Wk1 lead and sem Flashcards
(26 cards)
why do we perform subjective assessments?
- diagnose
- establish patient problems
- establish physio input
- risk assessment
- evaluate progress
what is a subjective assessment?
the interaction between the patient before the objective assessment
what are some reasons a subjective assessment will not be done?
communication issues. for example, the patient is in ICU or a coma
when does the subjective assessment take place?
from the very first interaction until discharge. it can be verbal and non verbal feedback
where can the subjective assessment take place?
hospitals, community, outpatients, schools, homes, ITU
ANYWHERE
what does the subjective assessment consist of?
PC
HPC
PMH
investigations
DH
SH
patient expectations and goals
what are the 6 main symptoms of cardiorespiratory diseases?
- breathlessness
- wheeze
- cough
- pain
- psychosocial
- loss of function
what are the main problems in CR diseases?
- increased WOB
- excessive sputum
- secretion retention and infection
- loss of lung volume
- low oxygen
- pain
- reduced exercise tolerance
- psychosocial
what is breathlessness?
when the patient is aware of the intensity of their breathing. the patient’s feeling of relating effort to breathing
what are the 3 components that contribute to breathlessness?
- increased WOB
- cortical and subcortical inputs, like anxiety
- central chemoreceptors (regulate respiratory function)
what are the outcome measures used for breathlessness?
BORG breathlessness scale
VAS scale
when is breathlessness worse?
during exercise
when is breathlessness better in hyperventilation syndrome patients?
during exercise
what can affect breathlessness?
positioning
what position is worst for breathlessness?
lying flat
define dyspnoea
unable to breathe easily for the level of activity (SOB)
what does SOB stand for
shortness of breath
what does SOBAR stand for
shortness of breath at rest
what does SOBOE stand for
shortness of breath on exertion
define orthopnoea
increased SOB on lying
what is paroxysmal nocturnal dyspnoea?
sudden shortness of breath during the night. can wake up gasping for air
what is tachypnoea?
rapid breathing
what is hyperventilation?
ventilation in excess of metabolic requirements. shallow breathing, doesn’t release carbon dioxide
what is tracheal tug?
an abnormal downward movement of the trachea during inspiration
