HEALTH EDUCATION

PRE & POST OPERATIVE

PATIENT WITH CARDIAC
SURGERY
GROUP 4
COHORT 3A
LECTURER: MS. AGNES
 DEEP BREATHING,
COUGHING AND LEG
EXERCISES
 OBJECTIVE

•Patient can breath well.

• Can remove the secretions from the lungs.

•Can increase the blood circulation at the

leg side.
 PURPOSE
• Deep breathing and coughing exercises
facilitate the Respiratory function by helping
in removing secretion from airway tract.

• Voluntary coughing in conjunction with

deep breathing facilitates the movement and
expectoration of secretion in the respiratory tract.

• (LegExercise) Prevent blood clot formation and

restore muscle tone.
How are These Exercises Helpful?
•These exercises facilitate a wide exchange of gases.

•They maximise the amount of oxygen available to the cells.

•They prevent orthostatic pneumonia.

•They make you relaxed.

•They help you cope with pain.

•They help reduce the chances of chest complications

after surgery.
 Who Should Perform These Exercises?

•Patients on bedrest or those who have undergone any

surgical procedure, for example abdominal or chest surgery.

•Patients prone to pulmonary problems.

•Patients susceptible to accumulating respiratory secretions.

 How Frequently Should These Exercises
be Performed?

•Deep breathing should be performed every hour

while awake.

•Patients who have had abdominal or chest surgery need

to perform deep breathing at least three to four times daily.

•Deep breathing exercise may be performed every hour,

specially by patients who are prone to pulmonary problems.
 DEEP BREATHING EXERCISES
1. Breathe in through your nose deeply and slowly.

2. Hold your breath for 3 – 5 seconds.

3. Blow out slowly through your mouth.

4. Repeat 10 times.

5. After your last breath in, give a good cough

(using your abdominal muscles) to clear any mucus.

6. Repeat this exercise every hour while you are awake.

7. This exercise can also be done using an incentive

spirometer which will be provided if needed.
 LEG CIRCULATION EXERCISES

ANKLE PUMPING
1. Point toes of both feet gently away from you, hold 2-3 seconds.
2. Flex your feet with toes point up, hold 2-3 seconds.
3. Repeat 10 times, 4 times daily.

ANKLE CIRCLES
1. Circle your feet around your ankles in each direction 10times.
2. Repeat 4 times daily.

KNEE BENDING
1. Bend each knee, one at a time, sliding foot along the bed toward
you and then slide it down.
2. Repeat 10 times for each leg, 4 times daily.
 EVALUATION
 Patient can breath well.

 Canremove the secretions from the

lungs.

 Can increase the blood circulation at

the leg side.
 REFERENCES
 http://www.utmb.edu/erc/facts/Deep
%20Breathing%20and
%20Coughing.pdf20Coughing.
 http://hubpages.com/hub/Deep-breathing-a
 Fundamental-Kozier Book (page 1368)
THE END
PREPARED BY
 Yusma Azaili Mohd Dali
 Tengku Maria Tengku Yunus
 Nurshuhada Che Halim
 Nis Fathiah Che Lah
 Masni Mohammed
 Ruzanna Abd Aziz
 Nurul Bibiyatul Akmar Anuar
 Mohd Fauzi Mohd Janik
 Nurul Zailatul Salwa Anuar
 Syahidah Mat Yaacob