The Cardiorespiratory team provides a customised Pulmonary rehabilitation program. The team focuses on enhancing ventilation and lung function in patients with various respiratory conditions. In the ICU for a patient on ventilator, the main goals of chest physiotherapy are to improve lung expansion, prevention of cough retention/lung collapse and early weaning from the ventilator to resume self breathing. Other important goals are to prevent other complications related to joints and blood vessels and prevention of bed sores. Early mobility in the ICU and long term rehabilitation is planned as the patient's breathing capacity improves. The main goals are to prevent complications and to facilitate early returning to optimum function in daily life. The team thoroughly assesses each patient to design a structured and personalised treatment and exercise programme. Every patient is treated with empathy and care. The program is supervised by senior therapists to ensure safety of each patient. Improving lung ventilation and preventing pulmonary complications: Diaphragmatic breathing exercises, thoracic mobility exercises, Incentive spirometry, huffing/coughing, splinting is taught to patients. Two hourly position change is practiced for bedridden patients for prevention of bedsores, for mobility in bed, for sequential ventilation of lungs Upper and lower limb movements are given to bedridden patients to maintain blood circulation and to prevent joint stiffness. Various techniques like postural drainage, Active cycle of breathing technique, Autogenic drainage are used. Sitting/walking in the ICU is started as early as possible to facilitate early recovery and shifting out from the ICU. Bedside sitting , wheelchair mobility, walking with or without walker is started for stable patients in the ICU. Post discharge from the hospital, a customised outpatient 6 weeks aerobic and strengthening program is designed based on the 6 min walk test results and oxygen saturation. Respiratory patients are educated regarding ill effects of smoking and are aggressively advised to stop smoking. Breathless patients are educated about how to relieve an episode of dyspnea and how to breakdown any activity into simpler components to conserve energy.
Overview
Treatment Techniques
Lung Ventilation
Bedridden Patients
Limb Physiotherapy
Removal Techniques
ICU Mobility
Endurance Training Program
Education to stop smoking
Conservation Techniques
Conditions that we treat
