The Science Journal of the American Association for Respiratory Care

1998 OPEN FORUM Abstracts

Writing the Individual Plan of Treatment

Trina M. Limberg, BS, RRT, FAACVPR

This session will focus on the elements of a thorough initial evaluation, identification of problems in areas of skill/education deficits, deconditioning and emotional adjustment challenges of anxiety, fear and depression. Plans of treatment should include specific goals for each identified problem.

I. Introduction: Rationale for developing an individualized

treatment plan.

II. The Evaluation

Assessing: skills/knowledge, physical abilities,

coping skills, etc.

Reviewing the medical records

Recommending tests to develop exercise /oxygen


III. Identifying Problems such as:

Activity intolerance

Physical mobility impairment

Ineffective airway clearance

Bronchospasm, wheezing

Ineffective breathing pattern with use of accessory

muscles (rest, activity)

Impaired gas exchange

High risk for respiratory infection, recurring infections



Complaints of panic

Coping -impairment

Ineffective management of therapeutic regimen as

prescribed by M.D.

Self-care deficit

Sleep pattern disturbances

Improper use of medications

Non- compliance- medications, oxygen therapy

IV. Establishing Plan Objectives

Identify subjects or areas that need to be addressed


Identify the patient's role and responsibilities for

achieving objectives.

Setting the stage communicating exercise targets, home

exercise responsibilities, etc. to and with patients.

Explain the purpose behind your recommendations for

the plan of treatment. Monitoring progress throughout

plan delivery.

The 44th International Respiratory Congress Abstracts-On-DiskĀ®, November 7 - 10, 1998, Atlanta, Georgia.

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