1. Physiotherapy in the Community
Wendy White
Physiotherapy Advanced Practitioner
Edinburgh Community Respiratory Team
nhs.uk

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

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

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

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

7. Active Cycle of Breathing

8. Autogenic Drainage

9. Accapella and Flutter

10. Cough: Friend or Foe?

11. 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)