Diaphragm pacer conditioning log form to help you keep track of how you are doing.
Session Time: Start Time: Intermediate Time: End Borg scale Comments
1
2
3
4
5
5

Borg scale of breathing effort

  • 0 = No breathlessness at all
  • 1 = Very slight breathlessness
  • 2 = Slight breathlessness
  • 3 = Moderate breathlessness
  • 4 = Somewhat severe breathlessness
  • 5 = Severe breathlessness
  • 7 = Very severe breathlessness
  • 10 = Maximum breathlessness

Important: If borg scale rating for any session is 4 or above, discontinue conditioning and place patient back on ventilator.

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