Consultant
Form
Personal information
Title: Mr
Mrs Miss Ms
Name: John Pelekanis Gender: Male/Female
Date of birth: 12/12/93 Age: 18
Mobile number: 07972633878
Home number: 02082618601
Family doctor: Mr Kumus
Address: 4 chtchester news west
Nuruout Email address
Post Code: SE27 0ns
Weight 80kg Height 6feet
Occupation
Emergency Contact
Emergency contact name: Sarah
Emergency contact address: 26 ringshaw road
Emergency number: House: 02076845938 Mobile:
07945767342
GP Details
Name:
Surgery address:
Phone number:
Medical History
Please tick the following that refers to you
Recent Injuries: .no
Do you have high blood pressure: no
Do you have Allergies? If so what type of allergy do you
have? no
Do you have cancer? And if so what type of cancer?
Arthritis or other rheumatic disease Specify type:
Heart disease Type
of heart disease:
Diabetes Asthma Emphysema
or COPD
Other condition Specify:
Cuts&bruises dislocation fracture
Any unknown pains?
Recent visits to the OP if so why?
If you have ticked or answered on the medical history part,
it you want please elaborate on what medical you have ticked.
Life Style
Please answer the following questions that refers to
you
How would you describe your
food habits? Good/ bad/ alright
Do you drink a lot of
alcohol?
Yes/ No
Do you smoke?
Yes /No
How many times a day do you
smoke? 2
Are you on a diet?
Yes/ No
How many litres of water do you
drink a day? .1-2Litres.
How often a week do you
exercise: 4 times a week
Stress Levels: High Low Medium
Do you take any prescribe medication? If so are you still allowed to train?
General Information
Have you been to a gym before? yes
Have you ever had a personal
trainer before? Yes/ No
Where did you hear to come to
this specific place?
From school
What do you want to achieve in
this?
Become stronger
What Exercises or Activities
can’t you do?
What specific fitness do you
want to work on? Everything
Is there any fitness,
activities or exercises that you don’t want to do? .no
Is there any other condition
that we need to talk about i.e pregnant, unknown pain and any other injury or
strains. no
Physical Examination
Height:
6. feet
Weight:
80kg
Body
fat: 17
Heart
rate: 80
Blood
Pressure: SYS: 104 DIA: 142
BMI:
24.7
Lung
volume /function: 24
Waist
to hip ratio: 85
Postural
Analysis
Consultant
Form
Personal information
Title: Mr Mrs
Miss Ms
Name: Siri Knioethet
Gender: Male/Female
Date of birth: 04/01/94 Age:
18
Mobile number: 07916998193
Home number: 02087608290
Family doctor:
Address 54 Rovuwany Road West Norwood
Email address: siripongpetch-99@hotmail.co.uk
Post Code: SE27 9PX
Weight: Height …………………… Occupation ……….................................
Emergency Contact
Emergency contact name: Linda
Emergency contact address: 54 Rovuwasny Road West Norwood
Emergency number: House: 02087608290
Mobile: 07828192482
GP Details
Name:
Surgery address:
Phone number:
Medical History
Please tick the following that refers to you
Recent Injuries: Sprain ankle, knee
Do you have high blood pressure
Do you have Allergies? If so what type of allergy do you
have?
Do you have cancer? And if so what type of cancer?
Arthritis or other rheumatic disease Specify type:
Heart disease Type
of heart disease:
Diabetes Asthma Emphysema
or COPD
Other condition Specify:
Cuts&bruises dislocation fracture
Any unknown pains?
Sometimes my right ear starts to hurt and I don’t know why.
Recent visits to the OP if so why?
If you have ticked or answered on the medical history part,
it you want please elaborate on what medical you have ticked.
Life Style
Please answer the following questions that refers to
you
How would you describe your
food habits? Good/ bad/ alright
Do you drink a lot of
alcohol?
Yes/ No
Do you smoke?
Yes /No
How many times a day do you
smoke?
Are you on a diet?
Yes/ No
How many litres of water do you
drink a day? 1.5 Litres.
How often a week do you
exercise: 3 times a week
Stress Levels: High Low Medium
Do you take any prescribe medication? If so are you still allowed to train?
General Information
Have you been to a gym before?
Have you ever had a personal
trainer before? Yes/ No
Where did you hear to come to
this specific place?
From School
What do you want to achieve in
this?
Loss body fat, and build
cardiovascular and endurance
What Exercises or Activities
can’t you do?
Swimming
What specific fitness do you
want to work on?
Cardio
Is there any fitness,
activities or exercises that you don’t want to do?
Is there any other condition
that we need to talk about i.e pregnant, unknown pain and any other injury or
strains.
Heavy weight
Physical Examination
Height:
164 cm
Weight:
65.1
Body
fat: 16
Heart
rate: 62
Blood
Pressure: SYS: 139 DIA: 96
BMI:
21.7
Lung
volume /function: 30
Waist
to hip ratio: 81cm
Postural
Analysis
Cigarette smoke contains about 4,000 different
chemicals which can damage the cells and systems of the human body. These
include at least 80 chemicals that can cause cancer (including tar, arsenic, benzene,
and other diseases. Every time a smoker inhales, these chemicals are drawn into
the body where they interfere with cell function and cause problems ranging
from cell death to genetic changes which lead to cancer.
This would effect Siri in many ways, it would effect
his breathing his attitude his, general fitness. Smoking does enormous damage
to the lungs, especially because these tissues are in the direct firing line
for the poisons in smoke. As a result there is a huge increase in the risk of
lung cancer, which kills more than 20,000 people in the UK every year.
Because Siri smokes it would effect him in many ways such as: Increase in blood
pressure, decrease in the brain stimulation, dizziness, loss appetite, becomes
easily hyper, shortness of breathing chronic coughing and a lot more. The main
one that I picked out from there is shortness of breathing; so when Siri was
counting his heart beat a minute, his one was low and that was the main reason
why. The average normal rate for a human heart beat a minute is between 60-100
Siri one was below 60 which isn’t good at all.
The aim of my assignment was to get two
contrasting people and different people. An example of this would be someone
playing sport and the other person not playing sport. I used two of my students
in my class who I think were to different. Although they both played sports and
go gym I still thought there was a big difference between them. Siri had a lot
more flexibility then John and I say this because Siri stretches a lot more
then John. I Also say that Siri is more flexible because before when we did the
sit and reach test john couldn’t reach the board at all whilst Siri did reach
it and did well on it. Even though Siri is more flexible then John, John was a
lot more stronger because he had bigger muscle then Siri.
John was stronger then Siri because when he
went to the gym he would normally work on his muscle in his body rather then
using treadmill, bicycles and other machines and John goes more regular to the
gym then Siri. The main big difference between the two people that I picked was
there heights; John is 6 foot, whilst Siri is 5 foot 4, so there was a big
difference in height. Also I think due to the height, Siri had faster reactions
and generally faster then john because when Siri does go gym he is uses the
running machines more.
When I measured John and Siri heart rate
there wasn’t a big difference, Johns was 80 whilst Siri was 62. This shows that
Siri is fitter then john due to the score they got in there heart rate
test. There was a big difference when I
did the blood pressure test on them, Siri got: Sys 139, DIA 96 whilst john got:
SYS: 104, DIA 142. There is an big difference in both of them especially in the
DIA. For Johns BMI he is according to
this survey over weight bit a bit.
So If I was john I would go to the gym and
work on the treadmill more because not does it make you fitter and lose weight,
you also burn fat and you would become healthier. John can also go on a
different type of diet that focus more on his figure rather then anything else.
If John goes on a diet or use the treadmill more for like a month or two, he
would start to see a big difference so when we do these test again he would see
a difference in his weight, height, BMI, heart rate and more.
For Siri when he was doing the blood
pressure test he found it difficult to walk up and down so he sat down and did
it instead. He said this due to his knee injury and sprain ankle.
|
Siri
|
Result
|
John
|
Result
|
|
Height
|
164cm
|
Height
|
182cm
|
|
Weight
|
65.1
|
Weight
|
80kg
|
|
Body Fat
|
16cm
|
Body Fat
|
17cm
|
|
Heart Rate
|
62
|
Heart Rate
|
80
|
|
Blood Pressure
|
SYS: 139
DIA:96
|
Blood Pressure
|
SYS: 104
DIA: 142
|
|
BMI
|
21.7
|
BMI
|
24.7
|
|
Lung volume/
Function
|
30
|
Lung volume/
Function
|
24
|
|
Waist and Hip
Ratio
|
8
1cm
|
Waist and hip
Ratio
|
85
|
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