The Importance Of Postural Drainage, Chest Percussion, And Chest Vibration Essay

My first experience observing a physical therapist, commenced in the summer of 2014. At the time, I was given the opportunity to observe a physical therapist named Jennifer Moreland. Throughout my time observing her, I began to recognize she was not just a physical therapist with her patients. Many times, she took on the role of a consoler, cheerleader, friend and supporter for her patients. Reflecting back on this, I am able to see that the primary reason she has succeeded as a physical therapist; is due to her amiable, encouraging and empathetic nature. These character traits have allowed her to do more than heal patients' musculoskeletal problems. She has also been able to heal hearts, souls and minds by cheering, supporting, listening

The human body needs fluid in order to live, but sometimes the body can become overloaded with fluid in different areas of the body. In such circumstances, the excess fluid has to be removed. When the space between the chest wall and the lungs, called the pleural space, fills with too much fluid, a thoracentesis is necessary. A thoracentesis is a procedure that is used to relieve the pleural effusion, or

Aspiration. This is a method of suctioning bursa fluid that aim to reduce pain and restore joint movement capabilities.

Have you ever heard of cystic fibrosis? If so, do you know what it is? Well, cystic fibrosis is an acquired issue that causes extreme harm to the lungs and digestive framework. Cystic fibrosis influences the cells that deliver bodily fluid, sweat and digestive juices. These discharged liquids are regularly thin and elusive. Be that as it may, in individuals with cystic fibrosis, a damaged quality causes the discharges to end up thick and sticky. Rather than going about as a grease, the emissions attachment up tubes, channels and ways, particularly in the lungs and pancreas. Although, cystic fibrosis requires day by day consideration, individuals with the condition can go to class and work, and have a superior personal satisfaction than in

Cerebral palsy is a disease of development of movement and posture which cause limit activity and disturbance in motor and sensory development in a child. A boy of age 5, is suffering from Cerebral Palsy. He has difficulty in walking due to neuromuscular impairment, difficulty in swallowing due to alteration in oral motor function, delayed growth and development due to decreased caloric intake. I will educate parents to provide a well-balanced diet, how to use an assistive device like a wheelchair, ankle-foot orthosis, and teach them to feed slowly and keep semi-upright position of a child during eating and drinking (Perry, 2013, p.1726).

From investigation in health practices, ventilator associated pneumonia caught my attention. “Ventilator Associated Pneumonia (VAP) is a leading cause of morbidity and mortality in intensive care units. Most episodes of VAP are thought to develop from the aspiration of oropharyngeal secretions containing potentially pathogenic organisms. Aspiration of gastric secretions may also contribute, though likely a lesser degree. Tracheal intubation interrupts the body’s anatomic and physiologic defenses against aspiration, making mechanical ventilation a major risk for Ventilator Associated Pneumonia. Semi-recumbent positioning of mechanically ventilated patients may help reduce the incidence of gastroesophageal reflux and lead to a decreased incidence of VAP. The one randomized trial to date of semi- recumbent positioning shows it to be an effective method of reducing VAP. Immobility in critically ill patients leads to atelectasis and decreased clearance of bronchopulmonary secretions. The accumulation of contaminated oropharyngeal secretions above the endotracheal tube cuff may contribute to the risk of aspiration. Removing these

in children it is often accompanied by a ‘whoop’ sound as the individual tries to inhale.

Percussion: I would put my two fingers on the area of my patient and tap directly on the body part and ask my patient if they are in pain, and I would also focus on their verbal and non-verbal to determine how painful the area is. This technique would help me notice any tenderness, shape, and position of the organs. I have checked the abdomen and is not solid and it is not full of gas or fluid. My finding would be documented.

· During my assessment and as needed I auscultated the lungs to assess for changes in lungs sounds. For example, by listening to the lungs I can assess if air is moving and if additional interventions are needed such as a nebulizer treatment by a respiratory therapist or nasal suctioning.

Depending on your child’s needs, orthopedic specialists from our Spine Program, Hip Disorders Program, Leg Disorders Program or Sports Medicine may treat your child.

The mechanical insufflator-exsufflator, commonly known as the CoughAssist, is medical device that uses positive and negative air pressure to inflate and rapidly deflate the lung, thus simulating a cough and helping to clear secretions. It is commonly used in patients with impaired or no cough response. This includes patients with neuromuscular disease and muscle weakness related to nervous system injuries. Furthermore, it can be used in children as well as adults in the management of

I then went onto percuss his chest in the appropriate places (see appendix 2 for places for percussion) using my two fingers to tap on my second finger, which I had placed over his intercostal spaces. I was observing for Resonance, hyper resonance dull and very dull sounds

The following is an account of a 3 year old boy with a Cystic Fibrosis. Since birth the patient has been admitted to hospital for a bowel obstruction, poor growth, pancreatic insufficiency and recurrent lower respiratory tract infections. The Manual chest therapy (CBT) has been ineffective due to child being too weak to cough up pulmonary secretions. The patient’s physician has prescribed an oscillation device called the Vest System in a desperate attempt to mobilize the mucus.

The therapist will start by introducing herself and the purpose of performing ROM on the child to the mother. The therapist will build a rapport with both the child and the mother so the child can feel comfortable. The therapist will ask John if he is in pain and then check for swelling. If there is no pain, the therapist will continue with the activity; however, if there is pain or swelling, the therapist will stop the treatment than apply a cold pack in the area to reduce edema. The patient will then be seated in a small chair with support at a 90 degree angle, while both legs flat on the floor to perform the activity. The chair will not have any arm rest. The therapist will begin by doing PROM on the right elbow with gentle guidance then the child will continue to perform the activity actively towards the end. The therapist will stabilize the humerus, while passively flexing the forearm starting from extension to flexion. The patient will actively perform 4 repetitions of ROM on the right elbow from extension to flexion. The therapist will passively perform 6 repetitions of ROM on the right elbow of the patient to increase the level of function in that extremity. Between the active and passive ROM, the patient is required to take a 5 minute rest for joint protection. Before moving to the next activity, the patient will need to take another 5 minute break to avoid fatigue in the affected

Many parents agree that an active infant sleeps better at night and use a baby bridge as a solution to get rid of their baby's excess energy. A pooped baby is a sleepy baby.