2. Outlines
• Definition of chest physiotherapy.
• Purposes of chest physiotherapy
• Equipment of chest physiotherapy.
• Chest physiotherapy steps for children.
• Chest physiotherapy steps for neonate.
• Documentation .
3. 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.
4. 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.
5. The Purposes
1. Keep child airway clearance.
2. Comfort the child.
3. promote child respiratory condition.
4. Provide the caregiver with instruction to
follow for home care.
8. CHILDREN CHEST PHYSIOTHERAPY
1. Place child in up right position .
2. Using cupped hand, percuss over the lung
field .
3. After percussion is completed over each
lober area, vibration is done.
9.
10. CHILDREN CHEST PHYSIOTHERAPY
CONT’ :
4. After percussion and vibration, have the child
sit up, take a deep breath, cough up and spit
out the mucus.
5. Proceed with repositioning child in alternate
positions for therapy.
11.
12. CHILDREN CHEST PHYSIOTHERAPY
CONT’
6. If the child is intubated or unable to generate
an effective cough, perform suctioning as
indicated.
7. Upon completion of therapy , return the child
to comfortable position with side rails up.
8. Return equipment
9. Wash hands.
13. NEONATE CHEST PHYSIOTHERAPY
1. Check chart for orders , wash hand.
2. Ascultate lungs before and after procedure.
3. Perform procedure prior to feeding and oral
medication .
4. Perform percussion and vibration in position
best for particular premature infants,
depending on which part of lung is affected.
14.
15.
16. NEONATE CHEST PHYSIOTHERAPY
CONT’
5. Monitor O2 saturation throughout procedure
not to exceed 10 min .
6. suction gently .
7. Place in position of comfort .
8. Return equipment.
9. Wash hands.
17. Documentation
1. Completion of therapy and child’s response
to therapy.
2. Adjunctive treatments given concurrently
( nebulizer or inhaled medication ) and the
child’s response to these treatment .
3. Education provided to care giver.
Chest physiotherapy is designed to use gravity to aid in draining secretion from various areas of the lungs. The patient lays in special ways to drain secretions from the smaller airways into their larger airways.
While the patient is lying down, rhythmic clapping (percussion) is applied with moderate to vigorous strength. The percussion is applied to the chest wall.
This helps loosen secretions from the respiratory tract, and forces the mucus from the smaller airways into the larger airways. The secretions can either be coughed up by the patient, or suctioned out
