Physiotherapy in Respiratory Care An evidence-based approach to respiratory and cardiac management Third Edition
Buku ini diterbitkan pada tahun 2001 oleh Nelson Thomes Ltd. UK. Buku edisi Ketiga.
Judul: Physiotherapy in Respiratory Care An evidence-based approach to respiratory and cardiac management Third Edition
Oleh: Alexandra Hough
Penerbit: Nelson Thomes Ltd. UK
Tahun: 2001
Jumlah Halaman: 562 hal.
Peneliti:
Alexandra Hough .
Physiotherapy RespiratOry Specialist
Eastbourne District General Hospital
Sussex, UK
Lingkup Pembahasan:
Buku ini ditulis untuk pembaca dan bagi mereka yang mempertanyakan dasar asumsi dan ritual tradisional. Edisi ketiga diperbarui untuk kesehatan sistem yang pemakaian pasien dari rumah sakit
'Lebih cepat dan lebih sakit'. Edisi ini juga mengambil Akun pasien yang telah menjadi lebih
berpengetahuan melalui media dan Internet. Ada cakupan tambahan praktis dan tips keselamatan karena tekanan pada siswa memungkinkan sedikit waktu untuk latihan.
Ada handout pasien, tabel latihan, diagram alir dan banyak ilustrasi dalam edisi ketiga. Hasil diidentifikasi untuk setiap masalah, dan evaluasi praktek terus dikembangkan dalam menanggapi
kebutuhan pasien, dokter dan pengusaha. Itu glossary berfungsi sebagai panduan referensi cepat atau bisa dibaca dalam dirinya sendiri.
Sebuah studi kasus disingkat dengan masing-masing bab memperkuat pemecahan masalah, penetapan tujuan dan xray interpretasi. Potongan literatur penilaian yang diselingi untuk mengasah kritis
berpikir. Pengalaman pasien dan penelitian Temuan ini dimasukkan di seluruh.
Buku ini cocok untuk fisioterapi dari tingkat siswa untuk dokter dicapai karena pemecahan masalah membutuhkan pemikiran daripada pengalaman. Hal ini juga cocok untuk spesialis perawat pernapasan. Dokter akan menemukan kesempatan di sini untuk mencapai kejelasan pemikiran dan
mengembangkan penguasaan dalam perawatan pernapasan.
Daftar Isi:
PREFACE IX
ACKNOWLEDGEMENTS X
1 PHYSIOLOGICAL BASIS OF CLINICAL PRACTICE 1
Introduction 1
Defence 1
Control 3
Mechanics 4
Ventilation 8
Diffusion 10
Perfusion 10
Ventilation/perfusion relationships 11
Arterial blood gases 11
The oxygen cascade 17
Effect of ageing 18
Effect of obesity 19
Effect of smoking 20
Effect of pregnancy 22
Effect of exercise 23
Effect of immobility 24
Effect of sleep 25
Effect of stress 25
Mini case study: Ms LL 26
Literature appraisal 27
Recommended reading 27
2 CLINICAL ASSESSMENT 28
Introduction 28
Background information 28
Subjective assessment 30
Observation 33
Palpation 39
Auscultation 41
Exercise tolerance 44
Imaging the chest 45
Respiratory function tests 54
Mini case study: Mr TA 63
Literature appraisal 64
Recommended reading 64
3 OBSTRUCTIVE DISORDERS 65
Introduction 65
Chronic obstructive pulmonary disease 65
Asthma 73
Bronchiectasis 84
Cystic fibrosis 87
Primary ciliary dyskinesia 92
Allergic bronchopulmonary aspergillosis 92
Inhaled foreign body 93
Mini case study: Mr MB 93
Literature appraisal 94
Recommended reading 95
4 RESTRICTIVE AND OTHER DISORDERS 96
Introduction 96
Interstitial lung disease 96
Pleural effusion 98
Pneumothorax 99
Neuromuscular disorders 100
Skeletal disorders 103
Pneumonia 103
Pleurisy 107
HIV, AIDS and immunosuppression 107
Pulmonary tuberculosis 107
Abscess 108
Lung cancer 108
Sleep apnoea 110
Pulmonary manifestations of systemic disease 112
Chest infection 116
Respiratory failure 117
Mini case study: Ms TP 117
Literature appraisal 118
Recommended reading 118
5 GENERAL MANAGEMENT 119
Introduction 119
Oxygen therapy 119
Nutrition 131
Drug therapy 133
Bronchoscopy and lavage 143
Mini case study: Mr FJ 144
Literature appraisal 145
Recommended reading 146
6 PHYSIOTHERAPY TO INCREASE LUNG VOLUME 147
Introduction to respiratory physiotherapy 147
What is loss of lung volume, and does it matter? 147
Controlled mobilization 148
Positioning 149
Breathing exercises 152
Mechanical aids to increase lung volume 155
Outcomes 163
Mini case study: Ms MB 163
Literature appraisal 165
Recommended reading 165
7 PHYSIOTHERAPY TO REDUCE THE WORK OF BREATHING 166
Introduction 166
Breathlessness 166
Handling breathless people 169
Sleep and rest 169
Positioning 169
Relaxation 170
Breathing re-education 171
Tips on reducing breathlessness 173
Pacing 174
Other respiratory problems 174
Mechanical aids 175
Outcomes 181
Mini case study: Ms IU 181
Literature appraisal 182
Recommended reading 182
8 PHYSIOTHERAPY TO CLEAR SECRETIONS 184
Sputum in perspective 184
Hydration and humidification 185
Exercise 192
Postural drainage 192
Manual techniques 193
Breathing techniques 194
Mechanical aids 198
Cough 202
Pharyngeal suction 205
Nasopharyngeal airway 208
Minitracheostomy 208
Outcomes 209
Mini case study: MS 209
Literature appraisal 210
Recommended reading 210
9 PULMONARY REHABILITATION 211
Introduction 211
Assessment 214
Education 221
Reduction in breathlessness 230
Exercise training 232
Inspiratory muscle training 239
Energy conservation 241
Follow-up, home management and self-help 244
Outcomes 245
Mini case study: Mr EH 246
Literature appraisal 246
Recommended reading 247
10 PHYSIOTHERAPY FOR PEOPLE UNDERGOING SURGERY 248
Introduction 248
Respiratory complications of surgery 249
Other complications of surgery 250
Preoperative management 252
Pain management 253
Postoperative physiotherapy 259
Abdominal surgery 263
Lung surgery 264
Pleural surgery 268
Chest drains 268
Heart surgery 270
Transplantation 273
Repair of coarctation of the aorta 276
Oesophagectomy 277
Breast surgery 277
Head and neck surgery 277
Case study: Mr LS 283
Literature appraisal 285
Recommended reading 285
11 PHYSIOTHERAPY FOR SPECIFIC GROUPS OF PEOPLE 287
Overview of cardiac rehabilitation 287
Hyperventilation syndrome 291
Elderly people 306
People who are dying 309
Case study: Ms SJ 315
Literature appraisal 315
Recommended reading 316
12 INTENSIVE CARE, MONITORING AND SUPPORT 317
Introduction 317
The environment 317
Monitoring 322
Support 333
Mini case study: Mr FA 340
Literature appraisal 341
Recommended reading 342
13 MECHANICAL VENTILATION 343
Introduction 343
Indications 343
Airway 343
Principles 345
Benefits 345
Complications 346
Settings 349
Modes 350
Positive end-expiratory pressure (PEEP) 353
High-frequency ventilation 354
Weaning and extubation 355
Mini case study: Ms CM 359
Literature appraisal 360
Recommended reading 360
14 PHYSIOTHERAPY FOR PATIENTS IN INTENSIVE CARE 361
Assessment 361
Handling patients who are critically ill 366
Techniques to increase lung volume 372
Techniques to clear secretions 376
Exercise and rehabilitation 379
Recognition and management of emergencies 381
On calls 387
Case study: Mr AP 389
Literature appraisal 391
Recommended reading 392
15 DISORDERS IN INTENSIVE CARE PATIENTS 393
Lung disease 393
Neuromuscular disorders 394
Chest trauma 406
Systems failure 408
Multisystem failure 409
Acute respiratory distress syndrome 412
Poisoning and parasuicide 418
Smoke inhalation 418
Near-drowning 420
Case study: Mr CA 420
Literature appraisal 422
Quiz 423
Recommended reading 423
16 PHYSIOTHERAPY FOR CHILDREN AND INFANTS 425
Physiotherapy for children 425
The neonatal ICU 434
Physiotherapy for neonates 438
Modifications for specific neonatal disorders 443
Emergencies in the neonatal unit 445
Mini case study: JW 446
Literature appraisal 447
Recommended reading 447
17 EVALUATION OF RESPIRATORY PHYSIOTHERAPY 449
Introduction 449
Definitions 449
Research 450
Literature appraisal 451
Standards 452
Outcome evaluation 452
Cost effectiveness 454
The audit cycle 455
Education and continuing education 458
Mini case study: Mr FF 459
Literature appraisal 460
Recommended reading 460
GLOSSARY OF ABBREVIATIONS, DEFINITIONS, SYMBOLS AND VALUES 461
ApPENDIX A: TRANSATLANTIC DICTIONARY 470
ApPENDIX B: POSTURAL DRAINAGE POSITIONS 471
ApPENDIX C: RESOURCES 472
ApPENDIX D: ARTICLES ON PATIENTS' EXPERIENCES 476
ApPENDIX E: OUTCOMES FOR PULMONARY REHABILITATION 477
ApPENDIX F: CONVERSIONS 479
ANNOTATED BIBLIOGRAPHY 480
REFERENCES 482
INDEX 539
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