Respiratory disorders are a common presentation in community and hospital settings, with physiotherapy assessing and treating a wide range of diagnoses. Pneumonia, recurrent bronchitis, asthma, bronchiectasis, cystic fibrosis, hyperventilation, and chronic obstructive pulmonary disease are also possible symptoms. Physiotherapists are qualified to diagnose respiratory problems, manage, treat, and counsel patients. Respiratory skills are an important part of any physiotherapist’s training and early work, especially if they work in an acute setting. It is a difficult skill to master, and physiotherapists bear a great deal of responsibility for treating critically ill patients in hospitals. Read more Movement 101 Marrickville – Marrickville physio
Before seeing the patient, the physiotherapist reviews the patient’s records and observation charts to ensure that the medical diagnosis, viewpoint, and care are all in order. The blood test results would be important, and the physiotherapist should be well-versed in them. The physiotherapist will introduce themselves to the patient while also observing their condition, looking for the rate of respiration, hand, nose, and lip colour, oxygen or nebuliser treatments, the patient’s overall wellness, their weight, the effort of breathing they are making, and whether they are using arm and neck muscles to breathe.
The observation provides the physiotherapist with a wealth of knowledge about the patient’s condition and what they should focus on during the test in a short period of time. They can then proceed to the objective test, beginning with a check of lung expansion and air entry. The physiotherapist will determine how well the expansion is happening and whether it is symmetrical by keeping the chest on both sides. Auscultation, or listening to the chest with a stethoscope, informs the examiner of how well air is entering the lungs, as well as whether there is a blockage, fall, consolidation, or wheeze. The results of this will decide whether or not further testing is necessary, as well as the type of treatment that is recommended.
The physiotherapist first examines the patient’s oxygen saturation since the proper amount is important for the patient’s respiratory and general health. If the blood oxygen saturations are lower than average, doctors can prescribe oxygen at a certain percentage, such as 24 percent or 28 percent, with a venturi style administration system that maintains a constant oxygen concentration because differences in concentration are harmful. Since continuous gas delivery can dry out the airways and secretions, making treatments more difficult, oxygen should always be administered humidified and heated to body temperature through the necessary gas delivery circuit.