HEALTH EDUCATION PRE & POST OPERATIVE PATIENT WITH CARDIAC SURGERYGROUP 4 COHORT 3A LECTURER: MS. AGNES

DEEP BREATHING, COUGHING AND LEG EXERCISES

OBJECTIVEPatient can breath well. Can remove the secretions from the lungs. Can increase the blood circulation at the leg side.

PURPOSE Deep breathing and coughing exercises facilitate the Respiratory function by helping in removing secretion from airway tract. Voluntary coughing in conjunction with deep breathing facilitates the movement and expectoration of secretion in the respiratory tract. (Leg

Exercise) Prevent blood clot formation and restore muscle tone.

How are These Exercises Helpful?These exercises facilitate a wide exchange of gases. They maximise the amount of oxygen available to the cells. They prevent orthostatic pneumonia. They make you relaxed. They help you cope with pain. They help reduce the chances of chest complications after surgery.

Who Should Perform These Exercises?

Patients on bedrest or those who have undergone any surgical procedure, for example abdominal or chest surgery. Patients prone to pulmonary problems. Patients susceptible to accumulating respiratory secretions.

How Frequently Should These Exercises be Performed?Deep breathing should be performed every hour while awake. Patients who have had abdominal or chest surgery need to perform deep breathing at least three to four times daily. Deep breathing exercise may be performed every hour, specially by patients who are prone to pulmonary problems.

DEEP BREATHING EXERCISES1. Breathe in through your nose deeply and slowly. 2. Hold your breath for 3 5 seconds. 3. Blow out slowly through your mouth. 4. Repeat 10 times. 5. After your last breath in, give a good cough (using your abdominal muscles) to clear any mucus. 6. Repeat this exercise every hour while you are awake. 7. This exercise can also be done using an incentive spirometer which will be provided if needed.

LEG CIRCULATION EXERCISESANKLE PUMPING 1. Point toes of both feet gently away from you, hold 2-3 seconds. 2. Flex your feet with toes point up, hold 2-3 seconds. 3. Repeat 10 times, 4 times daily. ANKLE CIRCLES 1. Circle your feet around your ankles in each direction 10times. 2. Repeat 4 times daily. KNEE BENDING 1. Bend each knee, one at a time, sliding foot along the bed toward you and then slide it down. 2. Repeat 10 times for each leg, 4 times daily.

EVALUATION Patient Can

can breath well.

remove the secretions from the lungs. increase the blood circulation at the leg side.

Can

REFERENCES http://www.utmb.edu/erc/facts/Deep

%20Breathing%20and %20Coughing.pdf20Coughing. http://hubpages.com/hub/Deep-breathing-a Fundamental-Kozier Book (page 1368)

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PREPARED BY

Yusma Azaili Mohd Dali Tengku Maria Tengku Yunus Nurshuhada Che Halim Nis Fathiah Che Lah Masni Mohammed Ruzanna Abd Aziz Nurul Bibiyatul Akmar Anuar Mohd Fauzi Mohd Janik Nurul Zailatul Salwa Anuar Syahidah Mat Yaacob