Description of the learner: The learner was scheduled for an operational procedure. Now he is post-operative, thus requiring deep breathing and/or coughing exercises.

Learning need: Deep breathing and coughing exercises.

Learning diagnosis: Knowledge deficit: deep breathing and coughing exercises related to lack of exposure/inability to recall.

Goal: The patient will be able to demonstrate correct deep breathing and coughing exercises.

Objectives Learning Content Teaching Strategy/Method Time and Resources Needed Method of EvaluationAt the end of 10 minutes of health teaching, the client will be able to:1. Identify the purpose of deep breathing exercises and coughing exercises.

Breathing deeply: - Moves air down to the

bottom areas of the lungs- Opens air passages and

moves mucus out so coughing is also easier

- Boosts circulation by helping the blood and oxygen supply reach the lungs

- Lowers the risk of lung complications such as pneumonia

Coughing:- Help expel secretions from

the lungs

One-on-one lecture discussion 3 minutes - Pamphlet Instant oral feedback. The client will be able to identify at least 3/5 purposes of deep breathing and coughing exercises.

2. Demonstrate how to do deep breathing and coughing exercises.

How to perform deep breathing and coughing exercises: 1. Get into a comfortable position (Lying on your back with knees bent, side-lying, or in a seated position)2. Place hands on stomach3. Take a deep breathe in through

Demonstration 5 minutes – Student nurse’s demonstration

Return demonstration.The client will be able to demonstrate how to do the exercises properly.

your nose. Continue until your lungs feel full of air and your stomach is pushing against your hands.4. Slowly blow the air out in one long exhale through pursed lips. When you breathe out, concentrate on making your stomach sink in.

Repeat steps 1-4 to complete 5 breathing cycles

5. Take another deep breath and hold for 3 seconds. Then huff out three times. (Huffing is a short, sharp pant – similar to when trying to create mist on a glass window) On the third huff, cough deeply from the lungs, not the throat.

Repeat steps 2, 3, and 5 to complete 5 coughing exercises.

3. Identify how often deep breathing and coughing exercises should be done

These exercises should be done every hour while awake until you are able to freely and normally walk.

One-on-one lecture discussion 2 minutes - Pamphlet Instant oral feedback. The client will be able to identify how often the exercises should be done.

References:Deep breathing and coughing: Preventing lung problems after surgery. (n.d.). Retrieved from http://sunnybrook.ca/content/?page=patcar-prep-cough