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Problem
Mr. DM is a 69 yr old white male who complains of shortness of breath on exertion and occasionally at rest. The patient does not report any symptoms suggestive of myocardial ischemia. Additional findings from the medical history include treatment for hypertension and prostate cancer diagnosed within the past 5 yr. The patient quit smoking cigarettes approximately 3 yr ago and reports a 102 pack-year smoking history (average of two packs per day for 51 yr). The patient had an exacerbation of respiratory symptoms approximately 4 mo before enrolling in the exercise program. The remainder of the medical history is unremarkable. The patient did not use supplemental oxygen at the time of entrance into the exercise program; oxygen saturation at rest by pulse oximetry is 95%. The patient also reports a sedentary lifestyle, rarely walking outside the home, and not participating in any sport or recreational activities. What adjunctive (additional) tools as the CEP can you or should you use in the exercise programming portion to improve exercise adherence/compliance? Get the instant assignment help. In other words, what will keep the patient coming back, and yet also make the exercise program safe and effective while improving exercise program outcomes?
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