Plan Page 1 Unit Number: H/500/7008 and K/500/7009 Candidates must achieve enough passes to show competency across all sections. Candidates are allowed no more than 1 R in any section. P Pass Q Question * Pass with comment R Refer R Referral overall N/A 1. Preparation a. The candidate has provided evidence of the client s medical status b. The candidate has provided evidence of informed consent c. The candidate has provided sufficient evidence of relevant health and safety issues d. The candidate has stated how they will safeguard their client during the planned activity 2. Warm-up a. The candidate provided the aim of the mobility and pulse-raiser b. The candidate has planned a suitable mobility and pulse-raising activity c. The candidate has provided evidence of an alternative, adaptation and progression d. The aim of the preparation stretches has been provided e. The duration of the stretches has been identified f. A suitable range of preparation stretches have been identified 1
Plan Page 2 3. Resistance training a. A suitable aim for the resistance section has been provided b. A health range of resistance exercises has been provided which promotes good posture and a muscular balance c. A healthy blend of resistance machines and free-weights have been listed d. Sufficient information relating to the exercise intensity has been listed e. At least 2 specific coaching points have been listed for each exercise have been provided f. A minimum of 1 alternative, 1 adaptation and 1 progress has been provided 4. Cardiovascular training a. A suitable aim for the component has been provided b. The client s maximum heart rate has been calculated c. Sufficient information relating to the exercise intensity has been listed d. An appropriate aerobic curve has been created e. A minimum of 1 alternative, 1 adaptation and 1 progress has been provided 5. Cool-down a. The aim of the post-workout stretches has been provided b. A suitable range of maitainence stretches have been identified c. A suitable range of developmental stretches have been identified d. A suitable revitalizing activity has been listed Sufficient information relating the intensity of the revitaliser has been provided A minimum of 1 alternative, 1 adaptation and 1 progress has been provided 2
Plan Page 3 Section 1: Client Profile Client Name: Age: Height: BMI: Gender: Medical history Yes No 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity unless recommended by a doctor? 2. Do you feel pain in your chest when you do physical activity? 3. In the past month, have you had a chest pain when you were not doing physical activity? 4. Do you lose balance because of dizziness or do you ever lose consciousness? 5. Do you have a bone or joint problem that could be made worse by a change in your physical activity? 6. Is your doctor currently prescribing you drugs (for example water pills) for your blood pressure or heart? 7. Do you know any other reason why you should not do physical activity? If your client has answered yes to any of the pre-exercise questions, please provide details below including how this may affect their participation during the programme. Informed consent I fully understand that my participation in this programme is completely voluntary and I may withdraw from the prescribed exercises at any time. I also confirm that I understand that exercise involves inherent but unlikely risk of injury and in extreme circumstances the possibility of death. By signing below I confirm that I have answered honestly all of the pre-exercise medical questions and release: Signature: (instructor) from any liability with respect to any damage or injury which I may suffer whilst exercising. Client Name: Instructor Name: 3
Plan Page 4 Planning Assessment Form Venue: Equipment Treadmill Upright cycle R-cycle Stepper Rower Cross trainer Resistance machines Cable machines Bars / collars Dumbbells Benches Mats Open space Number Describe the Location of: Emergency exits Nearest telephone First aid equipment (Including the location of any qualified personnel). 4
Plan Page 5 Discuss the procedures for: Participant screening Participant referral Participant & instructor clothing Ventilation & temperature Describe the venues control of: Lighting (is this sufficient in all areas?) Water availability? (Where & how provided?) Flooring (type of flooring, available space, is it level etc?) 5
Plan Page 6 Equipment: What equipment checks will be completed prior to the session? (Including electrical equipment) Who will you report faulty equipment or other health & safety breaches to? Describe the emergency procedures for: Medical emergency (heart attack, stroke etc). Non-medical emergency (fire or suspected bomb). What action will you take throughout the session to ensure your client remains safe? 6
Plan Page 7 Warm-up Mobility and pulse-raiser Aim Alternative Time Adaptation Mode Progression Intensity (RPE) Intensity (% MHR) Preparation stretches Aim Time (per stretch): Deltiod Trapezius Pectoral Tricep Latissimus Dorsi Quadricep Hamstring Gastrocnemius Soleus Gastrocnemius/ Hamstring 7
Plan Page 8 Resistance Aim: Exercise Sets Reps Rest % 1RM Coaching Points ALT, ADAP, PROG 8
Plan Page 9 CV Training Max heart rate: Training zone: Duration: Exercise mode (S): Aim: Build up Target zone Cool-down Alternative: Adaptation: Progression: Cool-down Post-workout stretches Aim Time: Developmental: Maintainance: Gluteal Erector Spinae Hamstring / Adductor Quadricep 9
Plan Page 10 Hamstring Gastrocnemius Deltiod Trapezius Pectoral Tricep Latissimus Dorsi Authenticity Statement I the undersigned do hereby acknowledge that by checking the following box I confirm that the contents of this programme card are entirely my own work and has not been plagiarised from another source. Candidate Name: Date: Authenticity Confirmation: 10