Sr. No. |
Intervention goals |
Therapeutic Intervention |
Treatment Regimen |
1. |
To prevent pulmonary, circulatory & integumentary complications post-surgery. |
Manual positioning-half lying/semi-fowlers position was given initially; later upright sitting was given-air beds provided |
Positioning was given after every two hours. |
2. |
To improve bed mobility and prevent prolonged immobilization |
Monitored in bed transitional training and bedside mobilization given with binder |
First three days: bedside sitting, chair sitting, and standing. |
3. |
To bring back to normal ADLs |
Self-paced walking in 30 meters hallway |
Begin on post-op day four, initially, five minutes, progressing up to 15-20 min, stair climbing on 13 to 14th day |
4. |
To avoid strain over incision and drain site |
Chest binders |
Splinted coughing, Binder support during movements. |
5. |
To promote airway clearance |
Acapella (green) ACBT |
Ten reps x one set two times a day. Three to four cycles two times a day. |
6. |
To improve breathing patterns and respiratory rate |
Deep breathing exercises: 1) Diaphragmatic breathing 2) Segmental breathing. |
Initially, 10 reps x one set two times a day. Later ten reps x two sets three to four times a day. |
7. |
To improve lung volumes (IRV) and capacities (FRC) |
1)TEE |
Initially, 10 reps x one set two times a day. Later every two hours of interval |
2. Flow-oriented Incentive spirometer used. |
8. |
To maintain joint integrity & mobility |
AROM exercises of upper and lower limbs bilaterally. |
Initially, 10 reps x one set two times a day. Later ten reps x two sets three to four times a day. |
9. |
To correct posture |
Postural correction |
Conscious correction of her posture by avoiding slouching by self-feedback and passive feedback from relatives whenever she was seen slouching. |