* Introduction

Chest physiotherapy or postural drainage is used to assist in the removal of thick mucupurulent material from the lungs. This type of therapy including positioning percussion over the lung segment to be drained and vibration over the segment during exhalation of an from the lungs.

* Definition 


It is a group of treatment designed improve the respiratory efficiency promote the expansion of the lungs strengthen respiratory muscle elements,  the secretion from respiratory system

* Purposes

- To remove secretion from the lungs
- To promote re -expansion  of the lungs
- To restore normal cardiovascular pulmonary function 
-To restore normal pulmonary ventilation.

*Indication

-Patient with excessive secretion in lungs. 
-Pneumonia.
-Lung abscess. 
- atelectasis
-cystic fibrosis. 
-Immovability.

*Contraindication

-Patient with increased intracranial pressure and head injury. 
-Rib Fracture. 
-Severe pleural adhesion.
-Diaphragmatic hernia. 
-Damage chest wall
-Active hemorrhage.

*Equipments

-Pillow
-Sputum Cup 
-Titt table
-Paper tissues
-Emusis basin. 

*Procedure

-Assess the child's respiratory status. 
-Identify the involved portion of the lungs in consultation  with  the physiotherapy 
- explain the procedure to the parents of the child 
- make the child comfortable 
-provide broncho dilatation and on mobilization therapy of induction 
-unless  contraindicated the chest wall for  one 2min
- Have the child  inhale deeply  then as he exhale  vibrate the chest wall during there to given exhale 
- encourage the child to cough 
- allow child to rest for min then repeat cupping vibration and  cough until no mucus is provide  or child  conduction

* Normal result of chest physiotherapy

-Increased volume of sputum secretion 
-change in breath sound 
- improved vital signs 
-improved chest therapy 
-patient Report of easily breathing

*After care

-Cover the patient with the top linen 
- any comfort device used by should be replaced 
-remove all articles which are not need
-check the sputum color
-Record the procedure

*Nursing management

-assess the children  vital signs after procedure 
-help the child slowly to resume a normal position 
- it may take few min for the child region his equilibrium 
-assess and record the  effectiveness of the procedure and how well it was to treated by the Child

* Complications

-oxygen deficiency of the  had is kept lowered for drainage 
- increase intracranial pressure 
-temperature low blood pressure 
-bleeding in the lung
-vomiting 
-Heat irritabilities 
-inhaling secretion in the lungs 

 

Child Health Nursing - Chest Physiotherapy

AUTHOR : CHAITRA GOPAL