For the condition being stated, T.M had undergoes cholecystectomy. The incision of the cholecystectomy is on the upper right side of abdomen, which it is known as right hypochondriac region, at subcostal region. Cholecystectomy is a surgery along with smaller risk, commonly, individual who had undergoes this surgery can discharge from hospital after one day. Individual had to follow a proper pre-operative and post-operative care to avoid further complication. To attain a proper post-operative physiotherapy management, we have to get a proper assessment from patient.
These are the assessment that I’m going to perform such like:
• Taking history of occupation, smoking and alcohol history, aging, past medical history.
• Observation of dyspnea level ,Clubbing of finger
• Measurement for blood pressure, heart rate, respiratory rate and temperature.
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Finger clubbing examination
For finger clubbing examination, this is because from taking history, I knew that T.M has history of smoking. Finger clubbing examination can related with presence of cardiovascular disease. For patient who has cardiovascular disease, we can consider precaution during treatment for better result.
3. Measurement of blood pressure, temperature, respiration rate, heart rate.
The information of BP, RR, HR and temperature are signs indicates that patient physically stability. Any abnormal reading such as too high or too low in BP, RR, HR or temperature, we should take consideration immediately to prevent exacerbation.
4. Body mass index
BMI is a standard measurement for body weight. Obesity brings lots of disadvantage to people health. Many health issues arise due to obesity, example like cardiovascular disease, Type -2 diabetes, musculoskeletal disorders, cancers-endometrial and others. Basically if patient is overweight or obese, we will encourage them in losing weight, and having a healthy life style and avoid intake of high cholesterol, sugar, fat.
5. Chest expansion and chest symmetry