Problem List Flashcards
Problem list
List of problems that the patient presents with and what ‘matters’ to the patient
Subjective and objective should identify the problems
May not be arranged in priority order
Resolved - problems no longer exist
Managed - problems still present but strategies are in place to manage the proble
Inactive - problems still exist but currently not an issue but could return or flare up
Cardiorespiratory physio problems
Increased work of breathing
Retained secretions
Volume loss
Hypoxia/ reduced sats
Respiratory failure
Impaired respiration
Reduced mobility
Deconditioning
Cardiorespiratory problems
Not something physios can treat, may need medical management
Pulmonary oedema
Pulmonary emboli
Fluid overload
CVS instability
Increased work of breathing: presentation
High respiratory rate
Shortness of breath
Breathlessness
Accessory muscle use
Fatigue
Anxious
Increased work of breathing: causes
Everything; CVR
Not specific to a specific pathophysiology
Retained secretions: presentation
Cough
Secretions - colour, how often, how much
Signs of infection
Crackles of auscultation
Imaging - CT/ MRI
ABGs
Retained secretions: causes
Exacerbation - COPD
Bronchiectasis - CF
Chest infection - LRTI, CAP, HAP, VAP
Post surgical complication
Aspiration - stroke patients, impact ability to swallow
Neuromuscular disease
Spinal cord injury
Volume loss: presentation
Increased respiratory rate
Shortness of breath
Pain
Reduction or absent breath sounds on auscultation
Chest x rays
Volume loss: causes
Pneumothorax
Atelectasis - post surgical or due to secretions, mucus plugged
Hypoxia: presentation
High respiratory rate
Anxiety
Headache
Cyanosis
Reduced partial pressure of oxygen on ABG
Hypoxia: causes
Everything; CVR
Not specific to a specific pathophysiology
Reduced exercise tolerance: presentation
Difficulty doing personal care
Difficulty doing activities of daily living
Difficulty leaving the house
Socially disengaged/ isolated
A shrinking lifeworld
Pressure sores
Loss of muscle mass
Getting breathless quickly on exertion
Needing to rest frequently
Easily fatigue
Loss of hobbies
Loss of roles
Others
Reduced exercise tolerance: causes
Hospital admission
Prolonged acute illness
Deconditioning
Injury
