Educating patients with upper limb dysfunction on self ‐adjustment of the CPAP/NPPV mask: A case series

We provided instruction on CPAP/NPPV mask self-adjustment to three patients with severe upper extremity dysfunction, offering a simple procedure and support tailored to their individual needs. This approach allows for independence in mask adjustment despite limited upper extremity mobility and benefits both patients and health care providers by sharing knowledge. AbstractWe share our experiences of instructing three patients with severe upper limb dysfunction on how to self-adjust CPAP/NPPV masks. In Case 1, we simplified the procedure by suturing a part of the headband as the left forearm was amputated. In Case 2, the patient had congenitally short limbs with short stature; thus, we provided an additional belt to the headband to maintain the headband's configuration while wearing the mask. In Case 3, the patient had left hemiplegia due to stroke and, repetitive coaching was conducted during the recovery phase rehabilitation program. Difficulties with self-adjusting NPPV/CPAP masks can occur whenever there is limited hand mobility above the head, including upper limb dysfunction. Simplifying procedures and providing sufficient time for instruction could help achieve independence. There have been no previous reports describing similar training details. We believe that sharing this knowledge will be helpful to both patients and healthcare professionals.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: CASE SERIES Source Type: research