Order
> Intros + preferences > Consent > PC + HPC > PMH > DH > SH > Goals + expectations
PC/HPC
> what ? - breathlessness - patient perceived - wheeze (obstruction) - cough - sputum (colour/amount/thickness/smell - concerned?) (may indicate infection or pathology) - Pain (referred to arm/jaw ? alleviated by meds?) - Exercise tolerance/fatigue - Incontinence > Initial symptoms > Progression + onset > How often? > Aggs (exercise/position) > Eases (exercises/positions/meds/breathing technique) > Pattern + linkage of symptoms
PMH
> Respiratory conditions > Cardiac Problems > Cancer > Surgery (thoracic/abdominal) > THREADS
+ PREVIOUS TREATMENT?INVESTIGATIONS
DH
> Smoker > O2 needed? > Inhaler - technique > Blood thinners (manual handling/exercise risk) > Steroids - osteoporosis risk > angina meds
SH
> Support/dependents > Home (+pets) > Work (factory/mine/smoke) > Ability - activities of daily living > Hobbies - participation > Psychological well-being
Goals + Expectations
> Patient led
> SMART