Geriatric Examination Tool Kit

Cardiovascular Examination Tool Kit

Tests and Safety

1. DVT

2. Vital sign protocols: BP, HR, Resp. Temp.

3. Monitoring Cardiovascular S&S - Guidelines

4.a.  Six-Minute Walk: protocol / response guidelines / norms

American Thoracic Society: Guidelines for the Six-Minute Walk Test
American Thoracic Society Board of Directors. (2002). Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine. 166:1, 111-117.

Bohannon RW. (2007). Six-Minute Walk Test: A Meta-Analysis of Data From Apparently Healthy Elders. Topics in Geriatric Rehabilitation. 23:2, 155-160.

4.b.  30 second Chair Stand Test
Rikli RE, Jones CJ (1999). Functional fitness normative scores for community residing older adults ages 60-94. Journal of Aging and Physical Activity, 7, 160-179.

4. c.  Two minute Step Test
Rikli RE, Jones CJ (1999). Functional fitness normative scores for community residing older adults ages 60-94. Journal of Aging and Physical Activity, 7, 160-179.

5. Vital signs - blank table for 6MW and Stairs

6. Cardiac Endurance tests

7. PAR-Q -- Physical Activity Readiness questionnaire

8. Audio files: Heart Sounds , and Lung Sounds

9. Alternate site for Lung Sounds

10. Categories of lung disease (COPD & RLD) as defined by Pulmonary Function Tests (PFT)
DeTurk, W., Cahalin, L. (2004) Cardiovascular and Pulmonary Physical Therapy – An Evidence Based Approach. New York: McGraw-Hill p.153.

11. Arterial Blood Gas (ABG) Analysis; Acid-Base Balance

12. Hypoglycemia & Hyperglycemia (patient education poster)
Rogers R. (1993). Hypogylcemia, Hyperglycemia. Sunriso Community Health Center; Northern Colorado Medical Center, Novo Nordisk Pharmaceuticals Inc. 000-114.

13.a.  Vascular Assessment - lower extremity

13.b.  Lower Extremity Amputation Prevention (LEAP)

13.c   Wound Table (by etiology)

13.d  Wound Mgmt. Adjuncts: Compression, Pressure Relief

14. Pitting Edema scales

15. Foot wear Modifications (includes healing footwear)

Scales and Norms

16. Borg: RPE & Dyspnea (full page size)

For the patient with cognitive impairment, who may not be able to use an RPE scale, consider showing them this picture of a thermometer to estimate how hard they are working.
The thermometer picture is also used to estimate pain.

17. PaO2 and SaO2 values - by age
Burton, G, Gee. G., and Hodgkin, J.E. (1977). Respiratory Care, a Guide to Clinical Practice. Philadelphia, J.B. Lippincott Co. Wilkins, R.L., et al. (1985). Clinical Assessment in Respiratory Care. The C.V. Mo~by Co., St Louis.

18. BP - lifespan values
Diem K., Lentner C. eds. (1975).Scientific Tables, Geigy Pharmaceuticals, Division of Ciba-Geigy Corporation, Ardsley. New York

19. Vital signs - pediatric values
Horan MJ, chairman (1987). Task Force on Blood Pressure Control in Children, report of the second task force on blood pressure in children, Pediatrics 79:1. (50th-90th percentile ranges indicated.)

20. VERY detailed information on BP for children & adults from NHLBI:

National Heart Lung and Blood Institute. (2007). A Pocket Guide to Blood Pressure Measurement in Children. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. NIH Publication 07-5268. (4 pages). www.nhlbi.nih.gov/health/public/heart/hbp/bp_child_pocket/bp_child_pocket.pdf

The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents.
Pediatrics 2004 Aug;114 (Suppl 2:) 555-76. (60 pages).
http://www.nhlbi.nih.gov/health/prof/heart/hbp/hbp_ped.pdf

JNC_7 Express (2004). Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. NIH Publication No. 03-5233 (52 pages) http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf

21. MET levels - by decade
DeTurk, W., Cahalin, L. (2004) Cardiovascular and Pulmonary Physical Therapy – An Evidence Based Approach. New York: McGraw-Hill p.55l

[MET x 3.5 = VO2 Max]

22. Pulse Strength:
0   =  no pulse
1+ =  weak, difficult to palpat
2+ =  palpable, but diminished
3+ =   normal, easy to palpate
4+ = bounding, very strong

23. Ankle Brachial Index, ABI

24. Ejection Fraction (EF)

  • > 55%        normal
  • 40-55%      mild LV dysfunction
  • 30-40%      moderate LV dysfunction
  • < 30%        severe LV dysfunction

CHF is quantified by an echocardiogram (US) reading of elevated End Diastolic Volume (EDV) and decreased Stroke Volume (SV)

.

Creative Commons license

Prost, E. (2016). Examination Tool Kit. University of Missouri,
School of Health Professions, Department of Physical Therapy

Contact webmaster

Updated: March 12, 2016