week 5 home stretch post 1

Hi. Over the w/e one our pts went downhill and developed a chest infection and UTI and a handful of other things which werent good, and on top of that he has quite severe dementia. I did some chets physio on him and found it quite difficult to complete, one because he was very drowsy and also because he couldnt comprehend instructions like to take deep breaths although he kept saying "yes....ok" "beg yours, yes...alright". Anyway had a listen and there were added breath sounds in his bases with a bit of a crackle and wheeze. I also attempted an ACBT however he wasnt able to comprehend to take normal breaths then deep then huff. I found the experience good, and realised sometimes no matter how simply you put it or rephrase it things like taking deep breaths on command are unachievable.