Practical PerformaPractical Performa Principles of applicationPrinciples of application

A.THANGAMANI RAMALINGAMA.THANGAMANI RAMALINGAMPT, MSc (PSY), MIAPPT, MSc (PSY), MIAP

Receiving the patientReceiving the patient

Introduce yourself to patientIntroduce yourself to patientGive assurance/confidenceGive assurance/confidence

Case sheet readingCase sheet reading

Go through the medical reportsGo through the medical reports

Find out diagnosis/general contra-Find out diagnosis/general contra-indications/previous physiotherapy indications/previous physiotherapy treatmenttreatment

Checking general contraindicationsChecking general contraindications

Hyper pyrexiaHyper pyrexiaEpilepsyEpilepsySevere renal and cardiac problemsSevere renal and cardiac problemsSevere hypo/hypertensionSevere hypo/hypertensionCardiac pacemakersCardiac pacemakersInfectionsInfectionsPregnant womenPregnant womenMetal implantsMetal implantsMentally retarded/upset patientsMentally retarded/upset patientsMalignancyMalignancyAnterior aspect of neck/carotid sinus/eyesAnterior aspect of neck/carotid sinus/eyes

Tray preparationsTray preparations

Skin resistance Skin resistance lowering/testing traylowering/testing trayPillowsPillows

CottonCotton

SoapSoap

TowelTowel

MackintoshMackintosh

Petroleum jellyPetroleum jelly

Test tubes ( hot &cold)Test tubes ( hot &cold)

U-pin (sharp &blunt)U-pin (sharp &blunt)

ClipsClips

Bowl of waterBowl of water

IR lampIR lamp

Hot &cold packsHot &cold packs

Treatment trayTreatment trayPillowsPillows

TowelTowel

Bed sheetBed sheet

CottonCotton

Adhesive tapesAdhesive tapes

Straps/gogglesStraps/goggles

Salt/PowderSalt/Powder

Scissor/ Inch tapeScissor/ Inch tape

PaperPaper

Graph paperGraph paper

Pencil/scale/eraserPencil/scale/eraser

Machine& accessoriesMachine& accessories

Sand bags/crepe bandagesSand bags/crepe bandages

Checking local contraindicationsChecking local contraindications

Open woundsOpen woundsScarsScarsLocal skin infectionsLocal skin infectionsCutsCutsAbrasionsAbrasionsEczemaEczemaLocal hemorrhagic spotsLocal hemorrhagic spotsSkin sensitivity (testing)Skin sensitivity (testing)

Apparatus preparationApparatus preparation

Check the apparatus& accessories like Check the apparatus& accessories like electrodes, leads, cables, plugs, power electrodes, leads, cables, plugs, power sockets, switches, controls, dials and sockets, switches, controls, dials and othersothers

Apparatus checkingApparatus checking

Demonstration of the treatmentDemonstration of the treatment

Check the functioning of machine in front Check the functioning of machine in front of the patientof the patient

Explanation of treatmentExplanation of treatment

Positioning the patientPositioning the patient

ComfortableComfortable

RelaxedRelaxed

appropriateappropriate

Skin resistance loweringSkin resistance lowering

Do skin resistance loweringDo skin resistance lowering

Neatly &perfectlyNeatly &perfectly

Use items required in an orderly mannerUse items required in an orderly manner

Selection of techniqueSelection of technique

Use proper technique of applicationUse proper technique of application

Placement of electrodesPlacement of electrodes

Appropriate placement according to the Appropriate placement according to the condition &patientcondition &patient

Use adhesives &strapsUse adhesives &straps

Apply gel evenly on electrodeApply gel evenly on electrode

Maintain good contact with the skinMaintain good contact with the skin

No leads crossing each otherNo leads crossing each other

Confirm connections &above allConfirm connections &above all

Instructions & warningsInstructions & warnings

InstructionsInstructions

Don’t moveDon’t move

Don’t sleepDon’t sleep

Don’t touch leads, Don’t touch leads, apparatus, therapist apparatus, therapist and any other metal and any other metal near by younear by you

WarningsWarnings

Inform more Inform more heating/uncomfortablheating/uncomfortable sensationse sensations

Inform burning Inform burning sensation sensation immediatelyimmediately

treatmenttreatment

Proper execution of treatmentProper execution of treatment

Appropriate intensity should be usedAppropriate intensity should be used

Set duration of treatment acc. to condition Set duration of treatment acc. to condition statusstatus

Supervise the treatment through out the Supervise the treatment through out the sessionsession

TerminationTermination

Put knobs to zeroPut knobs to zero

Remove electrodesRemove electrodes

Switch off the machine &mainsSwitch off the machine &mains

Clean the area &inspect for adverse Clean the area &inspect for adverse reactionsreactions

Manage if anything &give instruction Manage if anything &give instruction regarding next comingregarding next coming

Windup procedureWindup procedure

RecordingRecording

Accurate record of all parameters of Accurate record of all parameters of treatment including area treated , treatment including area treated , technique, dosage and the outcomestechnique, dosage and the outcomes

THANK YOUTHANK YOU