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THE McKenzie INSTITUTE THORACIC SPINE ASSESSMENT Date NameGenderAddress Telephone Date of BirthAgeReferral: GP / North / Self / Other Work demands Leisure activities Functional limitation for present
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How to fill out thoracic assessment form

01
Begin by gathering the necessary information of the patient such as their personal details, medical history, and any previous chest injuries or surgeries.
02
Start filling out the form by documenting the patient's demographic information including their name, age, gender, and contact details.
03
Move on to the medical history section and record any pre-existing conditions or relevant information pertaining to the patient's overall health.
04
In the thoracic assessment section, systematically examine the patient's chest and note any abnormalities or findings.
05
Provide a detailed description of the patient's lung sounds, including any wheezing, crackles, or diminished breath sounds.
06
Evaluate the patient's respiratory rate, depth, and effort, noting any signs of labored breathing or abnormalities.
07
Assess the patient's chest expansion by observing their breathing pattern and measuring the expansion during inspiration and expiration.
08
Document the findings of any palpation or percussion techniques used to assess the patient's chest, noting any tenderness or abnormal vibrations.
09
Complete the form by adding any additional relevant information or observations in the provided space.
10
Review the filled-out form for accuracy and completeness before submitting it for further analysis or medical evaluation.

Who needs thoracic assessment form?

01
Anyone involved in the medical field, particularly healthcare professionals such as doctors, nurses, and respiratory therapists, may need the thoracic assessment form.
02
Patients who have undergone chest surgeries or have respiratory issues may also require a thoracic assessment form to track and monitor their progress.
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The thoracic assessment form is a medical evaluation form used to assess the condition of the chest and thoracic region.
Healthcare providers and medical professionals are required to file thoracic assessment forms for their patients.
To fill out the thoracic assessment form, healthcare providers must document the patient's medical history, perform a physical examination, and provide a diagnosis based on their findings.
The purpose of the thoracic assessment form is to evaluate the health of the chest and thoracic region, identify any abnormalities or conditions, and recommend appropriate treatment or follow-up care.
The thoracic assessment form must include the patient's personal information, medical history, results of physical examination, diagnostic tests, and treatment recommendations.
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