Which of the following is important to include in the initial assessment for older adults who are frail and beginning an exercise program?
a. Exercise tolerance testing (ETT)
b. Financial ability to pay for training ses-sions
c. Medical history and physical examination
d. Pulmonary function tests (PFTs)
C
Any aspect of the patient's current and past physical and psychological condition can be impor-tant in designing the exercise program to suit the patient. Fitness tests such as the ETT are war-ranted in older adults who are beginning a moderately intense or vigorous exercise program. The ETT is not recommended for the frail older adult. Expensive training programs are not usually needed. Although aerobic capability must be carefully observed, PFTs, specifically, are not ne-cessary unless pulmonary function is a parameter that the therapeutic program is targeting for improvement.
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