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Introducing Mechanically Assisted Cough for Patients With Progressive Neurological Disease: Patient-Physical Therapist Interaction and Physical Therapist Perspective
- Source :
- PTJ: Physical Therapy & Rehabilitation Journal. May, 2024, Vol. 104 Issue 5, p1b, 11 p.
- Publication Year :
- 2024
-
Abstract
- Objective. The goal of this study was to explore the patient-physical therapist interaction and the physical therapist&apos;s experience of the introductory session for mechanical insufflation-exsufflation (Ml-E) device treatment for patients with progressive neurological disease. Methods. Qualitative content analysis of participant&apos;s observation of interaction between patients and physical therapists during 9 Ml-E introduction sessions in different clinical care settings and 10 follow-up interviews with 6 physical therapists. Results. The introduction of Ml-E emerged as a process of instilling a sense of security in the patient. The process can be described in 4 steps: (1) gain understanding by being responsive to the person&apos;s whole life situation; (2) share knowledge and expectations in a respectful and permissive way; (3) introduce the device in a gentle and reciprocal interactivity; and (4) adapt to home use in an inclusive dialog with the patient and their significant others. Physical therapists described a need for assurance to instill a sense of security in the patient, implying a need for confidence, competent peers, guiding yet flexible routines, and emotional support. Conclusion. Physical therapists have a need to foster assurance in employing a person-centered approach to make a patient feel secure in the process of introducing Ml-E treatment. Multiple modes of professional knowledge were used together with action-based and relational-based ethics to facilitate a person-centered care approach. This seems to be a promising approach for providing good care when introducing Ml-E to patients. Further research is needed to explore this from the patient&apos;s perspective. Impact. This study added to the body of knowledge regarding Ml-E treatment in relation to patients. This has direct implication, particularly for inexperienced physical therapists, for informed care for the patient during introduction. Our study also supports that person-centered care should be implemented at all levels of health care to make it possible for physical therapists to practice person-centered care. Keywords: Mechanical Insufflation--Exsufflation, Neuromuscular Disease, Physical Therapy, Qualitative<br />Introduction Patients affected by progressive neurological disease in the later stages are prone to pulmonary complications, (1) characterized by impaired ventilation and cough, which can increase morbidity and mortality. (2) [...]
- Subjects :
- Company business management
Therapist and patient -- Research
Cough -- Management
Medical equipment -- Usage -- Social aspects
Medical research
Medicine, Experimental
Nervous system diseases -- Care and treatment -- Physiological aspects
Psychotherapist and patient -- Research
Physiological apparatus -- Usage -- Social aspects
Physical therapists -- Beliefs, opinions and attitudes
Subjects
Details
- Language :
- English
- Volume :
- 104
- Issue :
- 5
- Database :
- Gale General OneFile
- Journal :
- PTJ: Physical Therapy & Rehabilitation Journal
- Publication Type :
- Periodical
- Accession number :
- edsgcl.797907868
- Full Text :
- https://doi.org/10.1093/ptj/pzae012