Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy

by Reid, W. Darlene; Chung, Frank

• ISBN13: 9781556425684
• ISBN10: 1556425686
• Edition: 1st
• Format: Paperback
• Copyright: 2004-06-23
• Publisher: Slack Incorporated

Summary

Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapyis a succinct guide that facilitates a case-based learning approach to cardiopulmonary care. This one-of-a-kind text combines evidence-based assessment and management skills and well-thought-out cases of typical presentations of pulmonary and cardiovascular conditions. This combined approach helps students and clinicians learn meaningful skills in a clinically relevant manner.Two primary components present inClinical Management Notes and Case Histories in Cardiopulmonary Physical Therapyare notes on cardiopulmonary assessment and management, and case histories involving respiratory and cardiovascular conditions commonly viewed by physical therapists. Accompanying the notes are thought-provoking questions and problems that enable the reader to establish a foundation of core concepts. The presentation of case histories further facilitates the development of integral skills and enables the reader to integrate those core concepts into a clinical setting. Also, question and answer guides accompany the patient profiles. The two-fold evidence and case based learning approach used by authors W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc allows for a more engaging experience. Students are able to learn and develop skills to prepare them for their professional transition while clinicians can use the text as a reference tool. A Few of the Cardiopulmonary Assessment Topics: Physical Examinations Chest Radiology Pulmonary Function Testing EKG InterpretationA Few of the Cardiopulmonary Management Topics: Clinical Decision Making and Setting Treatment Goals Mobilization and Exercise Training Breathing Exercises Medical and Surgical InterventionsCase Histories Include: Brief history Description of physical presentation Arterial blood values, chest x-rays, EKG results and/or pulmonary function report

Author Biography

W. Darlene Reid, BMR(PT), PhD
W. Darlene Reid, BMR(PT), PhD, is an associate professor at the School of Rehabilitation Sciences, University of British Columbia, in Vancouver, British Columbia, Canada. She earned her physical therapy degree from the University of Manitoba in Winnipeg, Manitoba in 1979. She completed graduate studies in Pathology at the University of British Columbia and obtained her PhD in 1988.
Darlene teaches graduate and entry-level physiotherapy respiratory care and muscle injury, and supervises research by graduate and undergraduate students in the School of Rehabilitation Sciences, the School of Human Kinetics, and the Experimental Medicine programs at the University of British Columbia. Undergraduate courses include those related to exercise physiology and physiotherapy management of patients with cardiopulmonary conditions. Graduate teaching is related to exercise physiology, exertion-induced muscle injury, and advanced techniques in the management of cardiovascular and respiratory patients. In addition, Darlene is involved in continuing education related to these areas.
Darlene has held scholarship salary awards from the B.C. Health Research Foundation and the Killam Foundation. Her areas of research interests include respiratory muscle injury and pulmonary rehabilitation. Clinically, she has specialized in physiotherapeutic treatment for patients with acute and chronic pulmonary disease. Her clinical research has focused on therapeutic interventions directed toward the ventilatory muscles including ventilatory muscle testing, training, and rest in chronic obstructive pulmonary disease. Her most recent endeavours have been directed toward understanding different mechanisms that may contribute to diaphragm injury in animal models and evidence of diaphragm injury in humans.
Darlene has extensively published, including peer reviewed manuscripts, abstracts, review papers, and chapters. She has been a symposium speaker at a number of international conferences, including the American Thoracic Society, the combined Canadian Physiotherapy Association/American Physical Therapy Association, and the American Physical Therapy Association Combined Sections Meetings.
Darlene is a member of the Cardiorespiratory Specialization and Standards Committee and the British Columbia Lung Association Medical Advisory Board. She has served on several national and local committees related to cardiorespiratory physiotherapy as Cardiorespiratory Division Executive of the Canadian Physiotherapy Association, as Executive of the Canadian Physiotherapy Cardiorespiratory Society of Lung Association, and as the provincial coordinator of the Cardiorespiratory Physiotherapy Summit. She also has served and continues to be a reviewer of manuscripts and grants for several agencies.
Frank Chung, BSc(PT), MSc
Frank Chung, BSc(PT), MSc, graduated with a BSc(PT) degree from McGill University in Montreal, Quebec, Canada in 1981 and later obtained a MSc degree in Interdisciplinary Studies (Respiratory and Exercise Physiology) from the University of British Columbia in Vancouver, British Columbia, Canada in 1989.
Frank has taught at the School of Rehabilitation Sciences at the University of British Columbia, instructed post-graduate physical therapy courses, and published in peer-reviewed journals. He is also the list owner of a cardiorespiratory Internet interest group, [e-mail]. Frank is a member of the National Examination Test Construction and Implementation Subcommittee of the Canadian Alliance of Physiotherapy Regulatory Boards. He is also an examiner of the Canadian Physical Therapy National Examination. He works as a physical therapist at Burnaby Hospital in British Columbia, Canada.

Table of Contents

Dedication	iii
Acknowledgments	vii
About the Authors	viii
Introduction	ix
Section 1 Cardiopulmonary Assessment and Management	1	(180)
Cardiopulmonary Assessment
Clinical Decision Making	3	(6)
Chart Review and Interview	9	(4)
Physical Examination	13	(6)
Auscultation	19	(4)
Arterial Blood Gas Interpretation	23	(8)
Chest Radiology	31	(6)
Pulmonary Function Testing	37	(4)
Laboratory Investigation	41	(10)
Screening and Exercise Testing	51	(12)
Electrocardiogram Interpretation	63	(10)
Cardiopulmonary Management
Adult and Patient Education	73	(6)
Breathing Exercises	79	(8)
Positioning	87	(10)
Mobility and Exercise Training	97	(8)
Airway Clearance Techniques	105	(10)
Oxygen Therapy	115	(4)
Mechanical Ventilation	119	(6)
Overview of Medical & Surgical Conditions & Therapeutic Interventions
Respiratory Conditions	125	(24)
Cardiovascular Conditions	149	(20)
Surgical Interventions and Drainage Devices	169	(12)
Section 2 Case Histories	181	(38)
Abbreviations Used in History/Chart Notes of Cases	182	(1)
Surgical and Medical Conditions
Atelectasis Postoperatively in an Older Patient	183	(3)
Atelectasis Postoperatively in a Smoker	186	(2)
Aspiration Pneumonia---Elderly	188	(1)
Chest Trauma---Pneumothorax/Fractured Ribs	189	(3)
Chronic Respiratory Conditions
Restrictive Lung Disease	192	(3)
Stable Chronic Obstructive Pulmonary Disease	195	(3)
Cystic Fibrosis	198	(3)
Chronic Respiratory Conditions With an Acute Exacerbation
Asthma---Acute Exacerbation	201	(2)
Chronic Obstructive Pulmonary Disease and Pneumonia	203	(2)
Cardiac Conditions
Left-Sided Congestive Heart Failure---Pulmonary Edema	205	(3)
Acute Myocardial Infarction---Good Recovery	208	(1)
Acute Myocardial Infarction---Coronary Artery Bypass Graft	209	(1)
Chronic Heart Failure---Cardiomyopathy	210	(1)
Chronic Heart Failure---Post Myocardial Infarct	211	(1)
Exercising Outpatient---Arrhythmia and Hypotension	212	(1)
Respiratory and Cardiac Conditions
Atelectasis---Postoperatively in an Older Patient---Hypotensive and Atrial Fibrillation	213	(1)
Atelectasis---Postoperatively in an Obese Patient---Pulmonary Embolus and Acute Arterial Insufficiency	214	(1)
Lobar Pneumonia With Angina	215	(2)
Pleural Effusion Complicated by Cardiac Effusion and Cardiac Tamponade	217	(2)
Section 3 Answer Guides	219	(44)
Answer Guides: Chapters	221	(8)
Answer Guides: Cases	229	(34)
Section 4 Appendices	263	(34)
Introduction	265	(32)
Appendix A Clinical Trials on Positioning	269	(8)
Appendix B Clinical Trials on Prone Lying	277	(6)
Appendix C Clinical Trials on Secretion Removal Techniques	283	(6)
Appendix D Clinical Trials on Exercise Programs and Secretion Removal in Patients With Cystic Fibrosis	289	(4)
Appendix E Clinical Trials on Perioperative Physiotherapy Management	293	(4)
Index	297