This document provides information on preoperative and postoperative physiotherapy assessment for pulmonary surgery patients. The preoperative assessment involves collecting subjective and objective information on the patient's medical history and functional status to create a treatment plan and reduce complications. The postoperative assessment examines the surgery details and any complications while monitoring pain, breathing, circulation, mobility and other factors to aid the patient's recovery. Physiotherapy focuses on regaining strength, mobility and functional independence through techniques like breathing exercises and range of motion.
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
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
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
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
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
THIS PPT IS MADE ONLY FOR LEARNING PURPOSE AND IT CAN BE WRITTEN AS PT MANAGEMENT FOR ANY PULMONARY DISEASE WHETHER OBSTRUCTIVE OR DESTRUCTIVE IN EXAMINATION. PROTOCOL VARIES FROM PATIENT TO PATIENT IN CLINICAL PRACTICE.
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
THIS PPT IS MADE ONLY FOR LEARNING PURPOSE AND IT CAN BE WRITTEN AS PT MANAGEMENT FOR ANY PULMONARY DISEASE WHETHER OBSTRUCTIVE OR DESTRUCTIVE IN EXAMINATION. PROTOCOL VARIES FROM PATIENT TO PATIENT IN CLINICAL PRACTICE.
"ASSESSMENT OF RESPIRATORY FUNCTION".pdfDolisha Warbi
ASSESSMENT OF RESPIRATORY FUNCTION, history collection, physical examination, inspection, palpation, percussion, auscultation, diagnostic evaluation, care of the patient in respiratory intensive care and ventilator care, care of the patient with an endotracheal tube, after intubation, after removal of intubation, care of the patient with a tracheostomy tube, ventilator care
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
1. PT ASSESSMENT OF PULMONARY SURGERY
CONDITIONS
JAMIA MILLIA ISLAMIA
CENTRE FOR PHYSIOTHERAPY AND REHABILITATION SCIENCE
SUBMITTED TO : DR. JAMAL ALI MOIZ
SUBMITTED BY : SUALEHA KHANAM
SUBJECT : PT IN CARDIOPULMONARY CONDITION
ROLL NO.: 17BPT037
DATE OF PRESENTATION: 19/02/2021
2. INTRODUCTION :
Physiotherapy Assessment has been used preoperatively and/or
postoperatively to avoid surgical complications and enhance the recovery
of the patients.
It divided into two parts:
1)Pre-operative PT Assessment :
Benefits : To know the functional status ,focus on creating plan to shorten
healing time, To reduce surgical complications ,Mentally prepare patient
for surgery and rehabilitation.
2)Post-operative PT Assessment:
Benefits : To know the postoperative problem of the patient ,
Focus on creating plan to return to daily activities .
3. PREOPERATIVE PT ASSESSMENT :
It includes both subjective and objective Assessment:
Subjective Assessment
• Demographic data : Name ,Age ,Gender ,marital status , Occupation .
• Present history
• Family history of disease
• Drug allergy ,Past anaesthetic history
• Past medical history : Respiratory disorders , other chronic disorders
,Diabetes and hypertension .
• Surgical history : Tracheostomy ,endoscopy etc.
• Personal and social history: history of smoking ,history of alcohol
intake,sleep ,Appetite loss,bowel and bladder , exercise tolerance
,wt.loss etc
• Chest pain : Musculoskeletal chest pain ,Angina pectoris ,Pleuritic chest
pain
• Incontinence :
• Other symptoms : fever ,headache ,peripheral edema, shivering ,wt
.loss , palpitations , vomiting and nausea.
4. OBJECTIVE ASSESSMENT :
• VITAL SIGNS : Temperature ,pulse , Respiratory rate ,blood pressure
and oxygen saturation .
• GENERAL APPEARANCE : Body weight ,height ,Eyes (pallor ,plethora
,jaundice),tounge and mouth ( cyanosis ) ,jugular venous pressure .
• OBSERVATION OF CHEST : chest deformities ( kyphosis ,
kyphoscoliosis ,barrel chest , pectus carinatum) ,symmetry .
• BREATHING PATTERN:Check for bradypnea, tachypnea,
hyperventilation, Prolonged expiration - 1:3 to 1:4
• INTUBATION: Neck movement ,TMJ movement.
• PALPATION :Hoover’s sign - Paradoxical movement of the lower chest
can occur in patients with severe chronic airflow limitation who are
extremely hyperinflated.
• Trachea : tracheal deviation indicates underlying mediasternal shift .
trachea may be pulled towards in collapsed or fibrosed upper lobe or
pushed away from pneumothorax or large pleural effusion.
5. • PHYSICAL EXAMINATION : cough , expectoration , wheezing etc.
• Chest expansion
• CHEST X- RAY :Chest x-rays are often taken early if a respiratory disorder
is suspected.
• Pneumonia ,emphysema ,rib fracture ,tuberculosis, enlarged heart
,pleural effusion ,mass or nodule in the lung .
• ABG analysis
• Oxygen saturation
• Peripheral muscle strength
• Pulmonary function tests : if FEV1/FVC ratio less than 40% of predicted
value and PaCO2 greater than 5 kPa the surgery is definitely
contraindicated.
• Cardiopulmonary exercise test : 6 min.walk test .
• Functional independence measures
• Breathlessness or dyspnea:Association of paraoxysmal nocturnal
dyspnea (PND)
• Grading of breathlessness : MMRC , Modified borg scale .
6. POSTOPERATIVE PT ASSESSMENT:
• DATABASE INFORMATION ( from medical records) : Preoperative
investigation , surgical procedure and incision , Concise medical
history
• Surgery notes reading : Type of incision ,type of anesthesia ,duration
of surgery and immediate complications .
• Understanding the attachment : IV lines , catheter , nasogastric tube
,PCA ,drains .
• SUBJECTIVE INFORMATION : Detailed medical history ,smoking
history , cheif complaint ,personal history , present history ,past
history , surgical history ,social history ,family history.
• Pain assessment : A verbal description scale or VAS scale is used to
measure incision or shoulder pain .
• Cough and sputum assessment : the patient ability to cough and
expectorate should be assessed . The color ,volume and consistency
of sputum should be observed .
• Open ended questions : how do you feel .
• Ventilation : Hypoventilation may occur .
7. • ORIENTATION ASSESSMENT : communication ability ,alertness,
perceptual ability to follow instructions .
• OBJECTIVE ASSESSMENT:
• Clinical examination : Inspection , palpation ,auscultation and
percussion
• VITAL SIGNS : Temperature ,blood pressure ,heart rate , pulse.
• Methods of pain control : the PT must be aware the of the various
route of analgesia ( i.e intravenous ,epidural and paravertebral )
• Oxygen delivery systems : level of fractions of inspired oxygen
• Type of chest drain
• Wound Assessment
• Postoperative complications: pulmonary , cardiovascular ,
musculoskeletal ,wound complications.
• ICU PATIENT :Mode of ventilation - supplemental oxygen; intermitent
positive pressure ventilation
• Route of ventilation - face mask, nasal cannula, endotracheal tube,
tracheostomy
• Level of consciousness - measured with Glasgow coma scale
• Central venous pressure (CVP) and pulmonary artery pressure (PAP)
•
8. 1) Respiratory Assessment
• Painful breathing
• Difficulty in coughing
• Accumulation of secretions
• Auscultation :Normal breath sounds bronchial, vesicular
• Abnormal breath sounds - crackles, rhonchi, wheeze, pleural
friction rub
• Hyper resonance - associated with hyperinflation.
• Dullness or flatness
2 )Circulatory Assessment
• Homan's sign
• Oedema
3) Posture and mobility
• Kyphoscoliosis
• Bed mobility
4) General appearance : Pressure sores
5) Palpation : pedal edema , skin temperature , tenderness etc.
9. • Range of motion Assessment of shoulder and trunk on the operated
side .
• Peripheral muscle strength Assessment : shoulder flexion ,Abduction ,
extension and internal rotation .
• Chest movement :Symmetry of chest movements
• ABG analysis : Respiratory acidosis , respiratory alkalosis.
• Acessory muscle movement
• Chest expansion: Both observational and palpational
• Chest X ray :on lateral view :backward displacement of the oblique
fissure and with increasing collapse
• On PA view :there is triangular density behind the heart with loss of
the medial portion of the left hemidiaphragm.
• PFT : FEV ,Airway resistance , inspiratory capacity ,MMV.
• Dyspnea or breathlessness:Exercise tolerance (e.g. number of stairs
client can climb or can walk) ,Shortness of breath at rest ,Associated
swelling of ankles or recent weight gain, Constant breathlessness
(fibrosis, fluid)
10. REFRENCES :
1)K. Athanassiadi, S. Kakaris, N. Theakos, and I. Skottis, “Muscle-sparing
versus posterolateral thoracotomy: a prospective study,” European Journal
of Cardio-Thoracic Surgery, vol. 31, no. 3, pp. 496–500, 2007.
2)T. W. Shields, General Thoracic Surgery, Lea & Febiger, Philadelphia, Pa,
USA, 2nd edition, 1983.