Physiotherapy

The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).

When the organs fail the only option is a transplant. With lungs there is only a 50% rate of a five year survival rate after a lung transplantation involving the end-stage respiratory disease. With such a drastic survival rate a study was completed to determine if patients could have a better outcome. This study was done to help determine effective methods to enhance lung transplants before surgery; the Doctors placed the recipients on bi-level positive airway pressure ventilation (BIPAP.) “BIPAP is a noninvasive mode of ventilation administered through a tight-fitting mask to assist spontaneously breathing patients”

The day-to-day writing in the field of Physical Therapy varies depending on the audience. The audience determines the purpose of the writing and writing style. Physical Therapists (PT) use evidence-based exercises and activities to rehabilitate their patients in order for them to reach their unique goal. Since PT’s work with both medical professionals and patients, they must adjust their writing to be able to communicate effectively. PT’s are just one of the many people in the medical field that may work with a particular patient so it is important that the communication between the different layers of the medical field are precise and clear. Writing to a patient is also important because they are the person who is being directly affected

Two protocols were administered; the first group only did the exercise without any help from the NIV. The patients were asked to lift containers with weights in them, ranging from 0.5 to 5 kg during a five minute period. Their arms had to be extended and move them from a waist high shelf to one above their head. The second group performed the same procedure, but had assistance from the BiPAP ventilator. The settings were an IPAP of 10 cmH2O and an EPAP of 4 cmH2O using a facemask. The COPD patients had to become accustomed to

Respiratory therapists are specialized healthcare practitioners that care for patients who have trouble breathing due to a multitude of reasons such as asthma, emphysema, or chronic obstructive pulmonary disease. They practice under and aid physicians in assessing patients, diagnostic evaluations, treatment, prevention, education and general pulmonary care. Respiratory therapists assume primary responsibility for all diagnoses and treatments. Respiratory Therapists discuss and review patients with physicians and other healthcare professional to assist in developing and/or modifying a patients’ care

Diagnosing COPD is multifactorial, as stated previously, an all-encompassing nursing assessment and patient history must be conducted. When these processes are finalized, and subjective evidence points towards COPD, it is necessary to confirm the diagnosis with objective data. The definitive way to do this is by conducting pulmonary function testing (PFT); specifically, spirometry. On top of diagnosing, spirometry, is also pertinent for staging the patients COPD (Corbridge,et al., 2012). In addition to these facets, there are several other radiologic and laboratory tests that are helpful in determining the severity of COPD; they are not so much diagnostic, as they are informative.

Physical therapy can be a marvel for those who are chronically ill or injured giving them the ability to live an active and healthy lifestyle after proceeding with treatment. A close relative of mine experiences this at CBI Health Center in Kelowna, BC and is pursuing at improving his health post treatment. With the assist of his physiotherapists he modifies his health daily by eating better and being active, is currently losing weight, has had a decrease in pain, increase in mobility, and returned to work after being on medical leave for years die to chronic pain as a result of degenerative disk disorder. Through CBI Health’s approach at treatments, administering knowledge, and the motivation of the physiotherapists, Dave has been able to make a noticeable improvement on his health and began living a more active life.

MY personal experience is that my aunt had COPD and her feelings of having a hard time breathing was very much on her mind the whole time. My beliefs about my role as nurse in this situation is to listen to the patient on why they are having a hard time breathing and while I am talking to this patient also be looking at the physical data that is present. Some emotions that were going through my head at the time was thinking about what my aunt went through when was she was in this type of situation. What I notice about the patient was something did not look right with his nasal cannula that was on him. To me where I was observing is that it did not look like it was on his face correctly and maybe that is why his stats kept on rising.

Physiotherapy: Physiotherapy is the part of medical science in which the specialist help the patient to rehabilitates from the physical injury and disability. Physiotherapy covers the manual therapy, electrotherapy, exercise therapy and mechanical force to provide the best treatment to the patient to early recovery from the injury, disease and disability. Physiotherapy mostly uses:

The first of the three important implications to include in the care of a child diagnosed with cystic fibrosis is assessing the respiratory status. One of the most common nursing diagnoses for these patients is ineffective airway clearance. This

The defining feature of chronic obstructive pulmonary disease is the limited airflow during forced exhalation that is not fully reversible(R. Higginson, 2010). On assessment of Terry’s condition it was found he has a moderate work of breathing, a respiratory rate of 30, diminished breath sounds, has a barrel chest and uses tripod positioning. The inability to expire air is a major concern and characteristic of copd(Di Brown, 2015). The primary site of airflow is limited and the airways are reduced in size, reducing the amount of air that can get in and out of the lungs(R. Higginson, 2010). As the airways become smaller and obstructed, air is trapped during expiration due to the volume of residual air greatly increasing, destroying the alveoli attached to small airways(R. Higginson, 2010). The residual air and loss of elastic recoil makes it harder to exhale air. If an individual is unable to perform levels of expiration then the air becomes trapped in the lungs, making the chest hyper expand and become barrel shaped. Having a barrel shaped chest, decreases the respiratory muscles to work effectively and the functional

Caring for someone with pulmonary fibrosis can be a full time job. Having a plan in place for activities outside the home will lessen your stress. In advance, address things like wheelchair access, space for oxygen equipment and make sure you allow enough time to get ready. It is a good idea to bring back-up oxygen when you are away from home. Keep medical information close at hand during doctor visits. Use a calendar or reminders of upcoming appointments.

During the teaching learning process the teacher should consider these respiratory changes and understand that clients learn better when they are well oxygenated. Also, it is important to consider the client’s rest and exercise routine to know when the best time for teaching will be. For physical learning techniques such as exercise it is important that the client has rested enough and the exercise is not overly exhausting for the patient. The reason for this is because if the client begins to experience shortness of breath this can cause anxiety and be very dangerous for the client. With decreased respiratory functioning, there are specific strategies that can be used to have an effective teaching learning process. Strategies can include basing activities on the level of exertion tolerated by the client, encouraging the client to inform the teacher of times when they have the highest level of functional abilities, and the use oxygen safely if needed during the learning session (Miller & Stoeckel, 2016). Basing activity levels on the level of exertion tolerated by the patient have been shown to prevent overexertion and respiratory complications in patients. Being aware of the best time for teaching allows

The purpose was to explore the effects of a pulmonary rehabilitation program in primary care with nurses leading a multidisciplinary team. Aspects analyzed were functional capacity, quality of life, and frequency of exacerbations among patients with

Physical therapists treat many different types of injuries that range from tennis elbow to Guillain-Barre Syndrome.. There are sport related injuries like a pulled muscle, sprained ankle, shin splints, or runner’s knee. Back pain, Carpal Tunnel Syndrome, hip replacement, knee conditions, and neck strains may be treated by an Orthopedic physical therapist. Neurological physical therapists treat things like ALS, stroke, and Alzheimer's.