At the end of the session, the participant will have:
- Increased knowledge of the role and function of sputum and the mucociliary pathway in chronic obstructive pulmonary disease (COPD).
- Increased ability to recognise the signs and symptoms of a chest infection.
- Increased understanding of airway clearance techniques with an emphasis on independent techniques.
This session may be facilitated by a physiotherapist.
|Introduction to the role of sputum.||Function of sputum.|
Sputum in COPD.
|Better Living with COPD (Ch 13).|
|How to recognise a chest infection.||Signs and symptoms of an infective exacerbation.||Signs and symptoms of chest infection.|
|Sputum expectoration (airway clearance).||Active cycle of breathing technique (ACBT) or forced expiration technique (FET).|
Risks and precautions with techniques.
|Demonstration of ACBT and FET.
ACBT and FET flowchart.
|Role of humidification.||Shower.|
|Other sputum expectoration techniques.||Mucolytics.|
Gravity assisted drainage.
Positive expiratory pressure (PEP) – mask / mouthpiece.
Role of exercise
– Mask / mouthpiece.
– Flutter VRP1.
|Summary and discussion.||Screening of patients for individual assessment and instruction.|