Description #
The goal of this unit is to continue to add to the knowledge gained from the pre-requisite courses (CCBSP-000 series, CCBSP-100 series) and help to develop clinical reasoning skills. This will enable the students to learn when it is appropriate to apply the individual skills gained in the first two courses. The student will be required to complete a pre and post test during the online portion and they will be assessed during the practical portion.
Learning Objectives #
– Be able to effectively manage a complicated scenario with a variety of treatment techniques
– Demonstrate competency in skills utilized
– Be able to clinically justify the rationale for treatment provided
– Identify potential adverse effects from intervention
Pathology of Case History #
In this section you will find some information on the pathophysiology of this case and other similar neurological conditions that commonly result in Respiratory Compromise. These conditions include (but are not limited to):
- Amyotrophic Lateral Sclerosis (ALS)
- Stroke
- Parkinsons Disease
- Spinal Cord Injury
- Guillian-Barre Syndrome
- Myasthenia Gravis
- Muscular Dystrophy
Pneumonia #
Pneumonia is a lung infection that results when the lungs are unable to clear the pathogens from the tracheobronchial tree. According to Frownfelter and Dean (1996) the major routes of infection are through airborne organisms, via circulatory system from an existing infection, contact with infected persons, and Aspiration.
There are many different types of pneumonia which include:
- Viral,
- Bacterial
- aspiration
- Community acquired,
- hospital acquired
- Ventilator Associated
- Pneymocystis Carinii Pneumonia
- Bronchial
- fungal
Each of these different types of pneumonia roughly follow the same stages of disease progression of Consolidation, Red Hepatization, Grey Hepatization and Resolution.
References #
- Hardy KA, Anderson BD: Noninvasive clearance of airway secretions. Respir Care Clin N Am 2:323-345, 1996
- Kang SW, Bach JR: Maximum insufflation capacity: vital capacity and cough flows in neuromuscular disease. Am J Phys Med Rehabil 79:222-227, 2000
- Stiller K: Physiotherapy in intensive care: towards an evidence-based practice. Chest 2000:118:1801-1813.
- References from deep suctioning module**
- Gosselink R, Kovacs L, DeCramer M: Respiratory muscle involvement in multiple sclerosis. Eur Respir J: 1999: 13:449-454