Date of Award

3-1982

Degree Type

Master's Essay - Restricted

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

First Advisor

Ruth M. Stollenwerk

Second Advisor

Margaret T. Crepeau

Third Advisor

Hildegarde Siegel

Abstract

Postural drainage and percussion treatments are often prescribed in the home setting for patients with various respiratory disorders. For the family to be instructed properly at home, it is necessary that the nurse develop a sense of confidence and expertise in performing bronchial drainage and percussion techniques. The presentation is divided into three major areas: (1) reasons for performing postural drainage and chest percussion, (2) illustration of the anatomy of the upper airway, tracheobronchial tree, and segmental portions of the lungs, and (3) demonstration of postural drainage and percussion techniques. Indications, relative contraindications, precautions, and long-term goals of bronchial drainage and chest percussion are discussed. Associated diseases requiring bronchial treatments are also identified. Therefore, this videotape emphasizing a description of the pulmonary anatomy, the normal defense mechanism of the pulmonary tree known as the mucociliary escalator or mucous blanket, body positioning to facilitate drainage of bronchial secretions of all lobes of the lungs, proper location of the chest clapping sites of corresponding lung segment, demonstration of both manual and mechanical percussion techniques, importance of pursed-lip breathing followed by an effective cough, and the utilization of a postural drainage positioner (P. D. Cradle) is useful for nurses caring for patients with respiratory diseases. It is often necessary to instruct the patient's family in postural drainage and percussion techniques at home; therefore, this videotape serves as an appropriate teaching tool for nurses in instructing family members of patients afflicted with respiratory disorders to accurately perform postural drainage and percussion techniques.

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