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Case Study:
Chest Physiotherapy
Frances is a 31-year-old woman who presented to her general practitioner with mild shortness of breath and a non-productive cough, worse at night. Her symptoms deteriorated slightly with a cold several weeks previously and have not improved. Moreover, she also complains of itchy eyes, sneezing and persistent blockage of her nose. She was diagnosed with asthma at the age of 12 and given a blue and a brown inhaler. She remembers undergoing skin prick testing, which was positive for house dust mite allergy. Her asthma was not a problem until the last few years when she restarted her salbutamol inhaler. She now needs this 3-4 times per day to help her breathing. She does not measure her peak flow rates as she has lost her peak flow meter but remembers her best was around 400 L/min.
1. Enumerate 8 or 10 different procedures and activities that you, as a nurse, can teach Frances to attain and measure her peak flow rates and explain each.
2. List at least 5 different techniques that you can teach her so that her asthma attack will be sustained or controlled.
3. List at least 4-5 different position that you can recommend and what procedures to do to drain her phlegm or secretions?
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