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Postural drainage: upper lobes - apical - Sitting upright, leaning back slightly (30 deg)
Postural drainage: upper lobes- posterior - Pt leans over folded pillow at 30 deg angle
Diaphragmatic Breathing Exercise - Sniffing
"sequence"
Stair climbing
Facilitation techniques for diaphragmatic breathing - counterpressure over patient's dominant
hand during inspiration
Quick stretch just before inspiration begins
Theraband around lower costal region
How can you progress diaphragmatic breathing? - remove all cues
Have patient sit unsupported, stand, and walk
Inspiration:expiration ratio - 1:2
Goals of pursed lip breathing - relief of dyspnea
Improved ventilation
Decreased respiratory rate
Increased exercise to tolerance
Segmental breathing exs - apply counterpressure to specific area of the chest to be emphasized
Gradually reduce your hand pressure as your pt inspires
What is relaxation used for? - decrease general body work