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Chest Physiotherapy By Dr. Hanan Said Ali

Chest Physiotherapy By Dr. Hanan Said Ali. Define breathing and coughing exercise . Mention purpose of these exercise. Explain why should we do these exercises? Mention types of breathing and coughing exercise . Explain how to do these exercise. Define Postural Drainage.

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Chest Physiotherapy By Dr. Hanan Said Ali

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  1. Chest PhysiotherapyByDr. Hanan Said Ali

  2. Define breathing and coughing exercise. • Mention purpose of these exercise. • Explain why should we do these exercises? • Mention types of breathing and coughing exercise. • Explain how to do these exercise. • Define Postural Drainage. • Explain how to perform Postural Drainage. • Explain how to perform Chest Percussion Objectives

  3. The purpose of these exercise is Increase ventilation in the lower lobes and promote maximum expiration of lungs and chest walls Strengthen and improve the efficiency of respiratory muscle . Promote relaxation and relative anxiety . Breathing and coughing exercise:-

  4. The purpose of these exercise is Comt. • Keep air way clearance. • Prevent post operative pulmonary complications. • Eliminate the useless uncoordinated pattern and decrease the work of breathing. Breathing and coughing exercise:-

  5. Breathing and coughing exercise:-

  6. Why Should I Do These Exercises? • Deep breathing and coughing exercises facilitate the respiratory function by helping in removing secretion from airway tract. • Voluntary coughing in conjunction with deep breathing facilitates the movement and expectoration of secretion in the respiratory tract. • Frequent deep breathing exercise automatically initiates the cough reflex. Breathing and coughing exercise:-

  7. Who Should Perform These Exercises? Patients on bed rest or those who have undergone any surgical procedure, for example abdominal or chest surgery. Patients prone to pulmonary problems. Patients susceptible to accumulating respiratory secretions. Breathing and coughing exercise:-

  8. Breathing and coughing exercise:-

  9. How Frequently Should These Exercises be Performed? • Deep breathing should be performed every hour while awake. • Patients who have had abdominal or chest surgery need to perform deep breathing at least three to four times daily. Each session should include a minimum of five deep breaths. • Deep breathing exercise may be performed every hour, especially by patients who are prone to pulmonary problems. Breathing and coughing exercise:-

  10. Deep Breathing Exercises There are two types of deep breathing exercises. 1. Diaphragmatic Breathing Exercise; Diaphragmatic breathing strengthens the diaphragm, decreases the use of accessory muscles and allows for better emptying of the lungs. Breathing and coughing exercise:-

  11. 2. Pursed-lip breathing; Pursed lip breathing slows the respiratory rate, decreases the dynamic compression of the airways and thus keeps them open longer. Breathing and coughing exercise:-

  12. Indications: Inpatients with acute and chronic obstructive ventilator disorders. In patients having upper abdominal or thoracic surgery. Contraindications: Increased intracranial pressure Acute unstable head ,neck, or spinal injury. Breathing and coughing exercise:-

  13. Procedure

  14. Procedure Cont.

  15. Procedure Cont.

  16. Procedure Cont

  17. Procedure Cont

  18. Procedure Cont

  19. Procedure Cont

  20. Procedure Cont

  21. Procedure Cont

  22. Procedure Cont

  23. Purpose: Maintain a patient airway by mobilizing secretions into larger airway where they can be coughed or suctioned. Increase respiratory gas exchange by increasing the available surface area at the alveolar level. Decrease the incidence of respiratory infection. Postural Drainage

  24. Assessment Check the chart for a physician's order ,which is needed to perform postural drainage. Auscultate lungs to determine location and degree of retained secretion. Verify assessment with recent chest radiographs. Postural Drainage

  25. Contraindications Increased intracranial pressure. Spinal fractures. Heart diseases. Postural Drainage

  26. Planning: • Individualize the following goals for performing postural drainage: a-Maintain a patient airway. b-Mobilize secretions. • Obtain all necessary equipment: a. Pillows and positioning aids b-Tissues paper. c-Suction equipment.(if indicated) Postural Drainage

  27. Postural Drainage Procedures

  28. Postural Drainage Procedures

  29. Postural Drainage Procedures

  30. Postural Drainage Procedures

  31. Postural Drainage Procedures

  32. To drain the upper portions of your lungs, you should be in a sitting position at about a 45 degree angle. Postural Drainage Procedures

  33. Chest Percussion procedure

  34. Chest Percussion procedure

  35. Chest Percussion procedure

  36. Thank You

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