Page 65 - CLINICAL PRACTICE II
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NO. PROCEDURE REMARKS
Instruct the patient to exhale through the mouth, pursing the
12.
lips as if patient is whistling.
Observe the patient practicing breathing exercise for three
13.
times and guide when necessary.
Emphasize that this exercise should be performed every 1 to
14.
2 hours for the first 24 hours after surgery.
Inform the importance of coughing and splinting (providing
15.
support to the incision).
Ask the patient to sit up (semi-Fowler’s position). Show how
16. to apply a folded towel or small pillow against the part of body
where the incision will be (e.g., abdomen or chest).
Instruct the patient to inhale and exhale through the nose
17.
three times.
Ask the patient to take a deep breath and hold it for 3
18.
seconds and then cough out three short breaths.
Ask the patient to take a breath through the mouth and cough
19.
strongly twice.
Inform patient to perform this exercise every 2 hours after
20.
waking up from surgery.
Validate patient’s understanding:
- Ask the patient to give a return demonstration.
21.
- Encourage patient to ask questions.
- Instruct patient to practice the exercise.
22. Remove PPE, if used. Perform hand hygiene.
23. Document and report.
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