Electro practical

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Electro practical

  1. 1. Practical Performa Principles of application A.THANGAMANI RAMALINGAM PT, MSc (PSY), MIAP
  2. 2. Receiving the patient <ul><li>Introduce yourself to patient </li></ul><ul><li>Give assurance/confidence </li></ul>
  3. 3. Case sheet reading <ul><li>Go through the medical reports </li></ul><ul><li>Find out diagnosis/general contra-indications/previous physiotherapy treatment </li></ul>
  4. 4. Checking general contraindications <ul><li>Hyper pyrexia </li></ul><ul><li>Epilepsy </li></ul><ul><li>Severe renal and cardiac problems </li></ul><ul><li>Severe hypo/hypertension </li></ul><ul><li>Cardiac pacemakers </li></ul><ul><li>Infections </li></ul><ul><li>Pregnant women </li></ul><ul><li>Metal implants </li></ul><ul><li>Mentally retarded/upset patients </li></ul><ul><li>Malignancy </li></ul><ul><li>Anterior aspect of neck/carotid sinus/eyes </li></ul>
  5. 5. Tray preparations <ul><li>Skin resistance lowering/testing tray </li></ul><ul><li>Pillows </li></ul><ul><li>Cotton </li></ul><ul><li>Soap </li></ul><ul><li>Towel </li></ul><ul><li>Mackintosh </li></ul><ul><li>Petroleum jelly </li></ul><ul><li>Test tubes ( hot &cold) </li></ul><ul><li>U-pin (sharp &blunt) </li></ul><ul><li>Clips </li></ul><ul><li>Bowl of water </li></ul><ul><li>IR lamp </li></ul><ul><li>Hot &cold packs </li></ul><ul><li>Treatment tray </li></ul><ul><li>Pillows </li></ul><ul><li>Towel </li></ul><ul><li>Bed sheet </li></ul><ul><li>Cotton </li></ul><ul><li>Adhesive tapes </li></ul><ul><li>Straps/goggles </li></ul><ul><li>Salt/Powder </li></ul><ul><li>Scissor/ Inch tape </li></ul><ul><li>Paper </li></ul><ul><li>Graph paper </li></ul><ul><li>Pencil/scale/eraser </li></ul><ul><li>Machine& accessories </li></ul><ul><li>Sand bags/crepe bandages </li></ul>
  6. 6. Checking local contraindications <ul><li>Open wounds </li></ul><ul><li>Scars </li></ul><ul><li>Local skin infections </li></ul><ul><li>Cuts </li></ul><ul><li>Abrasions </li></ul><ul><li>Eczema </li></ul><ul><li>Local hemorrhagic spots </li></ul><ul><li>Skin sensitivity (testing) </li></ul>
  7. 7. Apparatus preparation <ul><li>Check the apparatus& accessories like electrodes, leads, cables, plugs, power sockets, switches, controls, dials and others </li></ul>
  8. 8. Apparatus checking <ul><li>Demonstration of the treatment </li></ul><ul><li>Check the functioning of machine in front of the patient </li></ul><ul><li>Explanation of treatment </li></ul>
  9. 9. Positioning the patient <ul><li>Comfortable </li></ul><ul><li>Relaxed </li></ul><ul><li>appropriate </li></ul>
  10. 10. Skin resistance lowering <ul><li>Do skin resistance lowering </li></ul><ul><li>Neatly &perfectly </li></ul><ul><li>Use items required in an orderly manner </li></ul>
  11. 11. Selection of technique <ul><li>Use proper technique of application </li></ul>
  12. 12. Placement of electrodes <ul><li>Appropriate placement according to the condition &patient </li></ul><ul><li>Use adhesives &straps </li></ul><ul><li>Apply gel evenly on electrode </li></ul><ul><li>Maintain good contact with the skin </li></ul><ul><li>No leads crossing each other </li></ul><ul><li>Confirm connections &above all </li></ul>
  13. 13. Instructions & warnings <ul><li>Instructions </li></ul><ul><li>Don’t move </li></ul><ul><li>Don’t sleep </li></ul><ul><li>Don’t touch leads, apparatus, therapist and any other metal near by you </li></ul><ul><li>Warnings </li></ul><ul><li>Inform more heating/uncomfortable sensations </li></ul><ul><li>Inform burning sensation immediately </li></ul>
  14. 14. treatment <ul><li>Proper execution of treatment </li></ul><ul><li>Appropriate intensity should be used </li></ul><ul><li>Set duration of treatment acc. to condition status </li></ul><ul><li>Supervise the treatment through out the session </li></ul>
  15. 15. Termination <ul><li>Put knobs to zero </li></ul><ul><li>Remove electrodes </li></ul><ul><li>Switch off the machine &mains </li></ul><ul><li>Clean the area &inspect for adverse reactions </li></ul><ul><li>Manage if anything &give instruction regarding next coming </li></ul><ul><li>Windup procedure </li></ul>
  16. 16. Recording <ul><li>Accurate record of all parameters of treatment including area treated , technique, dosage and the outcomes </li></ul>
  17. 17. THANK YOU

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