Table 2: Definitions of Zone Colors Associated With Clinical Manifestations and Physical Therapist Recommendations for CHF

Continue activity and therapy as tolerated.

what are the Physical Therapist Recommendations for green zone?

-Symptoms indicate overt decompensation and an immediate visit to the emergency department or physician office.

what are the Physical Therapist Recommendations for red zone?

-Symptoms may indicate an adjustment in medications and therefore warrants communication with the physician.

what are the Physical Therapist Recommendations for yellow zone?

• No shortness of breath • No swelling • No weight gain • No chest pain • No decrease in your ability to maintain your activity level

what signs and symptoms are associated with green zone?

Signs and Symptoms: • No shortness of breath • No swelling • No weight gain • No chest pain • No decrease in your ability to maintain your activity level Physical Therapist Recommendations: -Continue activity and therapy as tolerated.

Green Zone

overt decompensation and an immediate visit to the emergency department or physician office.

Symptoms for red zone indicate ______

yellow zone

Your patient has gained 2 pounds within a day. What zone is this patient?

yellow zone

Your patient has increased cough and an increase in shortness of breath with activity. what zone are they?

green zone

Your patient has no shortness of breath, no swelling, no weight gain, no chest pain and no decrease in ability to maintain their activity level. What zone is this patient?

red zone

Your patient presents confused. what zone are they?

yellow zone

Your patient presents with Orthopnea (increase in the number of pillows needed). What zone are they?

red zone

Your patient presents with SOB at rest. What zone are they?

yellow zone

Your patient presents with peripheral edema (increased distal extremity swelling). What zone are they?

red zone

Your patient presents with unrelieved chest pain. what zone are they?

Signs and Symptoms • Shortness of breath at rest • Unrelieved chest pain • Wheezing or chest tightness at rest • Paroxysmal nocturnal dyspnea: requiring to sit in chair to sleep • Weight gain or loss of more than 5 lbs in 3 days • Confusion Physical Therapist Recommendations: -Symptoms indicate overt decompensation and an immediate visit to the emergency department or physician office.

red zone

to continue activity and therapy as tolerated.

symptoms for green zone indicate ______

may indicate an adjustment in medications and therefore warrants communication with the physician.

symptoms for yellow zone indicate ______

• Shortness of breath at rest • Unrelieved chest pain • Wheezing or chest tightness at rest • Paroxysmal nocturnal dyspnea: requiring to sit in chair to sleep • Weight gain or loss of more than 5 lbs in 3 days • Confusion

what signs and symptoms are associated with red zone?

• Weight gain of 2-3 lbs in 24 hrs • Increased cough • Peripheral edema: increased distal extremity swelling • Increase in shortness of breath with activity • Orthopnea: increase in the number of pillows needed

what signs and symptoms are associated with yellow zone?

yellow zone

which zone might symptoms indicate an adjustment in medications and therefore warrant communication with the physician?

red zone

which zone might symptoms indicate overt decompensation and an immediate visit to the emergency department or physician office?

green zone

which zone would you continue activity and therapy as tolerated?

Signs and Symptoms • Weight gain of 2-3 lbs in 24 hrs • Increased cough • Peripheral edema: increased distal extremity swelling • Increase in shortness of breath with activity • Orthopnea: increase in the number of pillows needed Physical Therapist Recommendations -Symptoms may indicate an adjustment in medications and therefore warrants communication with the physician.

yellow zone

red zone

you are weighing your patient at each visit and notice they have gained 6 pounds within the past 3 days of treatment. what zone are they?

red zone

you are weighing your patient at each visit and notice they have lost 5.5 pounds within the past 3 days of treatment. what zone are they?

green zone

your patient has no SOB and no chest pain. what zone are they?

green zone

your patient presents with no decrease in ability to maintain activity level. What zone are they?

green zone

your patient presents with no swelling and no weight gain. what zone are they?

red zone

your patient presents with paroxysmal nocturnal dyspnea (requiring them to sit in chair to sleep). what zone are they?

red zone

your patient presents with wheezing or chest tightness at rest. What zone are they?