Download Free Medical Principles of Physiotherapy in Post-operative cases General Surgery PowerPoint Presentation

Principles of Physiotherapy in Post-operative cases General Surgery PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Physiotherapy and Physical Rehabilitation, which is titled "Principles of Physiotherapy in Post-operative cases (General Surgery)", to know about physiotherapy in post-operative cases.

Tags : Physiotherapy, Physical Rehabilitation, Principles, Post-operative cases, General Surgery

Published on : Aug 02, 2021 | Views : 5065 | Downloads : 34

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Principles of Physiotherapy in Post-operative cases (General Surgery) Dr.Rajal Sukhiyaji (M.PT. in Sports Science)
Slide 2-

Contents What is surgery? Types of Surgery Postoperative interventions Physiotherapy goals Postoperative complications Postoperative preventions Other complications Summary References
Slide 3-

What is Surgery ??? 3 Phases :- Preoperative Phase Intraoperative Phase Postoperative Phase
Slide 4-

Types of Surgeries A surgical Procedure may be, Diagnostic Curative or reparative Reconstructive or cosmetic Palliative According to the degree of urgency involved: emergent, urgent, required, elective, and optional.
Slide 5-

Postoperative Interventions Take careful note of surgery. Discuss condition of patient with medical staff. Vital signs and note skin warmth, moisture, and color. Surgical site and wound drainage systems. Level of consciousness, orientation, and ability to move extremities. Pain level, pain characteristics (location, quality) and timing, type, and route of administration of last pain medication.
Slide 6-

Position of patient, drainage tubes Respiratory movement and general posture. IV sites for patency Provide information to patient and family.
Slide 7-

Goals Gain the patient’s confidence Prevention of chest complication Prevention of DVT Prevention of pressure sore Prevention of muscle wasting and joint immobility Prevention of other complication Maintaining normal body temperature Managing gastrointestinal function and resuming nutrition Promoting bowel function Managing voiding
Slide 8-

Postoperative Complication Postoperative Atelectasis Pneumonia or bronchopneumonia Deep vein thrombosis Pulmonary embolism General muscle weakness and loss of mobility Pressure sore
Slide 9-

Hypoxemia Myocardial infarction and heart failure Exacerbation of asthma or chronic obstructive airway disease Postoperative fever Infection Haemorrhage Urinary problem Post-operative delirium Bowel function issues
Slide 10-

ppt slide no 10 content not found
Slide 11-

Prevention of chest complication Respiratory complications may be reduced by: Using adequate analgesia Administering oxygen using face masks or nasal prongs Regular physiotherapy
Slide 12-

Preventive measure Chest physical therapy Coughing Breathing exercises Incentive spirometer Early ambulation Bad mobility
Slide 13-

Chest physiotherapy Percussion
Slide 14-

Vibration
Slide 15-

Postural drainage
Slide 16-

Coughing
Slide 17-

ppt slide no 17 content not found
Slide 18-

Breathing exercise
Slide 19-

Breathing Exercise :- Relax shoulder and upper chest Take a deep breath in (through nose) to fill the bottom of lung Hold breath for 3 seconds Breath out slowly through mouth
Slide 20-

Incentive spirometer
Slide 21-

Encourage the patient to take a deep breath in hypoventilation when after there is thoracic or abdominal surgery.
Slide 22-

Prevention of DVT
Slide 23-

Elevation of bed end Compression stockings General breathing exercise Active movement of limb Early ambulation Anticoagulant Calf pumps Minimize use of tourniquets
Slide 24-

Compression stocking
Slide 25-

Prevention of pressure sore
Slide 26-

Positioning
Slide 27-

ppt slide no 27 content not found
Slide 28-

ppt slide no 28 content not found
Slide 29-

Prevention of muscle wasting and joint immobility General mobilizing and strengthening exercises
Slide 30-

ppt slide no 30 content not found
Slide 31-

Encouraging activity Help the patient to move gradually from the lying position to the sitting position until dizziness passes. This can be achieved by raising the head of the bed. Position the patient completely upright (sitting) and turned so that both legs are hanging over the edge of the bed. Assist the patient to stand beside the bed.
Slide 32-

Arm and trunk exercises
Slide 33-

Maintain circulation by encouraging ankle ROM.
Slide 34-

Bed exercises Gluteals Quads
Slide 35-

Knee flexion
Slide 36-

Inner range Quads
Slide 37-

Straight Leg Raise
Slide 38-

Additional Exercise
Slide 39-

ppt slide no 39 content not found
Slide 40-

Stair Climbing and Descending Always lead up the stairs with good leg and down the stairs with operated leg. Ascending-crutches stay down Descending – crutches down 1st
Slide 41-

Early Ambulation It is safe to get out of bed on day one unless there is a medical reason not to do. Nursing staff or physiotherapist can take all the lines and drains. May need help patients to mobilise due to pain, anxiety, BP drop, fatigue. Initially will use a zimmer frame to aid balance and weight bearing.
Slide 42-

Days 2-3 Dressings and drains have been removed, mobilise with support ,from a zimmerframe and nursing staff. As the limb gets stronger, progression from Zimmer frame, Elbow Crutches, stick, Aim=independent. Exercises 2-3 x daily. Emphasis is on patient doing exercises independent
Slide 43-

Zimmer frame Elbow crutches Sticks
Slide 44-

Progression Take an aid until patient regained balance skills. In the beginning, walk 10 minutes 3 times a day. As strength improves, walk for 20, 3 times a day. Once the patient fully recovered, regular walks, 20 or 30 minutes 3 or 4 times a week, will help maintain strength.
Slide 45-

Other complication Hypertension Hypotension Septic shock
Slide 46-

Assessing the patency of the IV lines and ensuring that the appropriate fluids are administered at the prescribed rate Increase in the fluid input with administration of high-flow oxygen. The patient should also be tilted head-down to maintain cerebral perfusion. Most causes of hypertension relate to inadequate pain relief or anxiety and usually settle with appropriate analgesia.
Slide 47-

Maintaining normal body temperature The room is maintained at a comfortable temperature, and blankets are provided to prevent chilling. Treatment includes oxygen administration, adequate hydration, and proper nutrition. The patient is also monitored for cardiac dysrhythmias.
Slide 48-

Managing gastrointestinal function and resuming nutrition Having the patient turn frequently, exercise, and ambulate as early as possible. This alleviates distention produced by swallowing air, which is common in anxious patients. When postoperative distention is anticipated, a nasogastric tube may be inserted . Paralytic ileus and intestinal obstruction are potential postoperative complications
Slide 49-

Promoting bowel function Constipation is common after surgery Early ambulation - improved dietary intake Stool softener (if prescribed) - promotes bowel elimination.
Slide 50-

Managing voiding If the patient cannot void in the specified time frame, the patient is catheterized and the catheter removed after the bladder has emptied.
Slide 51-

Maintaining a safe environment After discharge patient should continue with general exercises Walk further Going up and down stairs with breathing control
Slide 52-

Advice to Patients… Continue with normal activities as much as possible within limits of pain Set a new goal each day. The patient is likely to recover more quickly , if they keep active, rather then resting.
Slide 53-

Summary Physiotherapy -aims to improve muscle function and range of movement, thus enhancing function Empower the patient to take responsibility for there rehabilitation- remind them to complete their exercises at least three times a day! Teach ankle circulation exercises, deep breathing exercises and bed exercises Help patients to get out of bed on 1st day post operation Patients can only go home when they have safe mobility and sufficient movement and strength.
Slide 54-

References Ann Thomson, Alison Skinner, Joan Piercy, Tidy’s Physiotherapy, 12th edition Brunner & Suddarth’s textbook of Medical Surgical Nursing, Suzanne C. Smeltzer, Brenda Bare, 10th edition Bailey & Love’s, Short practice of surgery, Norman S.Williams, 25th edition Therapeutic Exercise, Carolyn Kisner, Lynn Allen Cobly, 5th edition
Slide 55-

Cash’s Textbook of General Medical and Surgical conditions for physiotherapists, Patricia A. Downie,2nd edition Physiotherapy exercise programme after sugery, Academic health science partnership Physiotherapy advice after abdominal surgery, Oxford Radcliffe Hospitals Chest physiotherapy (CPT) , September 15,2013.
Slide 56-

Thank You