Midland Regional Hospital Mullingar

Other activities commonly experienced –- Cardiac rehab- Pulmonary rehab- Pulmonary function tests- Bronchoscopies- Pulmonary outreachIt is suggested that students familiarise themselves with the followingskills/techniques prior to beginning the placement -- Respiratory assessment including auscultation, ABGs, CXR interpretation- Medical respiratory conditions, including COPD, asthma, bronchiectasis- Surgical incisions and procedures – abdominal- Post-operative respiratory physiology and physiotherapy- Ventilation/perfusion- Thoracic anatomy and surface marking of the lungsSkills/ modalities likely to be used in this placement –- ACBT- Autogenic drainage- Patient handling skills and patient positioning- Manual chest techniques- Physiotherapy adjuncts – acapella, PEP, incentive spirometry- Exercise prescription- Outcome Measures: Pulse oximetry, Borg Breathlessness Scale, ElderlyMobility Scale, Berg Balance Scale- NIV- Suctioning, manual hyperinflation, ventilator use and ventilatorhyperinflation- Deliver an inservice/article reviewSuggested reading material –- Pryor & Prasad (2001) Physiotherapy for Respiratory and CardiacProblems. Churchill Livingstone- Hough A (2001) Physiotherapy in Respiratory Care – an evidence basedapproach to respiratory and cardiac conditions. (3rd edn) Nelson Thornes- Harden B. (2004) Emergency Physiotherapy: an on-call survival guideOUTPATIENT PLACEMENTSkills likely to be used -- Manual Handling- Joint mobilisation techniques – Maitlands, Mulligans Nags/Snags, Cyriax- Spinal and Peripheral joint assessment- Treatment post fractures- Treatment post TKR, ACL reconstruction, shoulder stabilisation3