Chest care
Chest care causes vibration and makes sputum in trachea and lung easily removed. Then the removed sputum could be drain out by postural drainage and gravity.
Timing
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About 3-4 time everyday or every 2 hours
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Everyday after awake, before breakfast or 1-2 hours post prandial to prevent patients from vomiting
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Before sleep
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After chest therapy
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It takes 10-15 minutes to proceed though it could vary depending on the individual condition and endurance of the young patient. s
Methods
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cup your hands and percuss repeatedly in order to have sputum drained out more smoothly. You should make your wrist move freely and steadily
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Use percussor: be careful when percussing the prominent area of bone, spine, and below the wrist
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Postural drainage works better with position change, base on the location of the sputum, of the patient.
(1) Sputum location: apical segment of right upper lobe and posterior segment of left upper lobe
Postural: Sitting position, bending backward 30 degree
Practice: Percuss supraclavicle and subclavicle area
(2) Sputum location: anterior segment of right upper lobe, inferior segment of right middle lobe
Postural: supine position or 45 degree of the lateral side, use a little pillow at back
Practice: Percuss between nipples and clavicles
(3) Sputum location: posterior segment of right upper lobe, apical and posterior segment of left upper lobe
Postural: Sit position, bending forward 30 degree
Practice: Percuss bilateral suprascapulae
(4) Sputum location: lateral segment of right middle lobe, anterior inferior segment of right lower lobe
Postural: on the lateral side 45 degree with hip elevation
Practice: Percuss nipple area
(5) Sputum location: anterior and medial side of inferior segment of left upper lung
Postural: supine and keep hip elevation
Practice: Percuss areas below nipples
(6) Sputum location: apical segment of bilateral lower lung
Postural: prone position
Practice: Percuss scapulae area
(7) Sputum location: lateral side of inferior segments of bilateral lung
Postural: on the lateral side and keep the hip elevated
Practice: Percuss axillary area
(8) Sputum location: posterior inferior segment of bilateral lower lung
Postural: prone position and keep the hip elevated
Practice: Percuss bilateral subcostal area
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