While the others have given you some good information on physician clearance and programming, I just wanted add a quick note about rapport with the client. Your client has obviously gone through a major procedure, which affects a person both physically and mentally. It will be important to establish a good connection with the client and build a level of trust (as with any client). As trainers, it is important for us to meet the client where they are with regard to their willingness and ability to change.
I would make sure to encourage and support this client for the small steps, and understand that a lot of preparation (psychologically) went into their decision. Best wishes to you on working with this client, it sounds like it could be very rewarding.
Hello Lawrence Middleton,
Like the others suggest, you want to work with the doctors and progress slowly after a consultation as with any other client. Other than general eating habits, diets are not in my scope of practice; which the client should have from the doctor, anyway.
Listen to the body to make sure the client is safe and enjoying the exercise regime. The main goal is a healthy lifestyle, safely.
Natalie aka NAPS 2 B Fit.
Just as with all clients, those post bariatric surgery will need initial clearance from their surgeon (and if possible, their primary care physician and if applicable, physical therapist). I have only worked with one bariatric surgery client. They were referred to me by their surgeon. The surgeon gave me initial restrictions that went into the program design. I had the program design approved by the surgeon. The client went in for regular check ups and I would send along progressions/regressions for the surgeon to clear. All went well, but there were a few periods of time when the client was restricted to very minimal activity due to minor complications. As I am very conservative in the initial phase of all client programs, the exercises were not an issue. Within a year the client was doing very well on all aspects of wellness.
But every client is an individual case and needs to be treated as such. Although I start all clients out with foundation movements and indicated assessments, each progresses/regresses according to their individual reaction to exercise and their needs.
you will need a physician’s approval.
The diet part does not have to concern you. People are closely monitored diet-wise after that surgery and get their recommendations from their team of doctors and dietitians. What you have to watch out for is hydration. The stomach holds only little content, and one big gulp of water can easily make the person sick.
Chances are that you get a doctor’s okay but you may have restrictions depending on the health status of the person. An assessment should be done as on any other client. The person is probably very deconditioned, and you can train as you would otherwise and gradually build up with a focus on cardiovascular programs.
When I trained a client after that surgery, we basically stayed within the stabilization and muscular endurance phase of the OPT model. The choice of exercises is determined by the results of the assessment.
Hope this helps.