What is the condition or problem of the special population What body systems does the condition effect and how What are the exercise testing procedures for the population What are the exercise precautions for the population ID: 467245
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Slide1
BLEEDING & BLOD CLOTS
What is the “condition or problem “ of the special population
What body systems does the condition effect and how?
What are the exercise testing procedures for the population?
What are the exercise precautions for the population?
What are the exercise and Nutrition recommendations for the population?Slide2
Precautions
1. People
with bleeding disorders have a defect in their
coagulation system
. Frequent bruising is a part of their lives that cannot
be avoided
. For those with severe disease, bleeding into joints
muscles
can occur even with little or no trauma.
2.Parents
must strive for a healthy attitude toward their child’s
participation in physical activities. It is important that
parents provide
a safe environment in which their child can grow
and develop
normally, which includes participation in athletic activities.
In general, inactive, overprotected children have more
frequent, spontaneous
bleeding. A more self-confident, independent
lifestyle usually
brings marked clinical improvement and fewer spontaneous
bleeding
episodes
3. .Children
choose sports for excitement, friendship, and competition.
One of the biggest obstacles to their participation may be their
parents’ fear of injury. Parents should address these concerns by
talking with their children about risks and precautions, and they
should make sure that children use the appropriate safety
equipment.Slide3
Precautions cont.
4. Honest
and open communication between people with
bleeding disorders
, their parents, the HTC team, school personnel
and coaches
is vital. If injuries occur, people should always receive
early and
appropriate
treatment
5.
It is important that people with a bleeding disorder be physically fit.
Joints that are supported by well-developed muscles are better
able to
withstand the traumas of daily living. Stretching,
strengthening, cardiovascular
training, and sports participation are all ways
to achieve
fitness
.
6.
There are many benefits to participating in sports and exercise.
Starting at an early age can build a strong routine that will be
beneficial throughout lifeSlide4
Thrombosis
This is when blood clots form on unbroken blood vessels or on atherosclerotic (hardened) plaques in the arteries and can cause heart attacks or strokes.
Blood clots forming in the veins of the legs may cause a painful condition called phlebitis which can break away and travel to the lungs to cause a dangerous condition called pulmonary embolus
Blood Clot proteins form in liver-hepatitis, cirrhosis and other diseases of the liver can reduce normal blood clotting, causing a person to bleed excessively
coagulation can effect innate immune system by the ability to increase permeability and act as chemotactic agents for phagocytic cells immune systemSlide5
Some Diseases
Hemophilia A B
Von
Willebrand
Disease
Hemarthrosis
-bleeding in joints
Hematoma – bleeding in muscles – disabling arthritis
Slide6
CAN I EXERCISE
CERTAINLY YES…is the answer however this population should
PLAY IT SAFE
: 1
st
Always consult with your Hemophilia Treatment Center prior to engaging in any sport or exercise regimen
Avoid: Heavy contact sports
wrestling,football
, hockey
Soccer, basketball, baseball present risks but are not off limits
Recommended: SPLASHING DASHING BIKING Slide7Slide8
Body Systems effected
Lungs- pulmonary embolism life threatening blockage of arteries in lungs (often forms in DVT)
Brain- Transient Ischemia Attack TIA or mini stroke
Legs, Arms, (Deep Vein Thrombosis) persistent swelling of extremity
Heart -Arterial thrombi is a heart attack along w/thrombus
anginga
pectoris lack of blood supply to heart results in severe chest pain
Kidneys –renal vein thrombosis which is often associated with trauma to the abdomen
Joints – they may
develop severe arthritis Slide9
Inherited affect all ages/sex
Hemophilia A B
Von
Willebrand
Disease
Hemarthrosis
-bleeding in joints
Hematoma – bleeding in muscles – disabling arthritisSlide10
Hemophilia A and B
Increased weight strains joints and muscles, including increased bleeds in susceptible joints.
Be aware of portion sizes, read label avoid snacks
Increase Consumption of fruits Veggies to help maintain intestinal health
Try to eat at least half of your grains from whole grain productsSlide11
Von Willebrand
Factor
Effect both sexes equallySlide12
Menorrhagia
Heavy
mestraul
periods: heavy bleeding creates Iron Deficiency, Vitamin K Deficiency
http://www.hemaware.org/research-treatmentSlide13
Nutrition
Vegetarian Diets decrease mood swings and water retention
Maintain Normal Blood Volume and Circulation
Spinach chard, green
beans,broccoli,asparagus
, kale greens peas and carrots –increase Vitamin K
Well fortified cereals, leafy greens, Liver
Vitamin B-12
Vitamin B-6
Vitanin
E- avoid vitamin e supplements that may increase bleeding
Folic AcidRed wine (in moderation) good for hear and reduction in platelet aggregation or fibrinogen levels (blood
clotter)Omega 3 Fatty Acids have blood thinning properties help prevent stroke Reduce risk of Thrombosis AvoidFoods rich in Vitamin K which encourage blood clots such as kale, spinach broccoli peaches and bananasSalicylates- inhibit blood clotting Aspiriin, herbs and spices curry,cayenne,thyme
Fruits strawberries,organges grapes . Vinegar honey and ciderOmega 3 Fatty Acids have blood thinning properties help prevent stroke Slide14
Nutrition for Bleeding
Maintain a healthy weight, limit use of butter, stick margarine, shortening and lard- increase Good fats – canola oils & olive
Several nutrients in blood cell production such as iron, protein, copper, vitamin c, vitamin B-12, B6, vitamin e and folic acid
Avoid vitamin E supplements since they may increase risk of bleeding
During a bleed .75 mg is lost w/each tablespoon f blood---liver, lean red meat and poultry best and most readily absorbed iron sources,
Leafy green vegetables, broccoli, dried beans, grains and raisins combined with good sources if
Vit
. C enhance iron absorbanceSlide15
WORD OF WISDOM
“Spend your
caloires
as wisely as you would your money!”