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Chest physiotherapy for pneumonia in children

Read the following articles: Lisy, K. (2014). Chest physiotherapy for pneumonia in children. The American Journal of Nursing, 114(5), 16. doi:10.1097/01.NAJ.0000446761.33589.70
Makic, M., Rauen, C., Jones, K. and Fisk, A.  (2015) Continuing to challenge practice to be evidence-based.  Critical Care Nurse, 35(2), 39-50. doi:10.4037/ccn2015693

Certain practice habits continue to be used despite the availability of research and other forms of evidence that should be implemented to guide practice interventions. CPT is often prescribed for children with pneumonia, asthma, bronchiolitis, and atelectasis following surgery or mechanical ventilation.

I would like to know if you guys can follow the directions,  giving to me below.. I also need  three  to five years old reference

Initial Discussion Post::

(1)What is the expected outcome when implementing CPT?

(2)What are the risks of performing CPT?  Do the risks outweigh the benefits?
(3)Is the practice of CPT supported by evidence?
(4) Are there safe, alternative interventions that the RN can implement to achieve the same outcome as performing CPT?

(5)If so, identify at least one.

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Chest physiotherapy is described as a process of bronchial hygiene which include specialized cough technique, vibration, chest percussion, postural drainage and turning. Chest physiotherapy helps the children to remove excess mucus from the lungs. Most often, chest physiotherapy for the children is required when they suffer from lung illness. However, the treatment can be prolonged when the child suffers from chronic lung diseases. Normally, chest physiotherapy consists of two procedures, percussion and positioning or postural drainage. Percussion involves the process of clapping the child on the chest(Levy, 2015). The expected outcome is that when the child is clapped, the chest is shaken and the mucus becomes loose, thus making it easier to be coughed outside. Also, when the position of the baby is changed, mucus which is watery moves from the high position to low position, hence helping to move the mucus from the bottom of the airways to the larger airways which is located in the middle of the lungs.

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