1. Subjective an objective assessment Flashcards
What are 4 key cardiorespiratory symptoms in a subjective assessment that you need premorbid and current information about?
- Cough and sputum
- Pain
- Exercise tolerance and mobility
- Breathlessness
What information do you need about cough?
Usual vs Current
* Presence or absence
* Occurrence? Intermittent/night time/ throughout the day
* Productive or non productive
What information do you need about sputum?
- Amount
- Colour
- Viscosity
Use the word mucus to patients - less jargon
What information do you need about social history?
- Home environment
- Any home modifications
- Is the patient a carer for someone or do they have a carer?
- Level of independence with ADLs
- Paid work?
What details of previous physiotherapy do you need to ask the patient?
- Understaning of what physiotherapy does?
- Understand management of their condition or find out what self-management techniques they currently use?
Name 3 points to address when concluding an interview
- Patient goals
- Discharge planning
- Possible patient problems
Normal values: temperature
36.5-37.5
Normal values: heart rate
60-100bpm
Bradycardic <60
Tachycardic >100
Normal values: blood pressure
Between 95/60 and 140/90
Hypertension >145/95
Hypotension <90/60
What is orthostatic intolerance
BP drop during upright posture
Normal values: respiratory rate
12-16 breaths/min
Tachypnoea >20 breaths/min
Bradypnoea <10 breaths/min
What are the 3 components of patient observation?
- Look
- Feel
- Listen
Look and feel
What components are you looking for when assessing breathing pattern?
- Pattern/symmetry of movement (feel)
- Use of accessory muscles (look)
- Inspiratory/expiratory ratio (should be 1:2 or 1:3; more time exhaling than inhaling) (look)
- Level of breathlessness (use borg scale)
Types of breathing sounds on auscultation?
- Normal breath sounds
- Absent breath sounds
- Bronchial breath sounds
- Crackles (small or large)
- Wheese
- Pleural rub (creaking, squeaking or rubbing)
Types of breathing sounds on auscultation?
- Normal breath sounds
- Absent breath sounds
- Bronchial breath sounds
- Crackles (small or large)
- Wheese
- Pleural rub (creaking, squeaking or rubbing)
What do fine crackles indicate?
- Pulmonary edema
- Pulmonary fibrosis
- Pneumonia