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
prescriptions
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
Anxiety
Fear
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
individually.
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-Disk®, November 7 - 10, 1998, Atlanta, Georgia.