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DEEP BREATHING EXERCISES

PURPOSE:
1. To facilitate respiratory function
Allowing deep full breath with little effort
For prolong exhalation and prevent airway collapse
To remove secretions from airway

PROCEDURE

RATIONALE

Assessment.
1. Check doctors order

To ensure correct orders

2. Identify purpose, indication and


contraindication

To facilitate planning process

3. Check patients condition / level of


consciousness and ability to follow
instruction

To aid the planning process

4. Environment

To ensure adequate working space

Equipment/planning
1. Trolley equipment :
Sputum mug
Tissue
2. Bottom equipment :
Pillow / small cushion / fold
blanket ( post surgery )
Receiver

To ensure the procedure can carried out


efficiently
To provide support

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Implementation
1. Greet client and explain the
procedure

To ensure the procedure can carried out


efficiently

2. Ask client to sit in the bed or chair

To ensure the effectiveness of the procedure

3. Instruct client flex knees to relax


the muscle of abdomen

To ensure client do the DBE easily

4. Demonstrate DBE
Place hands palms on the
border of rib cage
Inhale slowly through the nose
till maximum chest expansion
keeping mouth closed ( count
to 3 )
Slowly and gently exhale
through mouth as though to
whistle ( count to 7 )

To ensure client do DBE correctly


To encourage maximum lung movement
To ensure DBE done correctly by patient

5. Place the palms of your hands on


the border of clients rib cage

To ensure DBE done correctly by client

6. Ask client to perform DBE (step 4)

To ensure effectiveness of DBE

7. Observe for client chest expansion


8. Encourages client to do it whenever
feeling SOB, at least every 2 hours,
minimum of 5 breaths at each
session and increase to 5 to 10
minutes every 4 hours
9. Ensure client comfort
To ensure proper documentation

10. Documentation
Evaluation

To ensure further action

1. Evaluate effectiveness of DBE

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