adapting physical activity for antenatal and postnatal clients · quicker return to non-pregnancy...

Learner name:

Learner number:

F/600/4529

VRQ

UV30315

Adapting physical activity for antenatal and postnatal clients

VTCT is the specialist awarding body for the Hairdressing, Beauty Therapy, Complementary Therapy and Sport and Active Leisure sectors, with over 45 years of experience.

VTCT is an awarding body regulated by national organisations including Ofqual, SQA, DCELLS and CCEA.

VTCT is a registered charity investing in education and skills but also giving to good causes in the area of facial disfigurement.

By signing this statement of unit achievement you are confirming that all learning outcomes, assessment criteria and range statements have been achieved under specified conditions and that the evidence gathered is authentic.

This statement of unit achievement table must be completed prior to claiming certification.

Unit code Date achieved Learner signature Assessor initials

IV signature (if sampled)

Assessor name Assessor signature Assessors initials

Assessor number (optional)

Assessor tracking table

Statement of unit achievement

All assessors using this Record of Assessment book must complete this table. This is required for verification purposes.

UV30315Adapting physical activity for antenatal and postnatal clients

The aim of this unit is to provide you with the relevant knowledge, understanding and practical skills to competently adapt and instruct an exercise programme to antenatal and postnatal clients.

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GLH

Credit value

Level

Observation(s)

External paper(s)

20

3

3

1

0

On completion of this unit you will:

Learning outcomes Evidence requirements

Adapting physical activity for antenatal and postnatal clients

1. Be able to gather and analyse client information

2. Be able to plan goals, objectives, activities and teaching styles appropriate to clients

3. Be able to educate antenatal and postnatal clients on nutrition, hydration, clothing and exercise safety

4. Be able to instruct clients whilst assessing, monitoring and managing risk

5. Be able to review and modify programmes according to client needs and progress

1. Environment Evidence for this unit must be gathered in a real or realistic working environment.

2. Simulation It is strongly recommended that real clients are used throughout this unit, however where access to antenatal/postnatal clients is limited simulation is allowed.

3. Observation outcomes Competent performance of ‘Observation’ outcomes must be demonstrated to your assessor on at least one occasion.

4. Range All ranges must be competently demonstrated.

5. Knowledge outcomes There must be evidence that you possess all the knowledge and understanding listed in the ‘Knowledge’ section of this unit. This evidence may include projects, assignments, case studies, reflective accounts, oral/written questioning and/or other forms of evidence.

6. Tutor/Assessor guidance You will be guided by your tutor/assessor on how to achieve learning outcomes and ranges in this unit. All outcomes and ranges must be achieved.

7. External paper There is no external paper requirement for this unit.

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Achieving observation outcomes Achieving range

Achieving observations and range

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Your assessor will observe your performance of practical tasks. The minimum number of observations required is indicated in the evidence requirements section of this unit.

Criteria may not always naturally occur during a practical observation. In such instances you will be required to produce other forms of evidence or asked questions to demonstrate your competence in this area. Your assessor will document the criteria that have been achieved through oral questioning.

Your assessor will sign off an outcome when all criteria have been competently achieved.

The range section indicates what must be covered. Ranges should be practically demonstrated as part of an observation. Where this is not possible other forms of evidence may be produced. All ranges must be covered.

Your assessor will document the portfolio reference once a range has been competently achieved.

4

Outcome 1

Observations

You can:

Observation 1 Optional OptionalDate achieved

Criteria questioned orally

Portfolio reference

Assessor initials

Learner signature

*May be assessed through oral questioning.

Be able to gather and analyse client information

a. Establish and maintain an effective rapport with antenatal and postnatal clients

b. Collect, record and analyse information about clients using safe and appropriate methods

c. Ensure clients have health care professional approval prior to undertaking exercise

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Outcome 2

You can:

Be able to plan goals, objectives, activities and teaching styles appropriate to clients


a. Plan and agree goals and objectives that are appropriate to the clients and their level of physical ability

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Portfolio reference

Assessor initials

Learner signature

Outcome 3

You can:


Be able to educate antenatal and postnatal clients on nutrition, hydration, clothing and exercise safety

a. Educate the client on nutrition, hydration, clothing and general exercise safety

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Portfolio reference

Assessor initials

Learner signature

Outcome 4

You can:

Be able to instruct clients whilst assessing, monitoring and managing risk


a. Present how to respond to warning signs*b. Demonstrate planned activities to the

clients, adapting activities according to their needs and improved performance

c. Maintain client motivation using safe and appropriate techniques

d. Assess, monitor and manage risk effectively throughout the programme

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Portfolio reference

Assessor initials

Learner signature

Outcome 5

You can:


Be able to review and modify programmes according to client needs and progress

a. Review progress against agreed goals

b. Modify programmes accordingly*

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Portfolio reference

Assessor initials

Learner signature

Range

You must practically demonstrate that you have:

*Worked with all clients Portfolio reference

Antenatal

Postnatal

Gathered all information Portfolio reference

Lifestyle

Medical and pregnancy history

Physical activity history

Physical activity preferences

Attitude and motivation to participate

Current fitness level

Stage of readiness

Used a minimum of 3 methods to gather information Portfolio reference

Interview

Validated questionnaire

Physical assessment

Observation

Planned and prepared for all goals Portfolio reference

Maintenance of cardiovascular fitness

Maintenance of functional muscular strength and endurance

Improved posture, pelvis and spine stability

Improved motor skills, balance and co-ordination

Pelvic floor muscle education and improved strength and function

Resumption of appropriate safe and effective exercise post-birth

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*It is strongly recommended that real clients are used throughout this unit, however where access to antenatal/postnatal clients is limited simulation is allowed.

Achieving knowledge outcomes

Developing knowledge

You will be guided by your tutor and assessor on the evidence that needs to be produced. Your knowledge and understanding will be assessed using the assessment methods listed below:

• Observed work performance• Witness testimony/statements• Audio-visual media • Evidence of prior learning or attainment• Written questions• Oral questions• Assignments• Case studies• Professional discussion• Employer-provided question papers and

tests• E-assessment.

Where possible your assessor will integrate knowledge outcomes into practical observations through oral questioning.

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Knowledge

Outcome 1

Be able to gather and analyse client information

You can: Portfolio reference /Assessor initials*

d. Explain the considerations when establishing and developing an effective working relationship with antenatal and postnatal clients

e. Explain the barriers that antenatal and postnatal clients may have to exercise and how to take these into account

f. Explain the importance of pre-activity screening for antenatal and postnatal women and the legal and ethical responsibilities placed on the instructor

g. Outline the special circumstances under which it would be good professional practice to obtain written health care professional consent and exchange programme information

h. Outline the relevance, incidence, timing and benefits of the postnatal check

*Assessor initials to be inserted if orally questioned.

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Outcome 2

Be able to plan goals, objectives, activities and teaching styles appropriate to clients


b. Outline the key implications of the effects of pregnancy on exercise programming

c. Outline the factors that may assist antenatal and postnatal clients to take up and adhere to regular exercise

d. Explain the evidence-based guidelines for frequency, intensity, type and duration of exercise for previously active and previously inactive clients

e. Justify the importance of practical skills tailored to meet the needs of antenatal and postnatal clients

f. Design a physical activity programme to meet the needs of antenatal and postnatal clients

g. Describe safe and effective modifications, adaptations and alternatives for antenatal and postnatal clients


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Outcome 3

Be able to educate antenatal and postnatal clients on nutrition, hydration, clothing and exercise safety


b. Explain why antenatal and postnatal clients should keep well hydrated and avoid hot and humid conditions when exercising

c. Explain the importance of nutrition for antenatal and postnatal clients

d. Outline the appropriate clothing, footwear and breast support for antenatal and postnatal clients

e. Explain the importance of avoiding fatigue and dramatic or sudden weight change


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Outcome 4

Be able to instruct clients whilst assessing, monitoring and managing risk


e. Explain how to assess, monitor and manage risk effectively throughout the programme


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Outcome 1: Be able to gather and analyse client information

Unit content

This section provides guidance on the recommended knowledge and skills required to enable you to achieve each of the learning outcomes in this unit. Your tutor/assessor will ensure you have the opportunity to cover all of the unit content.

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Effective rapport: Personalised service, friendly and welcoming, active listening, open questions, empathy, positive body language, show respect, gain mutual confidence, gain mutual trust, determine needs, review needs.

Information: Lifestyle, medical and pregnancy history, physical activity history, physical activity preferences, attitude and motivation to participate, current fitness level, stage of readiness, methods of gathering information (interview, validated questionnaire, physical assessment, observation).

Considerations: Perceived body image, confidence, mood, sleep deprivation, ethical considerations, anxiety, depression.

Barriers: Real and perceived barriers, concerns and myths regarding the growing baby, motivation, anxiety and tension, pain and discomfort, accessibility, prejudice, underestimation of exercise ability, level of interest, scepticism of exercise effectiveness, exercise perceptions and misconceptions.

Pre-activity screening: Importance of risk assessment, method of gathering information, screening information used for goal setting and programme design, legal requirement, ethical responsibilities of the instructor.

Special circumstances: Risk identified, past history of miscarriage, problems in pregnancy, multiple births, premature labour, warning signs/symptoms, complications, if low risk ok to exercise.

Postnatal check: Incidence (typically 6 weeks), purpose, checks and tests (weight, urine, blood pressure, breast examination, smear test, internal examination, contraception, discuss mood, opportunity to ask questions), benefits of the postnatal check.

Outcome 2: Be able to plan goals, objectives, activities and teaching styles appropriate to clients

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Goals/objectives: Maintenance of cardiovascular fitness, maintenance of functional muscular strength and endurance, improved posture, pelvis and spine stability, improved motor skills, balance and co-ordination, pelvic floor muscle education and improved strength and function, resumption of appropriate safe and effective postnatal exercise, quicker return to non-pregnancy state.

Implications: Effect on motor skills, avoidance of exercising in the supine position after 16 weeks, the need to preferentially re-educate the pelvic floor and transversus abdominis post birth, weakening or widening of rectus abdominis, the importance of safe functional transitions between exercises.

Adherence: Motivation, realistic goal setting, rewards, enjoyment, encouragement, appraisal and programme progression and modification, benefits of exercise pre and postnatal (less likely to suffer from aches, leg cramps, muscular tension, lower back pain, circulatory problems, poor posture), better prepared for labour and delivery, increased energy levels, speedier recovery after delivery, larger placenta, decrease risk of excessive weight gain, decrease risk of varicose veins, reduced risk of caesarean birth, increased energy levels.

Exercise guidelines: Range of exercise guidelines, exercise frequency, exercise intensity, exercise type, duration of exercise, guidelines as they apply to antenatal and postnatal clients, guidelines for previously active and previously inactive clients, never exceed heart rate of 140bpm, temperature should never exceed 100 degrees Fareneheit (38 degrees Celsius).

Practical skills: Tailor to cater for different fitness levels and abilities, to maintain function ability, to fit in with individual’s lifestyle, to meet aims and objectives of the client.

Programme design: Implications, goals and objectives of programme, warm up and cool down, antenatal and postnatal exercise guidelines, types of exercises, inclusion of practical skills, principles of training and the FITT principle, abdominal and pelvic floor focus.

Modifications and alternative exercises: Positional changes to avoid supine hypotensive syndrome, splinting techniques (using a towel or pelvic belt), progression exercises, water-based exercise, cueing for technique, emphasising the lengthening of the spine and encouraging space between the ribcage and pelvis.

Outcome 3: Be able to educate antenatal and postnatal clients on nutrition, hydration, clothing and exercise safety

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Educate the client on nutrition, hydration, clothing and general exercise safety: During (consultation, screening, review of programme), before, during and after exercise session, opportunities to educate (leaflets, emails, posters, information sheets, during review process).

Hydration, hot and humid conditions: Risk of birth defects, dangerous to developing fetus, role of water in the body, hydration guidelines and strategies (timing and volume), effects of dehydration, hyperthermia, importance of avoiding hot and/or humid environments, especially during the first trimester.

Nutrition: Protect health of you and baby, balanced diet, variety of foods, nutrient dense foods, dairy produce for calcium, foods rich in folic acid and iron, avoid alcohol, limit caffeine, limit sugar/sweets, salt in moderation, need extra 200/300 extra calories than before pregnancy (do not eat for two), avoid dieting, eat safely (preparation, hygiene, avoid risk of bacterial infections, avoid certain foods e.g. mould ripened cheese, raw shellfish).

Clothing, footwear and breast support: Comfortable, loose fitting and non-restrictive, breathable materials, supportive shoe, breast support, support belts.

Fatigue and weight change: Reasons for fatigue (better able to cope with pregnancy, body is under additional stress, excess energy is needed, hormonal changes, nausea and vomiting use energy, iron deficiency), weight change (tendency to eat for two, eat wrong foods), sudden weight change (excessive gain – more likely to retain weight after birth, stretch marks), weight loss (implications for your health

and and health and development of baby, lack of energy, nutrients), tips for avoiding fatigue (diet, exercise and lifestyle).

Outcome 4: Be able to instruct clients whilst assessing, monitoring and managing risk

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Warning signs: Stop exercise activity, seek medical assistance, refer to GP, warning signs (vaginal bleeding, dyspnoea before exertion, dizziness, headache, chest pain, muscle weakness, calf pain or swelling (need to rule out thrombophlebitis), preterm labour, decreased fetal movement, amniotic fluid leakage).

Demonstrating activities: Clear and concise instructions, communication and interpersonal skills, listening and responding, body language, positive and supportive attitude, quality of demonstration, positioning, cueing, repeating demonstration and ensuring client understanding, analysing and modifying client technique, safe transition, consideration of guidelines and effects of pregnancy.

Activities: Low impact aerobic-based, water-based, abdominal exercises and pelvic floor, core stability, practical and functional skills, stretching, modified yoga, Pilates and resistance training.

Maintaining client motivation: Positive feedback, positive attitude, appraisal, adaptability, support, rewards, incentives, social network, positive communication, incorporate clients exercise and physical preferences, make classes/training fun, reinforce benefits.

Risk assessment: Observation, monitoring and cueing skills to ensure safe exercise intensity, toilet and hydration breaks, technique correction (reinforcement of posture, joint alignment), speed of instruction, safe transitions, pelvic floor awareness, pros and cons of different positions to take into account supine and postural hypotensive syndromes, pelvic

girdle pain, carpal tunnel syndrome, rib pain, gastric reflux and low back pain, the standing position for functionality, balance and optimal pelvic floor muscle function, considerations for the exercise environment (including temperature, trip hazards, ventilation, group size, choice and safe use of appropriate equipment).

Outcome 5: Be able to review and modify programmes according to client needs and progress

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Reviewing progress: Objective and subjective measures, performance measures.

Programme modification: Modification of programme goals and objectives, programme changes according to the stage of pregnancy, progression, frequency, duration, intensity, sets, reps, volume, rest periods, exercise selection, activity selection, environment, equipment.

adapting physical activity for antenatal and postnatal clients · quicker return to non-pregnancy...

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