case scenario mislead medication and patient condition

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PHYSIOTHERAPY
MANAGEMENT
SITI AISHAH BINTI ABDUL RAZAK-4262202002
SITI NUR HAZIRAH BINTI ZAINOL-4262202003
VIGNESWARY A/P KUMARAVEL -4262202004
ILA NABILAH BINTI MOHAMAD- 4262202001

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QUESTION ?
● Age: 54 years old
● Male
● Complaint of weakness at left side of the body for 3 days
for a sudden onset.
● He had history of hypertension for 14 years, not comply
with the medication.
● On going major surgery for his abdominal, laparotomy for
2 weeks.
● Claimed of cough and difficulty on remove the sputum.
● Discuss on physiotherapy management for this patient.

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SHORT TERM GOAL
AND LONG TERM GOAL

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● To reduce secretion retention within 3/7
● To increase muscle power
● To improve balance
● To increase in coordination
SHORT TERM GOAL

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● To maintain motor skill and coordination
● To improve the ability
● To regain activity daily living
LONG TERM GOAL

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PHYSIOTHERAPY
MANAGEMENT

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TO REDUCE SECRETION
● Percussion/ Vibration
Do a percussion and vibration
over patient’s back with
supported pillow over the
abdomen.
● Active cycle breathing
technique

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TO INCREASE MUSCLE POWER
● Bed mobility
● PNF stretching & hamstring
stretching
● Strengthening exercise
- SLR
- SQE
- Bridging
- Dynamometer/theraputty
- Hand exercise

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TO IMPROVE BALANCE & AMBULATION
Static Dynamic
- Sitting
- standing
Ambulation:
6MW Test
- Obstacle
- Step stairs
Treadmill
Cycling

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TO INCREASE IN COORDINATION
- Finger to nose
- Foot tapping test
- Target exercise

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PATIENT EDUCATION
● Instructions for home
exercises
● Avoid slippery surface
during exercise.
● Do not do any exercise
without any assistance.

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Thank you!