SOAPIER Flashcards

1
Q

Subjective Assessment - different sections

A

Cough
Sputum
Exercise Tolerance
Dyspnoea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Subjective - Cough

A
strength?
moisture?
effective?
productive?
controlled vs paroxysmal
frequency - TOD, pattern, no. of episodes 
incontinence?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Subjective - Sputum

A
volume 
colour
consistency 
ease of exporation
haemophysis 
foreign particles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Subjective - exercise tolerance

A

current vs normal
history of decline if present
what is their limiting factor?
what is their normal exercise routine if they have one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Subjective - dyspnoea

A

do they become anxious with breathing/when they experience breathlessness?
rest vs activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Subjective - smoking history

A

try to gage smoking history - ask gently

Have they been exposed to anything that might have caused their symptoms?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Objective Assessment - different sections

A
Airway 
Breathing 
Circulation 
Disability 
Everything else
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Objective - airway

A
Look 
- self ventilating?
- swelling around the mouth or throat?
- central cyanosis?
Listen 
- gurgling?
- wheezing?
- stridor?
- normal speech?
Feel 
- feel for breath
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Objective - breathing

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Objective - circulation

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Objective - disability

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Objective - everything else

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Impairment List

A
Pain 
reduced lung volumes 
impaired airway clearance 
impaired gas exchange 
dyspnoea
reduce exercise tolerance 
respiratory muscle dysfunction 
musculoskeletal dysfunction 
airflow limitation 
abnormal breathing pattern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly