Chest Physiotherapy Done By: Salwa Maghrabi Clinical Instructor
Outlines • Definition of chest physiotherapy. • Purposes of chest physiotherapy • Equipment of chest physiotherapy. • Chest physiotherapy steps for children. • Chest physiotherapy steps for neonate. • Documentation .
Objectives • Define chest physiotherapy. • Mention the purposes of chest physiotherapy. • List the equipment needed for applying chest physiotherapy. • Appling chest physiotherapy on children. • Appling chest physiotherapy on neonate . • Document the procedure.
Definition of Chest Physiotherapy • A treatment used with children who have had heart surgery and who may have partial collapse of their lung tissue or lung secretions which they are unable to clear by themselves.
The Purposes • Keep child airway clearance. • Comfort the child. • promote child respiratory condition. • Provide the caregiver with instruction to follow for home care.
The Procedure • Introduce your self. • Explain procedure to the patient and parent. • Wash hands.
CHILDREN CHEST PHYSIOTHERAPY • Place child in up right position . • Using cupped hand, percuss over the lung field . • After percussion is completed over each lober area, vibration is done.
CHILDREN CHEST PHYSIOTHERAPY CONT’ : • After percussion and vibration, have the child sit up, take a deep breath, cough up and spit out the mucus. • Proceed with repositioning child in alternate positions for therapy.
CHILDREN CHEST PHYSIOTHERAPY CONT’ • If the child is intubated or unable to generate an effective cough, perform suctioning as indicated. • Upon completion of therapy , return the child to comfortable position with side rails up. • Return equipment • Wash hands.
NEONATE CHEST PHYSIOTHERAPY • Check chart for orders , wash hand. • Ascultate lungs before and after procedure. • Perform procedure prior to feeding and oral medication . • Perform percussion and vibration in position best for particular premature infants, depending on which part of lung is affected.
NEONATE CHEST PHYSIOTHERAPY CONT’ • Monitor O2 saturation throughout procedure not to exceed 10 min . • suction gently . • Place in position of comfort . • Return equipment. • Wash hands.
Documentation • Completion of therapy and child’s response to therapy. • Adjunctive treatments given concurrently ( nebulizer or inhaled medication ) and the child’s response to these treatment . • Education provided to care giver.