Purpose: The design of this presen...

Purpose: The design of this presentation will be to provide the initial clinical presentation of an apparently healthy patient with an acute episode of respiratory distress, to identify existing and potential question s and to outline the preliminary follow-up using the HOAC framework. Description: Rationale: Hypothesis-oriented algorithm for clinicians Il (HOAC II) provides a framework for evidencebased client center clinical decision making. An acute respiratory point in dispute in a sports medicine setting illustrates the ne for physical therapists with direct access to utilize a systematic approach for the integration of and use of best available evidence in patient management. bring under rules & Summary Data: A 20-year olden female was transported to the medical and physical therapy facility at a national track proper after collapsing at the finish line. Presenting symptoms and history will be described to illustrate to what degree the examination strategy was formulated. ends of the initial physical examination and auscultation will be readyed to show how hypotheses were generated. Information obtained from follow-up chest x-ray, spirometry including peak expiratory liquefy rates and arterial blood gases will be described and shown for what reason these test results were used to further refine hypotheses that l to the unravelling of intervention strategies. Finally, strategies and tactics to obviate and manage subsequent asthmatic episodes will be described including adherence and compliance of medications, self-monitoring, and exercise training regimes. Summary of Use: Physical therapists have the entry-level training to facilitate early identification of asthma in an outpatient, non-respiratory setting. Furthermore, this case inquiry illustrates how students in the classroom setting can be taught to perform an integrative examination and make known appropriate intervention strategies. Importance to Members: Asthma is a universal condition that affects 9.7% of Americans and the incidence of self-reporting is increasing. Physical therapists with direct access should posses the skills necessary to recognize and facilitate management of this condition in a variety of clinical settings.

W Reid1, J Easorr. 'School of Rehabilitation Sciences, University of British Columbia, Vancouver CANADA, 'Louisiana State University Health Sciences Center strange Orleans, LA.

Copyright Cardiopulmonary Physical Therapy Journal Dec 2003

Provided by dint of ProQuest Information and Learning Company. All rights Reserved