SOAPIER Flashcards
Subjective Assessment - different sections
Cough
Sputum
Exercise Tolerance
Dyspnoea
Subjective - Cough
strength? moisture? effective? productive? controlled vs paroxysmal frequency - TOD, pattern, no. of episodes incontinence?
Subjective - Sputum
volume colour consistency ease of exporation haemophysis foreign particles
Subjective - exercise tolerance
current vs normal
history of decline if present
what is their limiting factor?
what is their normal exercise routine if they have one
Subjective - dyspnoea
do they become anxious with breathing/when they experience breathlessness?
rest vs activity
Subjective - smoking history
try to gage smoking history - ask gently
Have they been exposed to anything that might have caused their symptoms?
Objective Assessment - different sections
Airway Breathing Circulation Disability Everything else
Objective - airway
Look - self ventilating? - swelling around the mouth or throat? - central cyanosis? Listen - gurgling? - wheezing? - stridor? - normal speech? Feel - feel for breath
Objective - breathing
Look - are they SOB? - accessory muscle use? - chest shape - breathing pattern - chest and abdominal movement Listen - auscultation - speech - loud, full sentences? - cough assessment Feel - chest expansion - fremitus - subcutaneous air Measure - RR - O2 sats - ABGs - FiO2 - spirometry - peak cough flow - respiratory muscle strength
Objective - circulation
Look - skin colour - diaphoresis (sweating) - attachments? - skin turgor - capillary refill - peripheral oedema Listen - heart sounds Feel - temperature - peripheral pulses - pulse rate, rhythm and strength Measure - ECG - BP - exercise testing
Objective - disability
Look - Glasgow Coma Scale - pupillary response Listen - speech - appropriate response? (cognitive deficit) Feel - joint range and tone - sensation - strength testing Measure - functional measure - QOL measures
Objective - everything else
Look - skin colour and condition - abnormalities to the limbs? - weight/nutrition? Listen - bowel sounds (not physio) Feel - abdominal distension Measure - body weight - BMI - MSK factors
Impairment List
Pain reduced lung volumes impaired airway clearance impaired gas exchange dyspnoea reduce exercise tolerance respiratory muscle dysfunction musculoskeletal dysfunction airflow limitation abnormal breathing pattern