Physiotherapy in Respiratory Care: A problem-solving approach to respiratory and cardiac managementRespiratory care is an immensely satisfying branch of physiotherapy. It challenges our intellect, exploits our handling skills and employs our humanity to the full. Respiratory physiotherapy is both art and science. It is not an exact science, and effective treatment therefore depends on problem-solving. Analytic problem-solving requires the ability to define a problem and the knowledge to address it. Creative problem-solving requires a clear perspective of the individual patient's need. These are the aims of this book. Clinicians now expect explanations that are referenced and physiologically sound, meticulous attention to detail of technique and a patient-centred approach. This book is written for such readers and those who question and traditional rituals. fundamental assumptions Evaluation of practice is emphasized so that we are equipped to justify our protocol to ourselves and others. Carefully reasoned explanations and updated physiotherapy techniques are covered in precise detail. There is integration of theory and practice and emphasis on the hands-on aspect of physiotherapy. The glossary serves as a quick reference guide and an explanation of abbreviations, which are usually defined once only in the text. It has been greatly extended for the second edition and can be read in its own right as an extra physiology chapter. The text is enthusiastically written, highly readable and enlivened by quotations from patients whose experiences are a central theme throughout. |
Contents
Assessment of the respiratory patient | 20 |
Respiratory disorders | 51 |
General management | 89 |
Physiotherapy management | 109 |
Management of breathlessness and pulmonary rehabilitation | 145 |
Physiotherapy for specific groups of people | 169 |
Physiotherapy for people with hyperventilation syndrome | 204 |
Intensive care | 215 |
Physiotherapy in intensive care | 245 |
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Common terms and phrases
abdominal acute airflow airway pressure airways obstruction alveolar alveoli arterial assessment asthma atelectasis avoid barotrauma blood breath sounds breathing pattern breathlessness bronchiectasis bronchodilators bronchospasm cardiac output catheter cause chest wall chronic clearance clinical cmH2O COPD cough CPAP Crit damage deep breathing desaturation diaphragm drugs effect emphysema exercise expiration failure fatigue feel fibrosis fluid function gas exchange Heart Lung hypercapnia hyperinflation hyperventilation hypoxaemia hypoxia impaired increase indicated infection inhaled inspiration inspiratory muscle IPPV lobe lung disease lung volume mask measures mechanical ventilation metabolic mmHg monitoring mucus nasal nebulizer normal Nurs oxygen therapy PaCO2 pain PaO2 peak flow PEEP percussion perfusion physio physiotherapy pleural effusion pneumonia pneumothorax positive pressure postoperative postural drainage prevent pulmonary oedema reduced rehabilitation relaxation Respir respiratory risk SaO2 secretions sleep smoking sputum steroids suction supine surgery symptoms techniques tension Thorax tidal volume tion tissue tracheostomy treatment venous