Fisioterapi Dada

Summary

This video provides a comprehensive guide to chest physiotherapy, a critical technique for improving respiratory function. The session covers various procedures including postural drainage, percussion, vibration, diaphragmatic breathing, deep breathing exercises, and effective coughing. It offers step-by-step instructions on how to perform these techniques, highlighting their role in clearing lung secretions, enhancing breathing, and addressing airway obstructions. The video also emphasizes the importance of patient assessment and post-procedure evaluation. This educational resource is ideal for healthcare professionals looking to enhance their understanding of respiratory care.

Takeaways

• 😀 Chest physiotherapy is used to improve respiratory function and clear airway obstructions.
• 😀 The main techniques in chest physiotherapy include postural drainage, percussion, vibration, diaphragm breathing, deep breathing, and effective coughing.
• 😀 Postural drainage positions the patient to facilitate the removal of mucus from different lung lobes, with each position lasting about 15 minutes.
• 😀 Percussion involves rhythmic tapping on the chest wall to loosen mucus, performed for 2-3 minutes per area of the chest.
• 😀 Vibration is applied during exhalation to further loosen secretions, using hand placement on the chest while the patient exhales.
• 😀 Diaphragmatic breathing helps expand the lungs more deeply and facilitates secretion removal by focusing on breathing into the abdomen.
• 😀 Deep breathing exercises involve inhaling for a count of 4, holding briefly, and exhaling for a longer period to improve airway clearance.
• 😀 Effective coughing is an essential technique in chest physiotherapy, involving deep breaths, holding for 2 seconds, and forcefully coughing to expel mucus.
• 😀 After performing chest physiotherapy, reassess the patient’s respiratory rate and conduct auscultation to evaluate the improvement in lung function.
• 😀 Always document the patient’s condition and the results of the physiotherapy in the medical record for proper monitoring and continuity of care.

Q & A

What are the main techniques used in chest physiotherapy?

The main techniques in chest physiotherapy include postural drainage, percussion, vibration, diaphragmatic breathing, and effective coughing.

What are the key indications for performing chest physiotherapy?

Chest physiotherapy is indicated for patients who are bedridden for extended periods, have abnormal breath sounds like ronchi, or suffer from conditions such as atelectasis or airway obstructions.

What is the goal of postural drainage in chest physiotherapy?

The goal of postural drainage is to help clear secretions from the lungs by positioning the patient in specific ways that promote drainage from different lobes of the lungs.

How long should each position in postural drainage be maintained?

Each position for postural drainage should be maintained for approximately 15 minutes to allow the secretions to drain effectively.

What is the difference between percussion and vibration in chest physiotherapy?

Percussion involves gently tapping the chest with cupped hands to loosen secretions, while vibration is performed by applying pressure to the chest during exhalation to help expel mucus.

Why is diaphragmatic breathing important during chest physiotherapy?

Diaphragmatic breathing is crucial because it helps increase lung capacity, improves oxygenation, and encourages deep, effective breaths that assist in clearing the airways.

What is the correct technique for diaphragmatic breathing?

The correct technique involves placing one hand on the abdomen and the other on the chest. The abdomen should rise during inhalation, while the chest remains relatively still. The patient should breathe deeply through the nose and exhale slowly through pursed lips.

What should be done after percussion and vibration during the procedure?

After percussion and vibration, the patient is instructed to perform effective coughing to help expel loosened mucus from the airways.

How should effective coughing be performed in chest physiotherapy?

Effective coughing is performed by instructing the patient to take three deep breaths using diaphragmatic breathing, holding the breath for two seconds on the third inhale, and then coughing forcefully to expel mucus.

How is the post-treatment evaluation performed in chest physiotherapy?

After the procedure, the respiratory rate is reassessed, and auscultation is repeated to check for any remaining secretions or abnormal sounds. Findings are documented in the patient's medical record.