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Physiotherapy for Respiratory and Cardiac Problems

Physiotherapy for Respiratory and Cardiac Problems

Jennifer A. Pryor | Ammani S Prasad

(2008)

Additional Information

Book Details

Abstract

Now in it’s fourth edition, Physiotherapy for Respiratory and Cardiac Problems continues to be an essential textbook and reference source for undergraduate and postgraduate students, and for the clinician working with patients with cardiac and respiratory problems. It strengths lie in integrating the evidence with clinical practice and in covering the whole patient lifespan - infants, children, adolescents and adults.

  • new chapters on: critical care, surgery, and psychological aspects of care
  • expanded evidence for clinical practice
  • case studies
  • multi-contributed chapters written by internationally recognised experts
  • extensively revised text with new illustrations and photographs
  • comprehensive reference lists which directs the reader to further sources of information
  • Part of the Physiotherapy Essentials series - core textbooks for both students and lecturers
  • Online image bank now available! Log on to http://evolve.elsevier.com/Pryor/physiotherapy and type in your unique pincode for access to over 300 downloadable images

Table of Contents

Section Title Page Action Price
Front cover Cover
Ifc\r ifc_1
Physiotherapy for Respiratory and Cardiac Problems iii
Copyright page iv
Table of contents v
Contributors vii
Preface to fourth edition x
Preface to third edition xi
Preface to second edition xii
Preface to first edition xiii
Acknowledgements xiv
Chapter 1: Assessment and investigation of patients’ problems 1
INTRODUCTION 1
DATABASE 2
PROBLEM LIST 17
INITIAL PLANS 17
PROGRESS NOTES 18
DISCHARGE SUMMARY 19
AUDIT 19
EDUCATIONAL PROGRAMME 19
CONCLUSION 19
References 19
Chapter 2: Thoracic imaging 21
ADULTS 21
CHEST RADIOGRAPHY AND OTHER TECHNIQUES 21
THE NORMAL CHEST 28
COMMON RADIOLOGICAL SIGNS 32
SPECIFIC CONDITIONS 40
PAEDIATRICS 45
INTRODUCTION 45
MODALITIES IN PAEDIATRIC CHEST IMAGING 45
BASIC SIGNS ON THE PLAIN CHEST RADIOGRAPH 48
COMMON PAEDIATRIC CHEST PROBLEMS 50
Further reading 58
Chapter 3: Cardiopulmonary function testing 60
ADULTS 60
ASSESSMENT OF PULMONARY FUNCTION 60
ASSESSMENT OF CARDIAC FUNCTION 74
THE ELECTROCARDIOGRAM 82
CARDIAC ARRHYTHMIAS 85
PAEDIATRICS 89
MEASUREMENT OF LUNG FUNCTION 89
OXYGEN AND CARBON DIOXIDE MONITORING 94
EXERCISE TESTING 95
References 109
Chapter 4: Effects of positioning and mobilization 115
INTRODUCTION 115
CONCEPTUAL FRAMEWORK FOR CLINICAL DECISION-MAKING 116
THERAPEUTIC EFFECTS OF POSITIONING AND MOBILIZATION 119
SUMMARY AND CONCLUSION 130
References 130
Chapter 5: Physiotherapy techniques 134
ACUPUNCTURE 135
AIRWAY CLEARANCE TECHNIQUES 136
AIRWAY SUCTION 154
BREATHING CONTROL 155
CONTINENCE 159
GLOSSOPHARYNGEAL BREATHING 159
GRAVITY-ASSISTED POSITIONING 163
INCENTIVE SPIROMETRY 163
INHALATION: DRUGS AND HUMIDIFICATION 169
INSPIRATORY MUSCLE TRAINING 179
INTERMITTENT POSITIVE PRESSURE BREATHING 180
MANUAL HYPERINFLATION 184
MANUAL THERAPY TECHNIQUES 184
NEUROPHYSIOLOGICAL FACILITATION OF RESPIRATION 194
OXYGEN THERAPY 204
References 206
Chapter 6: Patients’ problems, physiotherapy management and outcome measures 218
INTRODUCTION 218
PROBLEM SOLVING 219
PROBLEM – IMPAIRED AIRWAY CLEARANCE 224
PROBLEM – DYSPNOEA 227
PROBLEM – DECREASED EXERCISE TOLERANCE 231
PROBLEM – REDUCED LUNG VOLUME 235
PROBLEM – IMPAIRED GAS EXCHANGE 237
PROBLEM – AIRFLOW LIMITATION 240
PROBLEM – RESPIRATORY MUSCLE DYSFUNCTION 243
PROBLEM – DYSFUNCTIONAL BREATHING PATTERN 245
PROBLEM – PAIN 246
PROBLEM – MUSCULOSKELETAL DYSFUNCTION 248
References 249
Chapter 7: Psychological aspects of care 252
INTRODUCTION 252
GIVING A DIAGNOSIS 252
LIVING WITH CARDIORESPIRATORY ILLNESS 256
EMOTIONAL IMPACT OF A MEDICAL ILLNESS 259
TRANSITIONAL CARE 262
DEATH AND DYING 264
CONCLUSION 265
References 265
Chapter 8: Intensive care for the critically ill adult 270
INTRODUCTION 270
MONITORING AND MECHANICAL SUPPORT 271
PROBLEM IDENTIFICATION AND PHYSIOTHERAPEUTIC INTERVENTIONS IN ICU 279
PHYSIOTHERAPY MANAGEMENT OF WORK OF BREATHING AND CONCEPTS OF WEANING FROM MECHANICAL VENTILATION 293
CONCLUSION 304
References 307
Chapter 9: Paediatric mechanical support 313
INTRODUCTION 313
EPIDEMIOLOGY OF ACUTE RESPIRATORY FAILURE IN CHILDREN 313
INDICATIONS FOR SUPPORTIVE RESPIRATORY THERAPY 315
MECHANICAL VENTILATION 317
NEWER VENTILATORY SUPPORT TECHNIQUES 321
VENTILATION STRATEGIES FOR SPECIFIC DISEASE 322
References 327
Chapter 10: Paediatrics 329
INTRODUCTION 329
DEVELOPMENT OF THE LUNGS 330
RESPIRATORY SYSTEM: ANATOMICAL AND PHYSIOLOGICAL DIFFERENCES BETWEEN CHILDREN AND ADULTS 330
RESPIRATORY ASSESSMENT OF THE INFANT AND CHILD 335
PHYSIOTHERAPY TECHNIQUES IN INFANTS AND CHILDREN 337
RESPIRATORY DISEASE IN CHILDHOOD 343
MANAGEMENT OF THE ACUTELY ILL INFANT OR CHILD 351
KEY ISSUES FOR PHYSIOTHERAPISTS TREATING ACUTELY ILL CHILDREN 364
References 369
Chapter 11: Non-invasive ventilation 374
INTRODUCTION 374
BREATHING, SLEEP AND RESPIRATORY FAILURE 375
NON-INVASIVE VENTILATION 376
INDICATIONS FOR NON-INVASIVE VENTILATION IN CHRONIC RESPIRATORY FAILURE 379
INDICATIONS FOR NON-INVASIVE VENTILATION IN ACUTE RESPIRATORY FAILURE 381
PRACTICAL ISSUES IN THE APPLICATION OF NON-INVASIVE VENTILATION 383
SPECIAL APPLICATIONS OF NON-INVASIVE VENTILATION 390
CONCLUSION 393
References 393
Chapter 12: Surgery for adults 397
INTRODUCTION 397
THE SURGICAL PROCESS 398
TYPES OF SURGERY 407
PHYSIOTHERAPY FOR PATIENTS HAVING SURGERY 426
References 436
Chapter 13: Pulmonary rehabilitation in chronic respiratory disease 440
INTRODUCTION 440
RATIONALE FOR REHABILITATION IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE 441
EXERCISE PRESCRIPTION 442
PHYSIOLOGICAL TRAINING RESPONSES 446
PRACTICAL ASPECTS OF TRAINING 447
RESPIRATORY MUSCLE TRAINING 450
EDUCATION AS PART OF REHABILITATION 451
OTHER ADJUNCTS TO REHABILITATION 452
ASSESSMENT TOOLS IN PULMONARY REHABILITATION 456
DO ALL PATIENTS BENEFIT FROM PULMONARY REHABILITATION? 461
LONG-TERM EFFECTS OF PULMONARY REHABILITATION – IS BENEFIT MAINTAINED? 461
CONCLUSIONS 462
References 462
Chapter 14: Cardiac rehabilitation and secondary prevention 470
INTRODUCTION 470
EVIDENCE BASE FOR CARDIAC REHABILITATION 471
PROVISION OF CARDIAC REHABILITATION 472
BENEFITS OF EXERCISE TRAINING 473
EXERCISE PRESCRIPTION 474
PROGRAMME IMPLEMENTATION 480
CONCLUSION 491
References 491
Chapter 15: Thoracic organ transplantation 495
INTRODUCTION 495
HISTORY 495
SELECTION OF CANDIDATES 496
INDICATIONS FOR TRANSPLANTATION 496
ASSESSMENT 497
SURGICAL PROCEDURES 498
KEY CONCEPTS 500
PREOPERATIVE REHABILITATION 504
POSTOPERATIVE MANAGEMENT 506
OUTPATIENT REHABILITATION 508
FUNCTIONAL OUTCOMES POST-TRANSPLANT 509
LONG-TERM MANAGEMENT 510
SPECIFIC CONSIDERATIONS FOR PAEDIATRIC PATIENTS 510
CONCLUSION 510
References 511
Chapter 16: Spinal cord injury 515
INTRODUCTION 515
MECHANICS OF RESPIRATION AND THE EFFECT OF SPINAL CORD INJURY 516
RESPIRATORY ASSESSMENT 518
PHYSIOTHERAPY TREATMENT 519
PROPHYLACTIC TREATMENT 519
TREATMENT OF THE PATIENT WITH RESPIRATORY PROBLEMS 520
CONCLUSION 526
References 526
Chapter 17: Dysfunctional breathing 529
INTRODUCTION 529
CONTROL OF BREATHING 530
HYPERVENTILATION 530
HYPERVENTILATION SYNDROME 531
SIGNS AND SYMPTOMS 532
CAUSES OF HYPERVENTILATION 533
DIAGNOSTIC TESTS 533
PATTERNS OF BREATHING 536
REFERRAL FOR PHYSIOTHERAPY 536
OVERVIEW 537
TREATMENT 537
DYSFUNCTIONAL BREATHING IN ASTHMA AND COPD 544
HYPERVENTILATION AND ASTHMA 544
DYSFUNCTIONAL BREATHING IN EMPHYSEMA 545
MUSCULOSKELETAL INTERVENTION 546
CONCLUSION 547
References 548
Chapter 18: Bronchiectasis, primary ciliary dyskinesia and cystic fibrosis 550
BRONCHIECTASIS 550
PRIMARY CILIARY DYSKINESIA 554
CYSTIC FIBROSIS 556
References 581
Appendix: Normal values, conversion table and abbreviations 591
Subject index 599