心脏康复评定.ppt

关于心脏康复评定
第1页，讲稿共92张，创作于星期日
A PATIENT CASE EXAMPLE
第2页，讲稿共92张，创作于星期日
1. Why are you here today?
2. Have you bee on your upper chest to determine how you breathe?
13. Could I place my hands on the lowermost ribs on each side of your chest to determine how you breathe?
14. Could I place my hands on your back to determine how you breathe?
15. Could I wrap my tape measure around your chest at several different sites to determine how you breathe?
第11页，讲稿共92张，创作于星期日
16. Now that I understand some very basic information about the manner in which you breathe could you please breathe in the manner I instruct you via sounds I make, pressure from my hands, methods I show to you, or different body positions? I will occasionally place my hands on your chest and wrap my tape measure around your chest to determine how you breathe during these simple tests and I will ask you to identify your level of shortness of breath using the 10-point scale or visual analog scale—Is this ok with you?
第12页，讲稿共92张，创作于星期日
17. Could I measure the strength of your breathing muscle by having you place this mouthpiece in your mouth and breathe in and out as deeply and as forcefully as you are able?
第13页，讲稿共92张，创作于星期日
18. I would like you to now perform the activity or exercise which produces your angina or shortness of breath. Could you please do this now?
第14页，讲稿共92张，创作于星期日
Thank you for giving me the chance to examine you today. I will call your physician to get some more information about you like electrocardiogram, echocardiogram and pulmonary function tests that you said were performed last week as well as the arterial blood gas results, chest X-ray, and exercise test results.
第15页，讲稿共92张，创作于星期日
Physical Therapy Examination
Medical Information and Risk Factor Analysis
listening to the patients past history and primary complaints is critical in the examination process.
第16页，讲稿共92张，创作于星期日
Examinations of Patie