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    Physical Therapy For Surgical Patient

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    pkzshykh967
    The document discusses physical therapy for surgical patients, including types of surgery, the surgical process, analgesia management, effects on respiratory function, and physiotherapy treatment techniques such as deep breathing exercises, positioning, and mobilization.

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    Physical Therapy For Surgical Patient

    Uploaded by

    pkzshykh967
    12 views18 pages
    The document discusses physical therapy for surgical patients, including types of surgery, the surgical process, analgesia management, effects on respiratory function, and physiotherapy treatment techniques such as deep breathing exercises, positioning, and mobilization.

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    Physical Therapy for Surgical Patient

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    The document discusses physical therapy for surgical patients, including types of surgery, the surgical process, analgesia management, effects on respiratory function, and physiotherapy treatment techniques such as deep breathing exercises, positioning, and mobilization.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    12 views18 pages

    Physical Therapy For Surgical Patient

    Uploaded by

    pkzshykh967
    The document discusses physical therapy for surgical patients, including types of surgery, the surgical process, analgesia management, effects on respiratory function, and physiotherapy treatment techniques such as deep breathing exercises, positioning, and mobilization.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    Physical Therapy

    for Surgical
    Patient

    Dr Pakeeza Batool
    Types of Surgery

    Abdominal

    Thoracic

    Special
    Surgery
    Surgical Process

    – General Anesthesia
    – Reduction in Lung volume (Functional Residual Capacity FRC)
    – Management of Acute Postoperative Pain
    – Ineffective Ventilation
    – Ineffective Breath
    – Poor Cough
    – Hypoxemia
    – Respiratory Distress postoperatively
    – Impaired Ability of deep breath
    – Drug Management Postoperatively
    Common Routes of Drug Administration
    Oral (Paracetamol, NSAID, Codeine)
    IM (Morphine, Pethidine)
    IV Infusion (Fentanyl, Ketamine, Morphine,
    Pethidine )
    PCA Patient controlled Analgesia (Morphine,
    Pethidine)
    Epidural PCEA (Fentanyl, Bupivacaine, Morphine,
    Ropivacaine)
    Peripheral Blocks (Bupivacaine, Ropivacaine)
    – Measurement Of Pain
    – Numerical rating Scales
    – Verbal Descriptor Scales
    – Pain Questionnaires Such as the McGill
    – Visual analogue Scales
    – Effects of the surgical process on Respiratory function
    – Lung Volumes
    – Functional residual capacity & closing capacity
    – Mucociliary Clearance
    – Respiratory Muscle Function
    – Post operative pulmonary complications
    – Risk factors for postoperative pulmonary complications
    Physiotherapy Key points with
    regards to analgesia
    Always check vital signs,
    particularly respiratory rate
    Always assess the adequacy Always note f the patient
    & blood pressure, as
    of pain relief before has pinpoint pupils and is
    hypotension common side
    treatment drowsy
    effect. Most important in
    position changes.

    Always liaise with medical


    If spinal blocks or epidural
    & nursing staff before
    assess the motor & sensory Ask the patient before PT
    treating patient & know the
    function of the lower limbs session take the bolus
    mobilizing patient
    especially before upright dosage of analgesia
    guidelines if epidural
    mobilization
    present
    Factors Promoting Postoperative
    Mucociliary Dysfunction
    – Anesthetic agents
    – Endotracheal Intubation
    – Higher inspired oxygen concentrations & airway humidification
    – Atelectasis
    – Reduced Lung Volume
    – Reduced Cough efficiency
    – Increased viscosity of secretions
    Function Compromised after Surgery

    – Functional Residual capacity is reduced after anesthesia , surgery &


    recumbency.
    – FRC increase in sitting & standing positions
    – Perfusion & hypoxemia mismatch commonly after major surgery
    – Mucociliary clearance & cough effectiveness are reduced after surgery
    – Clinical signs & symptoms is used to diagnose a postoperative pulmonary
    complications
    Physiotherapy Treatment Techniques

    Asses the patient according to the SOAP

    List the problems regarding the case

    PT Techniques

    • Deep breathing exercises to improve lung volumes


    • ACBT
    • Tactile stimulation over the lower rib area
    • Incentive Spirometry
    • Positive pressure techniques
    • CPAP Continuous positive airway pressure
    • Intermittent positive pressure breathing
    Videos

    – https://www.youtube.com/watch?v=lqKD_XxwnAM

    – https://www.youtube.com/watch?v=Bwa93oraZ1w
    – Positioning & Mobilization
    – Sitting
    – Standing
    – Walking with support
    – Monitor vitals pre & post mobilization
    – Equipment
    – Physical Agents
    – https://www.youtube.com/watch?v=bE33Wmcz9zQ

    – https://www.youtube.com/watch?v=eRs7X8FzSWQ
    Specialist Surgery

    – Chest Trauma
    – Assessment & Plan
    – Head & Neck surgery
    – Assessment & Plan
    – Vascular Surgery
    – Assessment & Plan
    – Liver transplantation
    – Assessment & Plan

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