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To do percussion and postural drainage of lungs in bronchiectasis. What body position of the patient, a nurse should use?

To do percussion and postural drainage of lungs in bronchiectasis. What body position of the patient, a nurse should use? Correct Answer Prone position 

Concept:

  • Percussion -> A method of physical examination in which tapping of body part is done to determine its consistency and organ margin.
  • Postural drainage -> Draining the lung secretions with aid of gravity.
    • Chest percussion is assistance provided to loosen the secretions in lungs.

Explanation:

Chest physiotherapy:

  • It is a group of therapies for mobilizing pulmonary secretions. These therapies include chest percussion, vibration, and postural drainage.
  • It is followed by productive coughing or suctioning of a patient who has a decreased ability to cough.
  • This is especially helpful for patients with a large number of secretions or ineffective coughs.
  • The ideal time to perform chest physiotherapy: 1 hour before meals and 1 to 3 hours after meals to decrease the chance of vomiting.

Additional Information 

  • Supine position:

  • Used for endovascular, laparoscopic, lower extremity procedures
  • Decubitus position -> body lying on a horizontal surface, designated according to the aspect of the body touching the surface
  • Semi fowlers position -> used in breathing treatments or mouth wash procedures

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