Chest physiotherapy is the term for a

group of treatments designed to

improve respiratory efficiency,
promote expansion of the lungs,
strengthen respiratory muscles, and
eliminate secretions from the
respiratory system.
Procedure

Chest physiotherapy may be

administered by a respiratory
therapist, although the
techniques can often be taught
to family members of patients.
 Common
Procedures
• Postural drainage
- Uses force of gravity to assist in
effectively draining secretions from the
lungs and into the central airway where
they can either be coughed up or suctioned
out.
- Patient is placed in a head or chest down
position and is kept in this position for up
to 15 minutes.
• Percussion
- Consists of rhythmically striking the
chest wall with cupped hands.
- Also called cupping, clapping, or
tapotement.
- To break up thick secretions in the
lungs.
- Performed on each lung segment for one
to two minutes at a time.
• Turning
- Permits lung expansion
- Head of the bed can be elevated to promote
drainage
- Critically ill patients and those dependent on
mechanical respiration are turned once every
one to two hours around the clock.
• Coughing
-Helps break up secretions in the lungs
-Patients sit upright and inhale deeply
through the nose
- Exhale in short puffs or coughs
- Repeated several times a day
• Deep Breathing
- Helps expand the lungs and forces
better distribution of the air into all
sections of the lung
- Done several times each day for short
periods
• Vibration
-To help break up lung secretions
- Could either be mechanical or manual
- Performed as the patient breathes deeply
- Manual : person performing the vibration places his or
her hands against the patient's chest and creates
vibrations by quickly contracting and relaxing arm and
shoulder muscles while the patient exhales
- Repeated several times each day for about five
exhalations
NURSING MANAGEMENT
Nursing Management

•Pt. Comfort
•Non-restrictive clothing
•Avoid eating before
•Medicate for pain
•Splint incisions
Nursing Management:
PERCUSSION and VIBRATION

•Avoid eating
•Comfort
•Avoid restrictive clothing
•Medicate
•Splint for comfort
•STOP c/o pain
 NURSING
RESPONSIBILITIES