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Case Study 2 Medical History Mrs. KT is a 45 yr old Caucasian female, married with two teenage sons. She is employed as a senior manager at a large bank and reports experiencing an “above average” level of tension and stress. She presents at the referral of her primary care physician, who has observed that the client has elevated blood pressure and cholesterol levels that may be attributed to her stressful and highly sedentary job. In addition, the client admits that she would like to lose 30 to 40 lb (14 to 18 kg) and improve her fitness so that she can ride her bike with her husband on a community rail trail recently installed by her neighborhood. The client describes herself as nonathletic and admits to never participating in an organized sport or exercise setting. She is aware of the benefits of exercise but did not feel an incentive to begin a formal program until her doctor’s recommendation. The client jokes that although her workday is highly organized and structured, the rest of her life is chaotic and that it is due only to the support of her husband and kids that anything gets done at home. She laments
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