Practicum 4 activities
Nursing physiotherapy chest action
Chest physiotherapy
1. Understanding:
Chest physiotherapy is an action to release the secret of the channel
Breathing.
Chest physiotherapy consists of:
a. Percussion or clapping is a clap to form a bowl
kepunggungklien.
breakfast. Vibration is a ruplet action with hand strength for
pengeluaranskret.
C.. Postural Drainage is the setting of position to flow secret
Lung Napassegmen with the influence of gravity.
2. Destination:
a. Free the airway from the accumulation of secret
breakfast. Reduce shortness of breath due to secret secretions
3. Equipment:
a. Pillows 2 or 3
breakfast. Disinfectant
C.. Tissue
d. Patent / pengalas
Hey. Bent
f. Warm water
g. Beds that can be arranged in the Trendelenburg position
h. Clothing / towel.
4. Steps:
a. Pre interaction stage:
1) Patient's needs / indication identification
2) Wash hands
3) Prepare a tool
breakfast. Orientation stage:
1) Give greetings, call the client with his name
2) Explain the objectives and action procedures
3) Give the opportunity to ask clients
C.. Workstage:
1) Prepare the client by keeping the privacy from the view and
hearing, because coughing and secretions can make it difficult for clients and
disorder
2) do auscultation to find out the location of the secret
3) Set the client's position in the right position for postural drainage
(According to Actacry)
4) Start doing postural drainage
5) the flow of the upper lobe, the upper lobe consists of three segments
apical / top segment and posterior, anterior segment
below.
a) to drain the apical segment of the upper lobe, place it
The client supends at a 30 degree angle. Percussion and vibration
between clavicula and above the scapula
b) to drain the posterior segment of the upper lobe, place it
The client sits on a chair / bed with a little head
the future.
Percussion and vibration of the area between Clavicula and Scapula
c) To drain the upper lobe anterior segment, place it
the supine client on the surface of the bed with a pillow on
under the knee for flexion, percussion and vibration of the chest up and
Under Scapula, below the milk line, except women.
Women's breasts are not raised because they can
cause pain. Canller the right middle lobe and
The lower area of the top left lobe; right middle lobe
Has two lateral and medial segments, the lower area
The upper left lobe, called the Lingula lobe, has two segments
Superior and anterior.
d) to drain from the lateral and medial segment, tilt
feet from bed + 15º / 40 cm, and place the client
supine on the left side. Help clients for a little
tilt the back (+ ¼ round), place the pillow
On the back of the shoulder to the hip. If women,
Place the sloping hand in front of axila, with curved
In front of the breast for percussion and vibration.
e) to drain the left lingular segment, tilt your feet from
bed + 15º / 40 cm, and put the client supine on
The right side. Perform percussion and vibration like action
Number 6.
6) bottom lobe flow; The lower lobe has four segments:
Superior segment, lateral basal, anterior basal and posterior basal.
a) to drain the superior segment, place the client
State on the bed surface and place two pillows
Under the hip. Percussion and vibration of the middle of the chest
(Under Scapula) on the remudent of spinal.
b) to drain the anterior basal segment, place the client
stretched the side that is not effective with both hands on
over the head. Tilt your feet from bed 30º / 40 cm or
ability
the client. Place the pillow between the two knees, percussion and vibration
the side that affects the chest above the bottom rib, below
axila.
c) to drain the Lateral Basal segment, place the client
tilting as a side that is not influenced and
Most on abdomen. Tilt the foot of the bed
30º / 40 cm or cornrinking clients with pillows. Percussion
and the top side vibration from Igabawah.
d) to drain the posterior basal segment, place the client
In the prone position. Tilt your feet from bed + 45 cm
and tilt the client's hips with two or three pillows
To produce a jack-knife position from the knee until the shoulder.
Percussion and vibration above the bottom rib on both sides, but
indirectly above spina and kidneys.
7) Perform / clapping with the way the nurse's hand forms
Bowl and patting the client's back alternately.
Make sure the area that is replaced is covered with clothes / towels, because
Percussion directly to the skin can cause discomfort.
8) Encourage the client to conduct exhalations, at the time
Nurse Make Vibration.
9) Encourage clients to cough effectively and issue a secretive secret
tempatsputum.
10) Clean the mouth if it's finished.
11) Perform lung auscultation and compare it to the basic data
12) Observation of the number, color and characteristics of the secret.
d. Termination stage:
1) Evaluation of client results / responses
2) document the results
3) Contract for the next activity
4) End the activities, clean up the tools
5) hand washing
5. Reporting
a. Practical reports contain about: understanding, purpose, equipment, steps
step
breakfast. Practicum reports are collected according to the schedule that has been
determined by instructors.
Assessed aspects
A. Pre-interaction stage
1. Identify the needs / indication of the patient
2. Wash hands
3. Prepare tools
B. Phase orientation
1. Give greetings, call the client with his name
2. Explain the objectives and procedures of action
3. Provide an opportunity for clients to ask
C. Workstace
1. Prepare clients by maintaining privacy
2. Do auscultation to determine the location of the secret
3. Set the client position properly for postural
Drainage (according to the location of the secret)
4. Start doing postural drainage
5. Perform percussion, make sure the area that is replaced is closed
(clothes / towels), because percussion directly to the skin can
inconvenience
6. Vibrate, during exhalation above the segment
referred to
7. Encourage clients to cough and issue secretions
in a sputum place
8. Cleanse the mouth if it's finished.
9. Do the lung auscultation and compare it to DataDasar
10. Observe the number, color and characteristics of secretions.
D. termination stage
1. Evaluate the client's results / response
2. Documenting the results
3. Contracts for further activities
4. End the activity, clean up the tools
5. Wash hands
