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Discussion

MOCK careplan help please!!

Hey guys, I am doing a "mock" careplan for a client with COPD and one of the interventions I chose was the 6-minute walk test...

HOWEVER, I only vaguely understand how this walk test works so I am struggling with possible "implementation and effectiveness of interventions" outcomes...

So far I just wrote "Client performed 6-minute walk test....." and what?

I have been googling it but I haven't found much information on what types of things are discovered...any help would be much appreciated!!

Featured Replies

  • Author

I found some information on my own and decided just to say:

1. Client performed 6-minute walk test and oxygenation saturation taken before and after test. Client also expressed feelings of fatigue and dyspnea after four minutes of walking.

  • Author

Do I have to go back now and reassess since he started feeling fatigued after 4 minutes of walking or do we just leave that alone since this is a "mock" case and I made up his reaction...?

  • Experts

The outcome of the test was that the patient developed dyspnea. So, you now have another symptom to add to your patient's profile. You would word it something like "dyspnea and fatigue after 4 minutes of brisk walking". You would put this information in the evaluation section of the care plan. However, you can also now include it as a symptom to be treated under one of your nursing diagnoses. In a real world care plan, it would have a date next to it to identify when it was noted and added to the care plan.

Since I had one of these tests myself to diagnose my asthma I can tell you that they make you walk as briskly as you can tolerate and keep a pulse oximeter on you all the time. I barely made it through 5 minutes, went into an asthma attack started wheezing and coughing and spent the next 45 minutes in the office being given inhalers and watched until my breathing resumed some normalcy. It was one of the worst days of my life! As a result, I have been on Singulair ever since.

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