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CPT Checklist

This document outlines steps for several chest physiotherapy techniques: 1) Diaphragmatic breathing - Place hands on abdomen and chest to feel diaphragm movement, breathe in through nose with abdomen protruding, breathe out through pursed lips while tightening abdomen muscles. 2) Pursed-lip breathing - Inhale through nose while counting to 3, exhale slowly through pursed lips while tightening abdomen and counting to 7. 3) Cough technique - Sit slightly bent forward, inhale through nose and exhale with pursed lips, cough twice during each exhalation while pulling in abdomen.

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Ma. Angelica Alyssa Racho
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286 views3 pages

CPT Checklist

This document outlines steps for several chest physiotherapy techniques: 1) Diaphragmatic breathing - Place hands on abdomen and chest to feel diaphragm movement, breathe in through nose with abdomen protruding, breathe out through pursed lips while tightening abdomen muscles. 2) Pursed-lip breathing - Inhale through nose while counting to 3, exhale slowly through pursed lips while tightening abdomen and counting to 7. 3) Cough technique - Sit slightly bent forward, inhale through nose and exhale with pursed lips, cough twice during each exhalation while pulling in abdomen.

Uploaded by

Ma. Angelica Alyssa Racho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Name: Sampang, Nursima N.

Group: 4

Chest Physiotherapy

Steps 4 3 2 1 Remarks

Diaphragmatic Breathing

1. Place one hand on the abdomen (just below the ribs) and the other
hand in the middle of the chest to increase the awareness of the position of
the diaphragm and its function in breathing

2. Breathe in slowly and deeply through the nose, letting the abdomen
protrude as far as possible

3. Breathe out through pursed lips while tightening (contracting) the


abdominal muscles

4. Press firmly inward and upward on the abdomen while breathing out

5. Repeat for 1 minute; follow with a rest period for 2 minutes

Pursed-Lip Breathing

6. Inhale through the nose while slowly counting 3

7. Exhale slowly and evenly against pursed lip while tightening the
abdominal muscles

8. Count to 7 slowly while prolonging expiration through pursed lips

9. While sitting in a chair:


· Fold arms over the abdomen
· Inhale through the nose while counting to 3 slowly
· Bend forward and exhale slowly through pursed lips
while counting to 7 slowly

10. While walking:


· Inhale while walking two steps
· Exhale through pursed lips while walking four or five
steps

Cough Technique

11. Place the client in a sitting position and bend slightly forward

12. Instruct the client to flex the knees and hips

13. Ask the client to inhale slowly through the nose and exhale through
pursed-lip breathing several times

14. Splint the incision area, if any, with firm hand pressure or support it
with a pillow or rolled blanket while coughing

15. Cough twice during each exhalation while contracting (pulling in) the
abdomen sharply with each cough

Percussion or Chest Clapping

16. Place a soft cloth or towel over the segment of the chest that is being
cupped

17. Cupping the hands and lightly striking the chest wall in a rhythmic
fashion over the lung segment to be drained

18. The wrists are alternately flexed and extended so that the chest is
cupped or clapped in a painless manner

19. Instruct the client to do diaphragmatic breathing


20. The cycle is repeated depends on the patient’s tolerance and clinical
response

21. Evaluate breath sounds before and after the procedure

Scoring: 4 – Excellent, 3 – Good, 2- Fair, 1 – Poor, 0 – Not Done Total Score and Equiv.: /88

Date: Name and Signature of Clinical instructor

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