Physiotherapy in Respiratory Care : A Problem-Solving Approach to Respiratory and Cardiac Management

by Hough, Alexandra

• ISBN13: 9780748740376
• ISBN10: 0748740376
• Edition: 3rd
• Format: Paperback
• Copyright: 2001-06-01
• Publisher: Nelson Thornes
• More Book Details

Summary

Case studies and question-and-answer sections facilitate student learning.Focuses on social and interpersonal aspects of care and treatment.Extensively and comprehensively referenced.Problem solving approach.

Table of Contents

Preface	ix
Acknowledgements	x
Physiological Basis of Clinical Practice	1	(27)
Introduction	1	(1)
Defence	1	(2)
Control	3	(1)
Mechanics	4	(4)
Ventilation	8	(2)
Diffusion	10	(1)
Perfusion	10	(1)
Ventilation/perfusion relationships	11	(1)
Arterial blood gases	11	(6)
The oxygen cascade	17	(1)
Effect of ageing	18	(1)
Effect of obesity	19	(1)
Effect of smoking	20	(2)
Effect of pregnancy	22	(1)
Effect of exercise	23	(1)
Effect of immobility	24	(1)
Effect of sleep	25	(1)
Effect of stress	25	(1)
Mini case study: Ms LL	26	(1)
Literature appraisal	27	(1)
Recommended reading	27	(1)
Clinical Assessment	28	(37)
Introduction	28	(1)
Background information	28	(2)
Subjective assessment	30	(3)
Observation	33	(6)
Palpation	39	(2)
Auscultation	41	(3)
Exercise tolerance	44	(1)
Imaging the chest	45	(9)
Respiratory function tests	54	(9)
Mini case study: Mr TA	63	(1)
Literature appraisal	64	(1)
Recommended reading	64	(1)
Obstructive Disorders	65	(31)
Introduction	65	(1)
Chronic obstructive pulmonary disease	65	(8)
Asthma	73	(11)
Bronchiectasis	84	(3)
Cystic fibrosis	87	(5)
Primary ciliary dyskinesia	92	(1)
Allergic bronchopulmonary aspergillosis	92	(1)
Inhaled foreign body	93	(1)
Mini case study: Mr MB	93	(1)
Literature appraisal	94	(1)
Recommended reading	95	(1)
Restrictive and other disorders	96	(23)
Introduction	96	(1)
Interstitial lung disease	96	(2)
Pleural effusion	98	(1)
Pneumothorax	99	(1)
Neuromuscular disorders	100	(3)
Skeletal disorders	103	(4)
Pneumonia	107	(1)
Pleurisy	107	(1)
HIV, AIDS and immunosuppression	107	(1)
Pulmonary tuberculosis	107	(1)
Abscess	108	(1)
Lung cancer	108	(2)
Sleep apnoea	110	(2)
Pulmonary manifestations of systemic disease	112	(4)
Chest infection	116	(1)
Respiratory failure	117	(1)
Mini case study: Ms TP	117	(1)
Literature appraisal	118	(1)
Recommended reading	118	(1)
General Management	119	(28)
Introduction	119	(1)
Oxygen therapy	119	(12)
Nutrition	131	(2)
Drug therapy	133	(10)
Bronchoscopy and lavage	143	(1)
Mini case study: Mr FJ	144	(1)
Literature appraisal	145	(1)
Recommended reading	146	(1)
Physiotherapy To Increase Lung Volume	147	(19)
Introduction to respiratory physiotherapy	147	(1)
What is loss of lung volume, and does it matter?	147	(1)
Controlled mobilization	148	(1)
Positioning	149	(3)
Breathing exercises	152	(3)
Mechanical aids to increase lung volume	155	(8)
Outcomes	163	(1)
Mini case study: Ms MB	163	(2)
Literature appraisal	165	(1)
Recommended reading	165	(1)
Physiotherapy To Reduce The Work of Breathing	166	(18)
Introduction	166	(1)
Breathlessness	166	(3)
Handling breathless people	169	(1)
Sleep and rest	169	(1)
Positioning	169	(1)
Relaxation	170	(1)
Breathing re-education	171	(2)
Tips on reducing breathlessness	173	(1)
Pacing	174	(1)
Other respiratory problems	174	(1)
Mechanical aids	175	(6)
Outcomes	181	(1)
Mini case study: Ms IU	181	(1)
Literature appraisal	182	(1)
Recommended reading	182	(2)
Physiotherapy To Clear Secretions	184	(27)
Sputum in perspective	184	(1)
Hydration and humidification	185	(7)
Exercise	192	(1)
Postural drainage	192	(1)
Manual techniques	193	(1)
Breathing techniques	194	(4)
Mechanical aids	198	(4)
Cough	202	(3)
Pharyngeal suction	205	(3)
Nasopharyngeal airway	208	(1)
Minitracheostomy	208	(1)
Outcomes	209	(1)
Mini case study: MS	209	(1)
Literature appraisal	210	(1)
Recommended reading	210	(1)
Pulmonary Rehabilitation	211	(37)
Introduction	211	(3)
Assessment	214	(7)
Education	221	(9)
Reduction in breathlessness	230	(2)
Exercise training	232	(7)
Inspiratory muscle training	239	(2)
Energy conservation	241	(3)
Follow-up, home management and self-help	244	(1)
Outcomes	245	(1)
Mini case study: Mr EH	246	(1)
Literature appraisal	246	(1)
Recommended reading	247	(1)
Physiotherapy For People Undergoing Surgery	248	(39)
Introduction	248	(1)
Respiratory complications of surgery	249	(1)
Other complications of surgery	250	(2)
Preoperative management	252	(1)
Pain management	253	(6)
Postoperative physiotherapy	259	(4)
Abdominal surgery	263	(1)
Lung Surgery	264	(4)
Pleural surgery	268	(1)
Chest drains	268	(2)
Heart surgery	270	(3)
Transplantation	273	(3)
Repair of coarctation of the aorta	276	(1)
Oesophagectomy	277	(1)
Breast surgery	277	(1)
Head and neck surgery	277	(6)
Case study: Mr LS	283	(2)
Literature appraisal	285	(1)
Recommended reading	285	(2)
Physiotherapy For Specific Groups of People	287	(30)
Overview of cardiac rehabilitation	287	(4)
Hyperventilation syndrome	291	(15)
Elderly people	306	(3)
People who are dying	309	(6)
Case study: Ms SJ	315	(1)
Literature appraisal	315	(1)
Recommended reading	316	(1)
Intensive Care, Monitoring and Support	317	(26)
Introduction	317	(1)
The environment	317	(5)
Monitoring	322	(11)
Support	333	(7)
Mini case study: Mr FA	340	(1)
Literature appraisal	341	(1)
Recommended reading	342	(1)
Mechanical Ventilation	343	(18)
Introduction	343	(1)
Indications	343	(1)
Airway	343	(2)
Principles	345	(1)
Benefits	345	(1)
Complications	346	(3)
Settings	349	(1)
Modes	350	(3)
Positive end-expiratory pressure (PEEP)	353	(1)
High-frequency ventilation	354	(1)
Weaning and extubation	355	(4)
Mini case study: Ms CM	359	(1)
Literature appraisal	360	(1)
Recommended reading	360	(1)
Physiotherapy For Patients in Intensive Care	361	(32)
Assessment	361	(5)
Handling patients who are critically ill	366	(6)
Techniques to increase lung volume	372	(4)
Techniques to clear secretions	376	(3)
Exercise and rehabilitation	379	(2)
Recognition and management of emergencies	381	(6)
On Calls	387	(2)
Case study: Mr AP	389	(2)
Literature appraisal	391	(1)
Recommended reading	392	(1)
Disorders in Intensive Care Patients	393	(32)
Lung disease	393	(1)
Neuromuscular disorders	394	(12)
Chest trauma	406	(2)
Systems failure	408	(1)
Multisystem failure	409	(3)
Acute respiratory distress syndrome	412	(6)
Poisoning and parasuicide	418	(1)
Smoke inhalation	418	(2)
Near-drowning	420	(1)
Case study: Mr CA	420	(2)
Literature appraisal	422	(1)
Quiz	423	(1)
Recommended reading	423	(2)
Physiotherapy For Children and Infants	425	(24)
Physiotherapy for children	425	(9)
The neonatal ICU	434	(4)
Physiotherapy for neonates	438	(5)
Modifications for specific neonatal disorders	443	(2)
Emergencies in the neonatal unit	445	(1)
Mini case study: JW	446	(1)
Literature appraisal	447	(1)
Recommended reading	447	(2)
Evaluation of Respiratory Physiotherapy	449	(12)
Introduction	449	(1)
Definitions	449	(1)
Research	450	(1)
Literature appraisal	451	(1)
Standards	452	(1)
Outcome evaluation	452	(2)
Cost effectiveness	454	(1)
The audit cycle	455	(3)
Education and continuing education	458	(1)
Mini case study: Mr FF	459	(1)
Literature appraisal	460	(1)
Recommended reading	460	(1)
Glossary of Abbreviations, Definitions, Symbols and Values	461	(9)
Appendix A: Transatlantic Dictionary	470	(1)
Appendix B: Postural Drainage Positions	471	(1)
Appendix C: Resources	472	(4)
Appendix D: Articles on Patients' Experiences	476	(1)
Appendix E: Outcomes for Pulmonary Rehabilitation	477	(2)
Appendix F: Conversions	479	(1)
Annotated Bibliography	480	(2)
References	482	(57)
Index	539