3. SOAP note 폐 절제술로 인한 호흡재활

소개

물리치료학과 임상실습 과제로 작성한 soap note입니다. 담당선생님께 확인 사인 받은 자료입니다.
호흡재활 환자분입니다.

목차

1. Subjective information
2. Objective information
3. Assessment
4. Plan

본문내용

Name
양 ㅇ ㅇ
Gender
F
Age
67세
Dx
Malignant neoplasm of upper lobe, bronchus or lung, right
Onset
2024. 5. 1
C.C
숨쉬기 불편함. 팔다리의 힘이 부족하여 불편함.
PHx
AKI, NSCLC, GGN in LUL, Inflammatory lesion in LLL, DM, HTN, Dyslipidemia, Uterine myoma, Large calcified mass at right upper outer breast, CTx induced ppn

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② 호기근 강화

- Threshold PEP 소도구 사용
호기근 강화 훈련 도구. 목 근육보다 복부 근육을 사용하여 훈련하기. 강도는 MEP의 10%인 5.8cmH2O 강도로 눈금을 맞춰 훈련하기. 매일 10회씩 3세트 적용

참고자료

· https://www.sralab.org/rehabilitation-measures/6-minute-walk-test (6MWT MCID)
· https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095020/ (MIP MCID)
· Chen R, Chen R, Chen X, et al. Effect of endurancetraining on expiratory flow limitation and dynamichyperinflation in patients with stable chronicobstructive pulmonary disease. Intern Med J, 44(8);791-800, 2014.
· Gimeno-Santos E, Rodriguez DA, Barberan-Garcia A, etal. Endurance exercise training improves heart raterecovery in patients with COPD. COPD, 11(2);190-196, 2014.
· Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European
· Respiratory Society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine.
· 2006;173(12):1390-413.
· Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, et al. Pulmonary Rehabilitation: Joint
· ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007;131(5 Suppl):4S-42S.
· Frownfelter DL, Dean E. Cardiovascular and Pulmonary Physical Therapy: Evidence to Practice: C V MOSBY Company;
· 2012.
· Pryor JA, Webber BA. An evaluation of the forced expiration technique as an adjunct to postural drainage. Physiotherapy
· 1979;65:304-7.
· Reid WD, Chung F. Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy: SLACK; 2004.
· Evans JA, Whitelaw WA. The Assessment of Maximal Respiratory Mouth Pressures In Adults. Respiratory Care 2009; 54(10): 1348-1359. (성인 여성 MEP 방정식 76)