Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy

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SLACK Incorporated, 2004 - Medical - 304 pages

Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy is 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 in Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy are 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 Interpretation

A Few of the Cardiopulmonary Management Topics:

  • Clinical Decision Making and Setting Treatment Goals
  • Mobilization and Exercise Training
  • Breathing Exercises
  • Medical and Surgical Interventions

Case Histories Include:

  • Brief history
  • Description of physical presentation
  • Arterial blood values, chest x-rays, EKG results and/or pulmonary function report
 

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Contents

Clinical Decision Making
3
Chart Review and Interview
9
Physical Examination
13
Auscultation
19
Arterial Blood Gas Interpretation
23
Chest Radiology
31
Pulmonary Function Testing
37
Laboratory Investigation
41
Stable Chronic Obstructive Pulmonary Disease
195
Cystic Fibrosis
198
AsthmaAcute Exacerbation
201
Chronic Obstructive Pulmonary Disease and Pneumonia
203
LeftSided Congestive Heart FailurePulmonary Edema
205
Acute Myocardial InfarctionGood Recovery
208
Acute Myocardial InfarctionCoronary Artery Bypass Graft
209
Chronic Heart FailureCardiomyopathy
210

Screening and Exercise Testing
51
Electrocardiogram Interpretation
63
Adult and Patient Education
73
Breathing Exercises
79
Positioning
87
Mobility And Exercise Training
97
Airway Clearance Techniques
105
Oxygen Therapy
115
Mechanical Ventilation
119
Respiratory Conditions
125
Cardiovascular Conditions
149
Surgical Interventions and Drainage Devices
169
Case Histories
181
ABBREVIATIONS USED IN HISTORYCHART NOTES OF CASES
182
Atelectasis Postoperatively in an Older Patient
183
Atelectasis Postoperatively in a Smoker
186
Aspiration PneumoniaElderly
188
Chest TraumaPneumothoraxFractured Ribs
189
Restrictive Lung Disease
192
Chronic Heart FailurePost Myocardial Infarct
211
Exercising OutpatientArrhythmia and Hypotension
212
AtelectasisPostoperatively in an Older PatientHypotensive and Atrial Fibrillation
213
AtelectasisPostoperatively in an Obese PatientPulmonary Embolus and Acute Arterial Insufficiency
214
Lobar Pneumonia and Angina
215
Pleural Effusion Complicated By Cardiac Effusion and Cardiac Tamponade
217
Answer Guides
219
Chapters
221
Cases
229
Appendices
263
Introduction
265
Clinical Trials On Positioning
269
Clinical Trials on Prone Lying
277
Clinical Trials on Secretion Removal Techniques
283
Clinical Trials on Exercise Programs and Secretion Removal in Patients With Cystic Fibrosis
289
Clinical Trials on Perioperative Physiotherapy Management
293
Index
297
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About the author (2004)

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, CardioRespPhysio@yahoogroups.com. 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.

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