What is the most immediate action for a physical therapist when a patient with congestive heart failure complains of pain during therapy?

When a patient with congestive heart failure experiences pain during therapy, the most immediate action a physical therapist should take is to ask the patient to describe the location and severity of the pain. This step is crucial because it allows the therapist to gather valuable information about the nature of the pain, which can help differentiate between musculoskeletal discomfort and potential cardiac-related symptoms or complications. Understanding the characteristics of the pain—such as its intensity, duration, and precise location—enables the therapist to make informed decisions about the next steps in patient management.

By directly engaging with the patient, the therapist demonstrates attentiveness and establishes a rapport, which is essential for effective communication in healthcare. Identifying the type of pain can guide whether to continue the session, modify the activities being performed, or take further actions such as notifying other healthcare providers. This assessment serves as a foundational step in providing safe and appropriate patient care while fostering a proactive approach to managing potential issues that may arise during therapy.