Inspiratory muscle training once the patient masters

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Inspiratory Muscle Training – Once the patient masters diaphragmatic breathing, a program of inspiratory muscle training may be prescribed to help strengthen the muscles used in breathing. Activity Pacing – A patient with COPD has decreased exercise tolerance during specific periods of the day. This is especially true on arising in the morning, because bronchial secretions collect in the lungs during the night while the person is lying down. Self Care Activities – As gas exchange, airway clearance, and the breathing pattern improve, the patient is encouraged to assume increasing participation in self care activities. Physical Conditioning – PC techniques include breathing exercises and general exercises intended to conserve energy and increase pulmonary ventilations. There is close relationship between physical fitness and respiratory fitness. Oxygen Therapy – Oxygen supplied to the home comes in compressed gas, liquid or contractor systems. Portable oxygen systems allow the patient to exercise, work, and travel. Nutritional Therapy – Nutritional assessment and counseling are important aspects in the rehabilitation process for the patient with COPD. Coping Measures – Any factors that interferes with normal breathing quite naturally induces anxiety, depression, and changes in behavior. Bibliography: Smeltzer, Suzanne & Bare, Brenda. Medical Surgical Nursing. LWW, 2004.
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