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Demonstration On Chest Physiotherapy Definition

Chest physiotherapy is a technique used to clear thick mucus from the respiratory tract using percussion, vibration, and postural drainage. It aims to remove secretions from conditions like bronchitis and bronchiectasis. The procedure involves positioning the patient, then using percussion and vibration over the chest to loosen and mobilize mucus, followed by coughing and sputum expectoration. Nursing actions include explaining the procedure, positioning the patient, percussion, vibration, auscultating lung sounds, and having the patient cough to clear secretions. It is contraindicated in conditions involving lung hemorrhage, tumors or infections.

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dileep
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955 views

Demonstration On Chest Physiotherapy Definition

Chest physiotherapy is a technique used to clear thick mucus from the respiratory tract using percussion, vibration, and postural drainage. It aims to remove secretions from conditions like bronchitis and bronchiectasis. The procedure involves positioning the patient, then using percussion and vibration over the chest to loosen and mobilize mucus, followed by coughing and sputum expectoration. Nursing actions include explaining the procedure, positioning the patient, percussion, vibration, auscultating lung sounds, and having the patient cough to clear secretions. It is contraindicated in conditions involving lung hemorrhage, tumors or infections.

Uploaded by

dileep
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DEMONSTRATION ON CHEST PHYSIOTHERAPY

DEFINITION:-It is method of facilitating respiratory function by removing thick tenacious secretions of the
respiratory system using techniqes of percussion,vibration ,and postural drainage.

PURPOSES:-To remove secretions from bronchial wall in conditions like bronchiectasis and chronic
bronchitis.

INDICATIONS:- 1)patient who bring out copious sputum.


2)patient who are at risk of atelectasi

ARTICLES:-
1.Pillows
2.Sputum cup with disifectant.
3.Paper tissues.
4.Adjustable pillow.
5.kidney tray.
6.Stethoscope.

CONTRAINDICATION:-

1. Undrained lung abcess.


2. lung tumor.
3. Pneumothorax.
4. Disease of chest wall.
5. Lung hemorrhage.
6. Hemoptysis.
7. Painfull chest condition.eg:- Pleural effusion.
8. Tuberculosis.
9. Osteoporosis.
10. Increased intracranial pressure.
11. Spinal injuries.

PROCEDURE:-
NURSING ACTION RATIONALE
1.Identify patient and check instruction of Ensures that right procedure is done on right
patient and nursing care plan. patient.

2.Explain procedure to patient and check time Reassures patient and promote
for last meal. cooperation.Postural dranaige should be
avoided after meal times as it can induce
vomiting.

3.Wash hands and dry. Reduces transmission of micro-organism.

4.Instruct patient to perform diaphragmatic It helps patient to relax and widen airways.
breathing.
Position should be selected according to the
5.position patient.
area of lung that is to be drained.

6.Cover area with towel. Reduces discomfort to the patient.

7.Percussion. Percussion helps in dislodging mucus plug and


Clap with cubed hands over chest wall for 1 to 2 mobilizes secretions into main stream bronchi
minutes in each lung area .Percuss from and trachea.
a.Lower rib to shoulder on the back.
b.Lower rib to top of chest in front .Avoid
clapping over
spine,liver,kidney,spleen,breast,clavical or
sternum.

8.Vibration
Remove towel and place hand,palm down on Vibration frees the mucus from bronchial walls.
chest area to be drainedwith one hand over
other and fingers together or place hands side
by side.

9.Insruct patient to inhale deeply and exhale


slowly through pursed lips and perform
abdominal breathing.

10.stop vibration and relieve pressure on chest


Coughing aids in the movement and expulsion
walls inhibits chest expansionn during
of mucus.
inspirtion.

11.vibrates for 5 exalations over each affected


lung area.after 3-4 vibrations encourage patient
to cough and expectorate sputum into sputum
cup.
Presence of crackles and rhonchi indicates
presence of mucus.
13.Allow patient to rest and auscultate with
stethoscope for change in breathing sound.

15.Repeate percussion and vibrations according


to patient conditions ,usually for 10-15 minutes.
Reduces risk of infection.

16.Wash hands.

Promote comfort by removing bad taste.


17.Assist patient to comfortable position .
Enables communication between staff.
18.Assist patient to oral hygiene.

19.Record procedure and patient response.


SPECIAL CONSIDERATIONS:-

1. Perform chest physiotherapy one hour before meals and 1-3 hours after meals.
2. Administer bronchodilator if advised or nebulize 15 minutes before procedure.
3. Observe patient during procedure for tolerance like breathing pattern or cynosis.
4. Splint incison area and administer pain medication before procedure.
5. Stop procedure if there is tachycardia,fall in BP,palpitation, dyspnea or chest pain.

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