CHEST PHYSIOTHERAPY

POSTURAL DRAINAGE

Procedure Rationale Yes No Remarks

1. VERIFY DOCTORS’ ORDER

2. SECURE CONSENT FOR THE AUTONOMY

PROCEDURE PATIENT’S RIGHT TO
REFUSE
3. INTRODUCE YOURSELF TO ESTABLISH RAPPORT
THE PATIENT
4. EXPLAIN THE PROCEDURE TO
THE PATIENT
5. HANDWASHING
6. LOOSE ANY TIGHT CLOTHING.
7. LOWER HEAD OF BED GRAVITY MOBILIZE
SLOWLY SO THAT CLIENT’S SECRETIONS
HEAD IS POSITIONED IN NO
GREATER THAN 25 DEG ANGLE
DOWNWARD
8. PLACE SPUTUM CONTAINER
AND TISSUE WITHIN CLIENT’S
REACH
9. TELL CLIENT TO REMAIN IN PERCUSSION MAYBE
POSITION FOR 3-15MINUTES ADDED TO HELP
MOBILIZE
SECRETIONS.
10. INSTRUCT CLIENT TO
EXPECTORATE SECRETIONS.
PERCUSSION

PROCEDURE RATIONALE Ye N Remarks

s o
1. VERIFY DOCTORS’ ORDER

2. SECURE CONSENT FOR THE AUTONOMY

PROCEDURE
PATIENT’S RIGHT TO
REFUSE

3. INTRODUCE YOURSELF TO THE ESTABLISH RAPPORT

PATIENT

4. EXPLAIN THE PROCEDURE TO

THE PATIENT

5. HANDWASHING

6. COVER THE AREA TO BE

PERCUSSED WITH GOWN OR
CLOTH TOWEL

7. HOLDING YOUR ARMS WITH THIS MOTION PRODUCES

ELBOWS SLIGHTLY FLEX, CUP YOUR VIBRATIONS AND
HANDS WITH THUMBS AND LOOSEN SECRETIONS FOR
FINGERS CLOSED. KEEPING WRIST EASIER REMOVAL WITH
LOOSED AND RELAXED. COUGHING OR
SUCTIONING.
RHYTHMICALLY FLEX AND EXTEND
WRIST TO CLAP OVER AREA TO BE
DRAINED.

8. SLOWLY AND RHYTHMICALLY

PERCUSS EACH AREA FOR 3-5
MINUTES.

9. DO NOT PERCUSS OVER BONE, VIBRATIONS ARE NOT

BREASTS OR OTHER TENDER AREA.
TRANSMITTED TO THE
CHEST WALL THROUGH
BONE OR BREAST TISSUE
AND PERCUSSION IN
THESE AREAS CAN CAUSE
DISCOMFORT.

10. ENCOURAGE THE CLIENT TO

COUGH AFTER PERCUSSION OF
LUNG AREAS.

11. AUSCULTATE ALL LUNGS AREA

FOR CHANGES OF BREATH
SOUNDS.

12. DON GLOVES, NOTE

CHARACTER AND MEASURE
QUANTITY OF SPUTUM AND
DISCARD.

VIBRATION

PROCEDURE RATIONALE YE N REMARKS

S O

ASK THE CLIENT TO INHALE

DEEPLY AND EXHALE SLOWLY
THROUGH PURSED LIPS.

DURING EXHALATION, FIRMLY

PRESSED FINGERS AND PALM OF
YOUR HAND AGAINST THE CHEST
WALL.

VIBRATE DURING EXHALATION.