CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
The goal in patients with primary lung disease is to teach them to relax the neck and chest accessory muscles and use more diaphragmatic breathing to reduce the work of breathing.
Neurophysiological Facilitation of Respiration is a treatment technique used for respiratory care of patients with unconscious or non-alert, and ventilated, and also with a neurological condition
NPF is the use of external proprioceptive and tactile stimuli that produce reflex respiratory movement responses and that increase the rate and depth of breathing
Manual ventilation, or ‘bagging’, is the use of a manual resuscitator bag (MRB) for the ventilation of a patient via either a facemask or an endotracheal tube.
CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
The goal in patients with primary lung disease is to teach them to relax the neck and chest accessory muscles and use more diaphragmatic breathing to reduce the work of breathing.
Neurophysiological Facilitation of Respiration is a treatment technique used for respiratory care of patients with unconscious or non-alert, and ventilated, and also with a neurological condition
NPF is the use of external proprioceptive and tactile stimuli that produce reflex respiratory movement responses and that increase the rate and depth of breathing
Manual ventilation, or ‘bagging’, is the use of a manual resuscitator bag (MRB) for the ventilation of a patient via either a facemask or an endotracheal tube.
Application of PEP devices in Cardiorespiratory physiotherapy.
It includes types of PEP devices and their uses in physiotherapy..
It stands for positive expiratory pressure.
It includes spirometry, flutter, rc cornet, acapella, etc.
useful in various cardiorespiratory disorders like COPD, asthma , cystic fibrosis, respiratory failure etc.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
Application of PEP devices in Cardiorespiratory physiotherapy.
It includes types of PEP devices and their uses in physiotherapy..
It stands for positive expiratory pressure.
It includes spirometry, flutter, rc cornet, acapella, etc.
useful in various cardiorespiratory disorders like COPD, asthma , cystic fibrosis, respiratory failure etc.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
A mechanical ventilator is a machine that helps a patient breathe (ventilate) when they are having surgery or cannot breathe on their own due to a critical illness. The patient is connected to the ventilator with a hollow tube (artificial airway) that goes in their mouth and down into their main airway or trachea
Mechanical Ventilation Cheat Book for Internal Medicine ResidentsThe Medical Post
This short cheat book talks about basic concepts and physiology of artificial ventilation and also elaborates on point guided approach in maneuvering different modes of mechanical ventilation. Consider this as a basic overview and is intended for all internal medicine residents.
Proprioceptive Neuromuscular Facilitation techniques are facilitation techniques to initiate muscle contraction and movement in Neuro-muscular conditions. Basic techniques improve contraction and correct imbalances.
segmental breathing exercise is one of the deep breathing exercises, which improve individual lobe function.
It reduces post-surgical Pulmonary complications and improves Chest wall mobility
Diaphragmatic Breathing is a deep breathing exercise, with two methods.
One method of ‘diaphragmatic’ breathing that concentrates on the forwarding movement of the whole abdominal wall.
Another technique combines the forward movement of the upper abdominal wall with some lateral movement of the lower ribs.
The diaphragm is the main muscle of respiration, but it must be remembered that the diaphragm also plays an important part in lower costal breathing exercises.
It is vital to remember that the expiratory phase is completely passive; any forced or prolonged expiration may increase airway obstruction.
An incentive Spirometer is a device that increases pulmonary function, and also clears Secretions of the air pathway.
It reduces Postoperative Pulmonary Complications.
It also stimulates cough.
It will give Visual Feedback to the Patient and encourages the Patient.
coronary artery bypass graft surgery CABGSunil kumar
coronary artery bypass graft surgery, explanation of CABG on-pump and off-pump procedures, physiotherapy management after surgery. indications of CABG. description of the procedure, investigations before surgery, per operative and post operative management
introduction, causes, risk factors, symptoms, examination, investigations and management of peripheral arterial disease.
how to assess the patient and what will be the complications of PAD, physiotherapy treatment for PAD
definition, types, pathophysiology, clinical features, investigations, diagnosis and treatment of COPD,
Explanation about blue bloaters and pink puffers
complication and pulmonary rehabilitation.
indications, uses and types of cardiac catheterization, about intra cardiac pressure, about angiography and its technique, digital substraction angiography and its technique.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
2. Manual hyperinflation
• 'Bagging' can be used as a technique to hand-ventilate
a patient or during physiotherapy.
• When hand ventilating, normal tidal volumes are
generally delivered, whereas to facilitate
physiotherapy larger breaths or hyperinflations are
necessary.
• Manual hyperinflation can be given either using a
Water's bag circuit or an Ambu-bag. A greater range of
volume is available with a Water's bag.
• For an adult a 2 or 3 litre Water's bag, connected to a
flow of 10- 15 litres of oxygen is commonly used.
3. • By altering the expiratory valve, volume and
therefore inspiratory pressure can be manipulated.
• The use of a manometer acts as a guide to inflation
pressures which are recommended to be less than
40cmH2O.
• If manual hyperinflation is indicated in a PEEP
dependent patient; a PEEP valve must be used to
maintain positive end-expiratory pressure during
treatment
4. Indications
• To aid removal of secretions
• To aid reinflation of atelectatic segments
• To assess lung compliance
• To improve lung compliance.
5. Therapeutic effects of manual hyperinflation
• The most common technique used is a slow
inspiration, and inspiratory hold followed by quick
expiratory release.
• A prolonged inspiratory hold is contraindicated in a
patient who is already hyperinflated (e.g.
emphysema).
6. Slow deep inspiration:
– Recruits collateral ventilation thus promoting
mobilization of secretions
– Enhances interdependence to aid re-expansion of
atelectatic segments
– Improves gaseous exchange
– Assesses and potentially improves compliance.
7. Inspiratory hold (at full inspiration):
– Further utilizes collateral ventilation and
interdependence as at higher volume; therefore
maximizes pressure distribution.
Fast expiratory release:
– Mimics a forced expiration (huff or cough)
– Stimulates a cough.
Hand-held PEEP:
– By grasping and holding the end of a semi-filled bag
throughout inspiration and expiration it is possible
to maintain a low level of PEEP.
8. Hazards of manual hyperinflation
• Reduction in blood pressure. During manual
hyperinflation the normal mechanism which
'sucks' the remaining blood from the inferior vena
cava to the right atrium during negative pressure
inspiration is lost.
• In addition, the positive pressure generated during
manual hyperinflation increases intrathoracic
pressure.
• Both mechanisms compromise venous return. The
resultant effect could be a reduction in stroke
volume and therefore a drop in blood pressure
9. • This risk is potentially increased when using a PEEP
valve, or during prolonged inspiratory holds.
• It should be noted that if a bolus of sedation is
given before treatment, this may lower the blood
pressure through vasodilatation.
Considerations for physiotherapy
• If the blood pressure drops during treatment,
smaller tidal breaths should be given. If the blood
pressure remains compromised the patient should
be put back onto the ventilator/ positioned
appropriately and a medical review requested.
10. Reduced saturations. Oxygen saturations can be
compromised by sputum plugging, collapse,
pneumothorax, bronchospasm and V/Q
mismatching.
Considerations for physiotherapy
• Reassessment will highlight the cause.
Intermediate measures such as increasing the FiO2
can be used.
11. Raised intracranial pressure. The presence of
increased levels of PaC02 in cerebral blood
vessels may lead to vasodilatation. The resultant
increased cerebral blood flow may increase ICP.
Considerations for physiotherapy
• To prevent fluctuations in ICP during manual
hyperinflation small fast breaths should be
interspersed between hyperinflations.
12. Reduced respiratory drive. PaCO2 levels may be
reduced during effective treatment. This may reduce
the patient's respiratory drive.
Considerations for physiotherapy
• After finishing manual hyperinflation, the patient's
spontaneous respiratory effort should be monitored.
13. Contraindications to manual hyperinflation
• Undrained pneumothorax (presence of patent
intercostal drain - treat as normal)
• Potential bronchospasm
• Severe bronchospasm
• Gross cardiovascular instability inducing
arrhythmias and hypovolemia
• Unexplained haemoptysis
• An absolute indication for treatment should be
present before manual hyperinflation is used on
patients requiring PEEP levels greater than 15
cmH20 plus maximal ventilatory support, or
patients with high peak and mean inspiratory
pressures.