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Effective Way to Remove Phlegm using Postural Drainage (Lower Lobe)

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The performance of Postural Drainage and Percussion involves a combination of techniques including multiple bronchial drainage positions, percussion, vibration, deep breathing and coughing that help move mucus from the lungs to the throat. Once the person is in one of the several prescribed drainage positions, the caregiver performs percussion on the chest wall. After three to five minutes of treatment, sometimes followed by vibration over the same lung segment, the person is encouraged to huff or cough vigorously to expel the mucus, clearing the lungs.

Here are detailed descriptions of some of the techniques used in PD & P:
Percussion or clapping by the caregiver on the chest wall forces secretions from the targeted segment into the larger airways. The palm is cupped as if to hold water but with the palm facing down. Percussion is performed vigorously and rhythmically but should not cause pain. Most of the movement should be in the wrist, and the cupped palm should give each percussion a hollow sound. Percussion should be done only over the ribs, and care should be used to avoid percussing over the spine, breastbone, stomach, lower ribs and back.
Vibration gently shakes secretions into the larger airways. The caregiver places a hand or two hands firmly on the chest wall over the appropriate segment and tenses the muscles of the arm and shoulder to create a fine shaking motion. Vibration is done with a flat hand.

*** percussion for the lower lobes superior segment is bottom part of scapula.
Category
Medical
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