Outcome Measure (CVR Specific)

Question 1

What are some outcome measures in respiratory assessment?

Answer 1

• Respiratory rate
• Work of breathing/breathing pattern
• SpO2%
• ABGs
• Oxygen requirements
• Volume of sputum expectorated
• Auscultation/palpation/thoracic expansion
• CXR

Question 2

What can lung function testing be used for?

Answer 2

• Investigate disease and function
• Measure disease progression
• Measure response to treatment

Question 3

What is the Borg Scale?

Answer 3

a scale rating perceived exertion (RPE)

Question 4

What is the Borg Scale often used as?

Answer 4

An outcome measure in pulmonary rehab, to monitor progress during an exercise regime + to help guide patient to exercise at a suitable level of intensity.

Question 5

What did the original Borg scale measure on a scale of?

Answer 5

6-20

Question 6

What does the modified Borg scale measure on a scale of?

Answer 6

1-10

Question 7

What MRC stand for?

Answer 7

The Medical Research Council dyspnea scale

Question 8

What does the MRC measure?

Answer 8

Levels of breathlessness during activity

Question 9

What can MRC be used to identify?

Answer 9

The impact of breathlessness on functional level, and to compare pre/post treatment course (e.g. pulmonary rehab).

Question 10

What is the 6min walk test (6MWT) useful to measure in CVR?

Answer 10

Measure of exercise tolerance that’s useful in chronic respiratory disease

Question 11

What does the 6min walk test (6MWT) measure?

Answer 11

The distance walked on a hard flat surface in 6 mins, back and forth between 2 points

Question 12

What does the Incremental Shuffle Walk Test (ISWT) involve?

Answer 12

• The patient walks around cones that are 9 metres apart in time to a set of auditory beeps played on a CD.
• The walking speed gets increasingly faster at each level.
• The test continues either when the patient feels they need to stopor if they can no longer keep up with the beeps.
• The number of shuttles (e.g. each timethe patient walks a length to a cone) is measured.

Question 13

What does the endurance shuttle walk test (ESWT) involves?

Answer 13

• Walking between two cones.
• Theintensity is related to a percentage of each patient’s maximum field exerciseperformance assessed by the ISWT.
• Patient are to walk at the set pace for as long aspossible (max. 20minutes).
• Walk distance and walk timearemeasured.

Question 14

Who would use a modified shuttle walk test (MSWT)?

Answer 14

Younger, fitter patients

Question 15

What does the modified shuttle walk test (MSWT) involve?

Answer 15

• Essentially a bleep test between two cones (ISWT).
• With 3 further levels than the standardISWT.

Question 16

What does CPET stand for?

Answer 16

Cardiopulmonary Exercise Testing

Question 17

What is the CPET used for?

Answer 17

• Predict outcomes
• QoL and mortality risk in cardiovascular disease (especially CAD, HF and chronic CVR conditions)

Question 18

What is the Chronic Respiratory Questionnaire (CRQ)?

Answer 18

• A self reported questionnaire that looks at the patient’s health status and health related quality of life (HRQoL).
• Made of 20 questions, split across four dimensions relating to dyspnoea, emotional function, fatigue, and mastery.
• Scores are recorded from 1-7.
• Patients identify everyday activities that make them breathless and then select, rank and score the 5 most important activities to them on the 1-7 scales.

Question 19

How will a lower score in each dimension of the Chronic Respiratory Questionnaire (CRQ) impact the patient?

Answer 19

Lower score = greater impact on their function