How can a CIFT adjust the Borg Scale for a client with memory impairment?

The Borg Scale is a subjective measure of perceived exertion, traditionally ranging from 6 to 20. For clients with memory impairment, it is essential to simplify the scale to make it more understandable and accessible. Adapting the scale to a range of 0-10 can reduce cognitive load and facilitate easier recall and understanding.

Using a pictorial representation is also beneficial, as visuals can aid in communication and understanding for individuals who may struggle with verbal descriptions or numeric scales. This approach allows clients to associate a visual cue with the level of exertion they are experiencing, making it easier for them to self-report their feelings of effort during physical activity.

The other options do not provide the necessary adaptations to suit the cognitive needs of clients with memory impairment. Keeping the scale at the standard range or changing it to 6-20 may not help clients who have difficulty remembering or understanding these numbers, while opting not to use the Borg Scale at all would eliminate a useful tool for gauging effort and safety during physical activity. Therefore, the adjustment to a simpler scale and the potential use of pictures is both practical and effective for promoting inclusivity and understanding in fitness settings.