Physiotherapy in the Community

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Presentation transcript:

Physiotherapy in the Community Wendy White Physiotherapy Advanced Practitioner Edinburgh Community Respiratory Team Wendy.White@nhslothian.scot. nhs.uk

Access to Community Physiotherapy Services GP Referral to physio@home St Roque Building,Astley Ainslie Hospital Pulmonary Rehabilitation Team Leith Community Treatment Centre Gracemount Leisure Centre Wester Hailes Healthy Living Centre Craigmillar

Physiotherapy for Bronchiectasis Chest Clearance Pulmonary Rehabilitation Management of Breathlessness Management of Exacerbations

Pulmonary Rehabilitation Improved: exercise capacity breathlessness muscle strength psychological well being daily activities and quality of life survival use of healthcare resources BTS 2013

Chest Clearance Hydration Exercise and position change Active Cycle of Breathing Autogenic Drainage Accapella Flutter PEP

Active Cycle of Breathing

Autogenic Drainage

Accapella and Flutter

Cough: Friend or Foe?

Cough Inhibition Allow 2-3 coughs maximum Close mouth Swallow Breathe gently through nose Sip fluid (cold/warm) Lozenges Frozen green grapes Dark chocolate (high % cocoa solids)