How many high risk clients are you working with?
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Right now I work with an 85 year-old male, who had a quadruple bypass surgery 2 years ago and also had a hip replaced few years back. I did an assessment on him when he started working out (about 3 months ago) and now he is able to walk with little rest for about 20 minutes and does some upper body exercises to help him increase his flexibility and strength. Some exercises to improve his balance are also part of his training program.
In the past I have worked with people with diabetes (type 1), heart surgery patients and with clients who were wheelchair dependent.