Republic of the Philippines
Mindanao State University
COLLEGE OF HEALTH SCIENCES
Marawi City
Name: Area:
Clinical Instructor: Date:
Topic:
General Objective:
Learning Content Time Frame TEACHING STRATEGIES REFERENCES EVALUATION
Outcomes
Your home exercise program https://sunnybrook.
Deep breathing and coughing ca/content/?
Your lungs may continue to produce an page=schulich-heart-
increased amount of fluid for one to two coronary-artery-
weeks after you are home from the hospital. bypass-exercises
To help clear mucus and prevent you from
getting a lung infection, you should continue
the same deep breathing and coughing
exercises that the team taught you while in
hospital.
Instructions
Support the incision when coughing or
sneezing by hugging your chest.
Take 5 to 10 deep breaths followed by two
double coughs four times a day for another
two weeks after you leave the hospital.
Walking
This walking program will improve the fitness
of your heart, lungs and muscles. All muscles
must be built up slowly, and the heart is no
exception. This walking program will
gradually reintroduce your heart to exercise,
starting with very short walking periods. It
begins with such short walks that you may be
tempted to skip some levels. Follow the
guidelines and give your heart time to adjust
to increasing amounts of work.
Instructions
Begin walking using the guidelines in the
activity tracker. Within the first two weeks,
aim to improve approximately one level per
day. Thereafter, progress through the weeks
as described.
Walk at a comfortable pace on a level
surface. Do not include any stairs in your
walking program.
When you can walk for 10 minutes, you may
walk outdoors. Exercise indoors if the
weather is extremely cold or hot or if there is
high humidity or poor air quality. Some good
indoor places to walk are a local shopping
centre, apartment hallway, or recreation
centre.
Be sure to plan your walks and communicate
your route with your support person. Do not
walk in secluded areas. Walk in areas that are
emergency vehicle accessible and bring a cell
phone with you.
If the suggested progression is too tiring, or if
you miss one day, stay on the same level for
another one or two days. If you feel tired or
unwell, or have not exercised for two or more
days, drop a level when you begin again.
General exercises
This general exercise program should be
integrated into your daily schedule once you
are comfortable with the walking program.
The program is designed to help alleviate
muscle stiffness, fatigue and poor posture
and to improve strength and flexibility. This is
different from the walking program, which is
for cardiac fitness. Therefore, one program
cannot substitute for the other.
Your physiotherapist may make changes for
you as required before you leave the
hospital.
Instructions
The exercise program should be done once a
day and can either be completed all at once
or spread-out throughout the day.
All exercises should be done slowly with
relaxed, deep breathing. Make sure you are
not holding your breath during the difficult
parts of any exercise. The exercises should be
comfortable and painless. Do not push any
exercises or activity to the point of
discomfort or pain.
