daily kcal expenditure from the information given or obtained. [BMR Book > Link ; See Case Study Template For Guidance]

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Section 8 - An assessment of your client’s average daily caloric intake from the information given or obtained.  [See Case Study Template For Guidance]

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Section 9 - An assessment of the effect(s) items 7 and 8 will have on the mass of your client over an annual cycle, assuming all other factors remain constant. [See Case Study Template For Guidance]

 

Section 10 - An information sheet suitable for your lay client listing a range of healthy food choices from each of the macronutrient groups. 

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Section 11 - An information sheet suitable for your lay client (one side A4) listing the benefits of habitual, volitional PA. 

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Section 12 - A six-week plan of dietary modification that will elicit a reduction of 300-400 kcals.day-1 (be clear to acknowledge you are not a dietician or nutritionist). [See Case Study Template For Guidance]

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Section 13 - A plan of how you would engage the help of, or offer your services to, the local NHS/PCT dieticians to form a multidisciplinary team in obesity management. 

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Section 14 -Identify an exit strategy for your client that would encourage/elicit long term weight management and volitional physical activity 

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