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management of COPD, case study - pat - Coggle Diagram
management of COPD
Dyspnoea (short of breath)
positioning
lean forwards position
abdominal contents raise the anterior part of diaphragm
facilitates its contraction during inspiration
"loading the diaphragm"
breathing control
blow as you go
pursed lip breathing
energy conservation and pacing
Fan therapy
Airway clearance
active cycle of breathing technique
positive expiratory pressure devices
postural drainage
manual technique
Exercise
inspiratory muscle training
Tai Chi
Pelvic floor muscle training
pulmonary rehab
Retained secretions
Reduced exercise capacity
Inspiratory muscle training (IMT)
case study - pat
wheeze & tight chested
sputum
cilia art working. increase in production in mucus
air trapping in alveoli
dead space - can't utilise perfussion across membrane (anatomical & physiological)
inflammation
barrel chest - due to air trapping.hyperinflated inefficient
breathlessness
stress inconitnence