Respiration is vital for all physiological systems to function and is especially important for patients that are recovering from disease and invasive medical procedures. Respiration is contingent on how much pressure is exerted on the internal organs and how much resistance these organs meet when trying to relieve this pressure. In this regard, posture has a great influence on how well the respiratory system functions. It has been found that standing and lying in an augmented prone position are the best postures for promotion of respiratory function, as these positions allow more room for respiratory muscles to move and decrease resistance. In these positions, patients are able to intake greater amounts of air, which allows for greater perfusion of oxygen to the tissues, in turn allowing the tissues to heal faster. These postures are found to be most beneficial in patients who suffer from respiratory distress or have similar symptoms. The position that best promotes respiratory function is not always one that is used by medical professionals, as many variables influence this decision. Practitioners must consider the complex needs of the patients when deciding how to treat them. This process often leads the professional to place the patient in positions that are less beneficial to respiratory function in order to accommodate other needs of the patient, such as medical equipment or relief of pressure sores. Further barriers to use of the evidence-based practice are the overall practicality of placing a patient in the discussed postures. It may be very difficult to place a patient in an augmented prone position if he or she is in respiratory distress, as this position seems counterintuitive to the patient. Other patients may not b...
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... presented shows that when made a priority, the augmented prone and standing positions best promote respiratory function and thus patient healing.
Works Cited
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Many interventions are already in place to improve patient outcomes while on a ventilator. For example, elevating the head of the bed to 30 degrees, preventing venous thrombus via sequential compression devices or anticoagulant drugs, initiating early mobilization and practicing good hand hygiene were among the interventions listed by Fields, L.B., 2008. However, oral care was n...
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
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This paper will discuss a case study of Pritesh, a 26 years old man who is transferred from the emergency department (ED) to the high dependency unit (HDU) with the developing of a tension pneumothorax. Initially, a general description of the patient’s chief complaint which is tension pneumothorax will be introduced, following by assessments of the patient’s need. The paper will focus on the discussion of nursing care and management for the patient, and a brief summary and evaluation of the care will be given. Lastly, a conclusion of what author has learned from this case study will be present.
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Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Additionally, many health conditions are linked to poor posture. For example, if your posture is poor, then you are more prone to circulation problems. Poor posture can also have a negative effect on your breathing and lung capacity. Chiropractic care can improve your posture, which can improve your health in many ways.
Standardisation played an important role throughout this experiment in ensuring that all measurements were conducted in the same way thus enhancing reliability. Patient position, and therapist position were important to ensure safe handling and observation. Defining the fulcrum, stationary body
In order to assess the respiratory mechanics and maintain homeostasis, pressure monitoring is fundamental. The most accessible pressure for the anesthesiologist is the airway pressure during controlled mechanical ventilation, whether it is volume control or pressure control ventilation. Often, volume control ventilation is established: the inspiratory gas flow is constant and the end-expiratory airway pressure (PEEP) has to be adjusted. The airway pressure during controlled mechanical ventilation is the pressure transduced at the anesthesia machine. Inspiratory airway pressure will result as a combination of tidal volume and the lung compliance, gas flow and airway and anesthesia circuit
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
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Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...
9. Noh, D., Lim, J., Shin, H., & Paik, N. (2008). The effect of aquatic therapy on postural
The Mechanism and Regulation of Breathing Breathing is an involuntary movement that is controlled by the medulla, which is part of the hind brain. Air is sucked into the lungs. through an active process called inspiration. The external intercostals muscle contract and the internal intercostals muscle relax this causes. the ribs to be drawn upwards and outwards.