Objective Assessment

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Objective Assessment 2016-03-16T01:45:23+00:00

Objective assessment

A comprehensive objective assessment will assist with the prescription of an appropriate, individualised management plan.

It can include:

Test results

Radiology – HRCT, CXR – see Radiology

Lung function tests – see Lung Function

Pathology – sputum, blood – see Sputum Pathology

Vital signs

 SpO2, heart rate, respiratory rate

Auscultation

Cough

Effectiveness of the cough

Sound – moist, dry, upper or lower airway closure

Paroxysmal cough

*Breathing pattern

Nose/mouth

Upper chest/lower chest

Vocal cord dysfunction

Respiratory rate

Mobility/Musculoskeletal

Spinal and thoracic cage mobility

Posture – fixed or habitual

Pain – location, intensity, affect on airway clearance and exercise

Gait – aids required

Exercise tolerance – see Exercise Prescription

Observation of techniques

Medication devices – MDI and spacer, accuhaler, turbuhaler, other

Current therapies – eg ACBT, flutter, PEP device

*Breathing pattern disorders are common in people with bronchiectasis as a slow, deep breath will often trigger a cough and nose breathing (which is important for the humidification and filtration of air) can often be difficult due to sinus issues. When chronic hyperventilation is suspected, the Nijmegen Questionnaire is a useful assessment tool and objective measure.

It is important to educate the patient in the importance of an appropriate breathing pattern.

An example of a – Bronchiectasis Physiotherapy Assessment Form

An example of a patient completed assessment form – Bronchiectasis Out-Patient Registration form