TY - CHAP M1 - Book, Section TI - Chapter 12. Evaluation of Patient Intolerance to Exercise A1 - DeTurk, William E. A1 - Cahalin, Lawrence P. A2 - DeTurk, William E. A2 - Cahalin, Lawrence P. Y1 - 2011 N1 - T2 - Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach, 2e AB - The reader may recall that Chapters 9 and 10 presented information on pulmonary and cardiac evaluations. This information included tests and measures appropriate for diagnosis and measurement of cardiac and pulmonary status. Heart rate and blood pressure (BP) determination as well as pulse oximetry and evaluation of ventilatory muscle function were also included. Chapter 11 introduced electrocardiography, which provided another important measurement tool. However, knowledge of examination, instrumentation, and procedures is only part of the picture: During an exercise session, the clinician must also interpret these data and decide what to do with the information once it is acquired. Use of this information may be confined to deciding whether or not to stop exercise. Certainly this would be an appropriate first consideration. Just as important is the synthesis of this information with therapeutic interventions that optimizes outcomes. Examination and intervention are thus dynamic processes that are not only restricted to the therapist–patient relationship. Appropriate documentation and consultation may also bring in other members of the multidisciplinary team—the nurse, cardiologist, and social worker, for example. A physical therapy program that utilizes ongoing continuous evaluation, blended with treatment, and integrated with documentation that incorporates other members of the health care team would appear to optimize results. Indeed, such an approach is of benefit in at least three ways: (1) It enhances the physical therapist's ability to develop an effective exercise prescription, (2) it provides the referral source with information elicited during an exercise state; information that might not be otherwise available, and (3) it ultimately benefits the patient, the recipient of the combined care of both the physical therapist and the other members of the health care team. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=6878934 ER -