Multiple sessions or a circuit format, using treadmill, elliptical trainer, or arm and leg cycles, are a better alternative than higher-intensity, single-modality exercise formats. The usual principles for aerobic exercise training apply (60-80% peak work capacity, 3-5 days per week). Duration of exercise should be an accumulated 30 minutes, following an intermittent or circuit format, 3-5 days per week. For someone who has never worked out before it might make sense to start at 5 minutes.
Resistive exercise training is recommended, as tolerable, using pain as a guide. Start with very low number of repetitions and gradually increase to the number usually associated with improved muscular fitness (e.g., 10-12 reps, before increasing weight, 1 set of 8-10 exercises, 2-3 days per week)
- Aerobic exercise should be done at low-moderate intensity (40-50% of peak capacity), 3-5 days per week,
using typical aerobic modes (treadmill, elliptical trainer, cycle, depending on patient preference) In particular, avoid higher-intensity training during periods of cancer treatment.
- Duration- 15-30 minutes per session (may only start with 5 minutes)
- Resistance training can be performed (1 set of 8-10 exercises, 10-15 repetitions to fatigue, 2-3 days per week).
- Core and balance exercises will be essential for this population. These exercises will help in regaining stabilization
necessary for activities of daily living that may have been lost (as a result of the lack of activity caused by treatments).
- Clients should be progressed slowly using the stabilization, strength, and power continuums.
- Plyometric training is not recommended until the client has sufficiently progressed to performing three complete phase 1 workouts per week.
Low-moderate intensity aerobic exercise (40-50% of peak work capacity) should be performed 3-5
days per week, emphasizing non-weight-bearing exercise (e.g., swimming, cycling), although certain treadmill or elliptical training modes may be preferred and are appropriate.
Duration- 15-30 minutes per day. There may be a need to start out with only 5 minutes of exercise and progressively increase to 30 minutes, depending on the severity of conditions
There are no published guidelines for resistance, flexibility, or balance training specific to pregnancy exercise. Provided exercise intensity is below the aerobic prescription of 40-50% of peak work capacity, with careful attention to special considerations and contraindications described, adding these components may be helpful. For resistance training, if cleared by the physician, a circuit-training format is recommended, 1-3 sets of 12-15 reps per exercise, emphasizing breathing control and rest, as needed, between sets.
Postpartum exercise should be similar to pregnancy guidelines, as physiologic changes that occur during pregnancy may persist for up to 6 weeks
Recommended textbook solutions
Pharmacology and the Nursing Process
7th EditionJulie S Snyder, Linda Lilley, Shelly Collins
388 solutions
The Human Body in Health and Disease
7th EditionGary A. Thibodeau, Kevin T. Patton
1,505 solutions
Clinical Reasoning Cases in Nursing
7th EditionJulie S Snyder, Mariann M Harding
2,512 solutions
Medical Language Accelerated
2nd EditionAndrew Cavanagh, Steven Jones
568 solutions
Recommended textbook solutions
Pharmacology and the Nursing Process
7th EditionJulie S Snyder, Linda Lilley, Shelly Collins
388 solutions
The Human Body in Health and Disease
7th EditionGary A. Thibodeau, Kevin T. Patton
1,505 solutions
Medical Terminology: Learning Through Practice
1st EditionPaula Manuel Bostwick
1,562 solutions
Principles and Foundations of Health Promotion and Education
7th EditionDenise Seabert, James McKenzie
133 solutions