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Pages:
1 page/β‰ˆ275 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.18
Topic:

Chest Physiotherapy (CPT) for Children: What Does the Evidence Tell Us?

Coursework Instructions:

There are 2 sources that I have, one you can go on the web and find it but the other I copied and pasted fr the writer because it is not available on the web. I will added first and then I will add the rest. 
Continuing to Challenge Practice to Be Evidence Based MARY BETH FLYNN MAKIC, RN, PhD, CNS, CCNS CAROL RAUEN, RN-BC, MS, CCNS, CCRN, PCCN, CEN KIMMITH JONES, RN, DNP, CCNS, RN-BC ANNA C. FISK, RN, BSN, CCRN ©2015 American Association of Critical-Care Nurses doi: http://dx(dot)doi(dot)org/10.4037/ccn2015693 
Feature Practice habits continue in clinical practice despite the availability of research and other forms of evidence that should be used to guide critical care practice interventions. This article is based on a presentation at the 2014 National Teaching Institute of the American Association of Critical-Care Nurses. The article is part of a series of articles that challenge critical care nurses to examine the evidence guiding nursing practice interventions. Four common practice interventions are reviewed: (1) weight-based medication administration, (2) chest tube patency maintenance, (3) daily interruption of sedation, and (4) use of chest physiotherapy in children. For weight-based administration of medication, the patient’s actual weight should be measured, rather than using an estimate. The therapeutic effectiveness and dosages of medications used in obese patients must be critically evaluated. Maintaining patency of chest tubes does not require stripping and milking, which probably do more harm than good. Daily interruption of sedation and judicious use of sedatives are appropriate in most patients receiving mechanical ventilation. Traditional chest physiotherapy does not help children with pneumonia, bronchiolitis, or asthma and does not prevent atelectasis after extubation. Critical care nurses are challenged to evaluate their individual practice and to adopt current evidence-based practice interventions into their daily practice. (Critical Care Nurse. 2015;35[2]:39-50)

Coursework Sample Content Preview:

Chest Physiotherapy (CPT) for Children
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Institution
Chest Physiotherapy (CPT) for Children
There are many therapies that have been used over the years to relieve symptoms of pneumonia among children, but chest physiotherapy (CPT) stands as the widely used and acceptable therapy among nurses. It involves manual percussion of both the posterior and posterior lung fields (Lisy, 2014). By doing so, it is thought that the secretions from the bronchial wall loosen up reducing of airway resistance, clearing tracheobronchial secretions through coughing, and enhancing gaseous exchange.
Some of the risks revolving around CPT include oxygen deficiency when the head is kept in a low position for drainage, vomiting, bleeding in the lungs and inhaling secretions in the lungs. There are limited number of benefits associated with CPT including improvement in peripheral oxygen saturation and respiratory rate. Despite the minimal benefits, there is still insufficient evidence to justify the recommendation of CPT in children with pneumonia. Also, The American Association for Respiratory Care has st...
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