CLINICAL TEACHING

ON
Breathing Exercise  

Submitted To Submitted By
Ms. Shilpi Negi
M.Sc (N) 1st Year
ACON
Haridwar
Submitted On-20.04.2018
 Title of the course M.Sc. Nursing
  Level of student M.Sc. Nursing 1st Year
 Topic Breathing Exercise  
 Subject/Unit
 Duration 45 Minutes
 Date and time 25.04.2018
 Methods of teaching Lecture cum Discussion
 Medium of instruction (Language) English ,
 List of the teaching aids PPT , White board
 Name of the student teacher Ms. Shilpi Negi
 Name of the Evaluator

General objective :

The students will be able understand about the Breathing Exercise and will be able to usen this knowledge further in the clinical settings.

Specific Objectives :

At the end of the presentation the student will be able to –

 Definition
 Principles
 Goals
 Precautions
 Indications
 Contraindications
 Types

S.N TIME SPECIFIC CONTENT MATTER TEACHING A.V EVALUATION

 LEARNING
OBJECTIVES AIDS
ACTIVITY
1. To introdue self- Self –Introduction :- Good morning Sir and all dear L
Introduction students . Myself Shilpi Negi M.Sc. Nursing 1ST student
E
of ACON. Today I am standing in front of you for my
presentation topic on Breathing Exercise. C P

2. T P What is
Define definition Definition:
The process of respiration, during which air is inhaled U T Breathing
into the lungs through the mouth or nose due to muscle Exercise?
contraction and then exhaled due to muscle relaxation R

3. Enlist the E What is

Principles
Principles Principles?
 Area of exercises
 Explanation & Instruction to the patient C
 Patients position O
 Evaluate the patient
 Demonstration of exercise M
P
 Patient practice
P
4. Enlist the Goals D What are goals?
Goals T
 Increase the effectiveness of cough and promote I
airway clearance
S
 To prevent post operative pulmonary
complications C
 To improve the strength endurance coordination U
of the muscles of ventilation —
 Maintain and improve chest and thoracic spine S
mobility S
 Promote relaxation and relive stress
 Assisting in removal of secretions. I
 Correct abnormal breathing patterns and O
5. Explain the decrease the work of breathing. P What are
N
precautions precautions?
Precautions L P
  Never allow the patient to force expiration-it E T
may increase the turbulence in the air way which C
leads to bronchospasm and airway resistance
 Avoid prolonged expiration-it cause the patient T W
to gasp with the next inspiration and the U H
breathing pattern become irregular and
inefficient R I
 Do not allow the patient to initiate inspiration E T
with accessory muscles and upper chest ,advise
him that upper chest should be quiet during E
breathing C
6.  Allow the patient to perform deep breathing only
Describes the O B
for 3-4 times (inspiration and expirations) to
indicatins avoid hyperventilation O What are
M
indications?
A
Indiactions
 Acute or chronic lung diseases e.g. COPD, etc. D R
 Pain in thoracic or abdominal area because of
I D
surgery or trauma.
7.  Deficits in CNS that lead to muscle weaknessü S
Enlist the  Severe orthopedic abnormalities e.g. Scoliosis C What are contra-
cntraindications  Stress management and relaxation procedure indications?
U
Contraindications S
8.
 Severe pain and discomfort
Explain types of S
 Acute medical or surgical emergency
breathing exercise What are Types
 Patients with reduced conscious level I

O
Types
 Diaphragmatic breathing exercise N
 Segmental breathing exercise
 Pursed lip breathing exercise P
P
L
Diaphragmatic breathing exercise T
  deep breathing, is breathing that is done by E
contracting the diaphragm, a muscle located W
C
horizontally between the thoracic cavity and
abdominal cavity. Air enters the lungs and the T H
chest rises and the belly expands during this type I
U
of breathing
R T
Four types of segmental breathing exercise E
E
 Lateral costal expansion
 Posterior basal expansion
 Right middle or lingula expansion C B
 Apical expansion
O O
Pursed lip breathing exercise M A
9.
 is a breathing technique that consists of exhaling
To summaries the R
through tightly pressed (pursed) lips and inhaling
topic
through the nose with the mouth closed. ... To D D
pursed lip breathe, you should inhale through
I
your nose for two seconds, then exhale slowly
through pursed lips for four seconds. S

Summary: C
 To summaries the topic U
 Definition
S
 Principles
 Goals S
 Precautions I
 Indications
 Contraindications O
 Types N

Bibliography:
1. Glynn Michael ,M. Drake William,
“Hutchison’s Clinical Methods, An integrated
approach to clinical practice, 24 edition ,
Internationl edition, published by Elsvier. Page
no. 204-2016.
2. Sheilini Melita, “ECG monitering and
interpretation mannual for nurses, 1st edition
published by Manipal University Press. Page no.
6-12.