Since her mastectomy and knee replacement were performed years ago, I would pay attention to those areas, including the hip and shoulder to see if there are any compensations during my initial assessment. I would also proceed slowly as you mentioned due to the lyphedema. Any precautions a physician or physical therapist can provide are always helpful. I would also use an extended warm up and cool down.
Thank you for all the input! She had the knee replacement and cancer some years ago so these aren’t recent occurrences. She did work with a trainer a year ago and then got out of the habit. She wants to get back to exercising.
I definitely would start her out very slowly and we already discussed that she would let me know if an exercise didn’t feel right. I would absolutely be sure she is comfortable and taking proper precautions. My plan is to start her out very slowly with any exercises and with low intensity to gauge how she responds.
She does have a compression sleeve but doesn’t wear it during the day at work. She is 70 but still working as a fundraiser for the Smithsonian Institution.
Great answers. After you receive clearance and guidelines from her physician(s) and physical therapist(s), emphasize patience and persistence, as progress may well be slow.
In addition to the suggestions given by Natalie, Shari and Susan, be sure to get specific guidelines for fluid replacement and hydration. Lymphedema, as Susan notes, is certainly a concern.
I would get medical clearance from her docs for all of the things you listed.
Lymphedema and exercise can be a tricky thing. It’s very important to understand all of the ramifications that come along with her ailments.
Strong and open communication is a must
Specific goal setting and reviewing any new exercises prior to implementing them would be suggested.
What is your education? I ask because this client is complex and will NOT fit into any cookbook exercise programs. MUST be careful not to overdo anything. How old is she? How long ago was her knee replacement? Does she wear a compression sleeve on her arm? Does she have full range of motion of her affected shoulder? I have great suggestions based on the answers to my questions.