Treatment Plan
Diaphragmatic breathing exercises- It is essential to establish the patient is properly breathing throughout treatment sessions and daily living. This technique ensures that the patient is getting the appropriate air supply and prevents hyperventilation during activity. Diaphragmatic breathing is the best technique due to the placement of the diaphragm (base of lungs) and the power that it distributes, which allows for an effective air supply necessary for the body. This is especially important to utilize during fits of pain in order to prevent hyperventilation and loss of air supply. It’s also a positive relaxation technique when done properly. Start with proper body positioning, slowly breathing in through the nose and
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Edema management should not be done with a patient experiencing congestive heart failure, because it is essentially sending more inflammation to the heart which could result in a myocardial infarction. If the patient has no contraindications and presents with edema, then retrograde massage should be established. This should be done to reduce swelling and potentially decrease pain.
Stretching/soft tissue mobs- Stretching the affected extremity is vital to reduce tightness and “wake up” the soft tissue/muscles. This will help prevent further injury and increased pain. This should not be excessive and should be done with a somewhat light touch to what is tolerable for the patient. Light touch could hurt the patient due to increased pain and sensitivity that the patient
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Education on weighted utensils/appliances should be considered to reduce tremors and allow success for ADL tasks. The added weight helps to increase control by stabilizing the hand.
Taping elbow- For starters, the therapist should be experienced in taping to prevent further injury, and properly tape the affected extremity. This is a treatment option to reduce pain and provide stability in the affected limb. This should only be completed if tolerable, of course. Taping should be avoided if patients are allergic to latex, unless it’s a latex free tape.
Rest breaks- These are absolutely necessary to avoid overuse of the extremity. They will be essential during pool exercises because it is harder to tell if the body is becoming dehydrated or fatigued due to submersion in the water. The body also doesn’t recognize if or how much it is sweating. A therapist needs to watch out for signs of fatigue and unusual behavior since these are factors that display something isn’t right and needs attention to maintain proper
Witvrouw, E., Mahieu, N., Roosen, P., & McNair, P. (2007). The role of stretching in tendon injuries. British journal of Sports Medicine , 224-226.
Therapeutic stretches of the gastrocnemius and soleus muscles. If the ligament are weakened, cross fiber friction them to try to regain some of the integrity of the ankle back.
The aim of this report is to provide an overview of chronic heart failure, examining signs symptoms and treatment related to the case study, and the anatomy and physiology of the heart will be discussed, and the pathophysiology of chronic heart failure.
Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
As you practice remember that inhalation and exhalation are both done through the nose and should be an equal amount of time in duration. Make sure to keep your breath flowing and your throat open. Don’t tense your shoulders or jaw. Be careful not to overfill your lungs as it will cause tension. Finally, keep your navel pulled in while breathing.
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. Blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body, or by becoming more stiff and thickened.
Touch is as essential to a healthy and happy life as eating right, getting proper sleep, and exercising. With the world growing more technological, the need for healthy human contact is more important than ever. Massage and body therapies are an age old healing refuge for us in this fast-paced, stressed-out world. The practice of massage therapy is rapidly growing in the United States. It has so much to offer and is becoming more widely accepted by doctors and the general public. Massage is touching another person by such movements as rubbing, kneading, pressing, rolling, slapping, and tapping. This type of therapy provides circulation of the blood and lymph, relaxation of muscles, relief from pain, restoration of metabolic balance, and many other benefits both physical and mental. There is much historical evidence to indicate that massage is one of the earliest remedies for pain relief and for the restoration of a healthy body. It is said to be the most natural and instinctive means of relieving pain and discomfort. Massage has proven to be an effective method for treating many conditions for thousands of years and it will continue to be used for thousands of years to come. Massage therapy is a great treatment for the body and soul.
Percutaneous Tenotomy where a surgeon identifies the painful area of the tendon with an ultrasound then inserts a needle into the skin and makes small incisions in the damaged tendon. This creates an enhanced healing response and leads to a faster tendon repair. The procedure typically lasts for about 20 minutes while the patient is under local anesthesia. Also if you ever have to do this you have to go do it every three to 4 weeks. Platelet-rich Plasma Therapy Platelet-rich plasma therapy is a technique that separates in the blood cells from the white and red blood cells and applies them directly to the injured area through injection or other methods. When the plasma is applied to the injury, it can help renew ligaments and tendons, promoting healing and preventing the need for surgery.
Continue by giving two slow breaths, one to one and a half seconds per breath. Watch for the chest to rise, and allow for exhalation between breaths. Check for a pulse. The carotid artery, on the side of the neck, is the easiest and most accessible. If breathing remains absent, but a pulse is present, provide rescue breathing, rescue breathing is one breath every three seconds.
By having physiotherapy this will help to achieve and restore movement and function to the injured area of the body. To allow movement and function to occur an individual would complete a range of different exercise which, their therapist will show them how to do. This overall, would improve the ranges of movements and by improving the movements overall, it will help to heal the injured area so that, an individual would be able to do normal movements once again. Also, by attending physiotherapy it will reduce the chance of experiencing long-term injuries occurring like this happening again within a certain area of the
Pursed lip breathing enhances the lungs mechanisms and expiratory breathing, meaning breathing becomes easier for a patient experiencing dyspnea. This is predominantly useful for patients who have diagnosis of lung conditions that make breathing difficult such as chronic obstructive pulmonary disease (COPD). Chronic obstructive pulmonary disease is a preventable and treatable disease characterized by persistent airflow limitation that is usually progressive. (Lewis, 2017) Patients with this disease process have declining lung function and breathing capability. It can make breathing so hard that it decreases the quality of the life for the patient. Pursed-lip breathing provides significant health
The breath is brought into the nose and exhaled through the mouth with slightly pursed lips which should help you to feel a deeper contraction of the abdominals. = == == ==
The physical therapists who completed the actual treatment had nothing less than four years of clinical experience each. When ultrasound therapy was completed the session lasted for five minutes each time and was performed on an area of 40cm squared around the patient’s marked myofascial trigger points. The SEIB group used a durable silicone ball which was inflatable and therefore adjustable. In order to provide “tailored pressure” the individuals of the SEIB group were allowed to adjust the ball themselves with an air pump depending on how sensitive their myofascial trigger points happened to be. The sessions of SEIB therapy lasted for ten minutes each.
in soft tissue mobilization pressure.” Medicine and Science in Sports and Exercise. April 1999: 531-5.
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the