Deep Breathing Exercise

DESCRIPTION OF THE LEARNER:

LEARNING NEED: What are the measures for decreasing anxiety levels, promoting rest and expectorating secretions?
LEARNING DIAGNOSIS: Knowledge deficit: the other for decreasing anxiety levels, promoting rest and expectorating secretions related to lack of
information
GOAL: The client will be able to acquire knowledge on DBE as an alternative way of decreasing the pain and anxiety and promoting rest.
Specifuc Objective
After health teaching, the
patient will be able to:
1. Define Deep
Breathing

2. Discuss the
importance of deep
Breathing

3. Demonstrate proper
deep breathing

Content

Methodology

Time Frame

Resources

Evaluation

Definition of Deep
Breathing

Lecture Method

1-2 minutes

Books
Pamphlet
Patients and
Student nurses
time

Question and
Answer: the patient
will be able to define
DBE using own
words

What Happens in deep

breathing

Lecture Method

1-2 minutes

Books
Pamphlet
Patients and
Student nurses
time

Proper Deep Breathing

Technique

Lecture Method

2-3 minutes

Books
Patients and

Question and
Answer: the patient
will be able to
discuss the
importance of DBE in
the relief of pain
and decreasing
anxiety levels

Return
demonstration

4. Enumerate at least
5 benefits of Deep
Breathing

Student nurses
time
Benefits of Deep
Breathing

Demonstration

2 minutes

Books
Patients and
Student nurses
time

Question and
Answer: enumerate
at least 5 benefits of
DBE
With the use of his
own words

TEACHING CONTENT: DEEP BREATHING simply refers to delivering oxygen fully into the lungs so that the body receives the amount necessary
to nourish cells. When you breathe properly, not only does more oxygen reach the lungs but also more waste products such as carbon dioxide are
expelled.
IMPORTANCE OF DBE

Deep breathing helps turn on the parasympathetic nervous system, which is the bodys relaxation response., thus relieving pain. Deep
breathing also helps lower blood pressure and decrease the heart rate because more oxygen is circulating within the body.

It is important to breathe deeply several times an hour to keep the lungs filled with air. Breathing deeply will speed recovery and help keep
lungs clear. To take deep breaths correctly, the diaphragm (the muscle below your chest) and abdominal muscles must be used correctly,
not just the chest muscles. Deep breathing must be practiced several times a day.

Weak chest muscles not only make a person's cough weak, they also make it difficult to breathe. Deep breathing exercises can help
increase the strength of the muscles involved in breathing and coughing. These exercises can help to prevent complications such as
pneumonia or a partial collapse of the lung, as well as

help you breathe more easily and comfortably.

Shallow breathing (or chest breathing) causes a constriction of the chest and lung tissue over time, decreasing oxygen flow and delivery to
the tissues. Deep, rhythmic breathing expands the diaphragm muscle, the cone-shaped muscle under the lungs, expanding the lungs air
pockets, invoking the relaxation response, and massaging the lymphatic system.

HOW DBE is PERFORMED

Coughing and deep breathing are desirable in any position. The best position, however, is sitting or standing to allow the diaphragm to
expand. Place one hand on the chest and the other hand on the diaphragm. Exhale normally. Close your mouth, and inhale deeply
through the nose. As you do this, concentrate on feeling your diaphragm rise without the chest rising. If only the hand on your diaphragm
rises as you breathe in, you are breathing correctly.

Inhale a deep breath through your nose, and slowly count to five. Then purse your lips as though you are about to whistle, and breathe out
as much air as you can through your mouth. Do not puff your cheeks out. Rest for a few seconds. Continue deep breathing until you have
done this five to ten times.

BENEFITS
1. Improvement in the quality of the blood due to its increased oxygenation in the lungs. This aids in the elimination of toxins from the system.
2. Increase in the digestion and assimilation of food. The digestive organs such as the stomach, receive more oxygen and hence, operates
more efficiently. The digestion is further enhanced by the fact that the food is oxygenated more.
3. Improvement in the health of the nervous system, including the brain, spinal cord, nerve centers and nerves. This is due again to the
increased oxygenation and hence nourishment of the nervous system. This improves the health of the whole body, since the nervous
system communicates to all parts of the body.
4. Rejuvenation of the glands, especially the pituitary and pineal glands. The brain has a special affinity for oxygen, requiring three times more
oxygen than does the rest of the body. This has far-reaching effects on our well being.
5. Rejuvenation of the skin. The skin becomes smoother and a reduction of facial wrinkles occurs.
6. The movements of the diaphragm during the deep breathing exercise massage the abdominal organs - the stomach, small intestine, liver
and pancreas. The upper movement of the diaphragm also massages the heart. This stimulates the blood circulation in these organs.
7. The lungs become healthy and powerful, a good insurance against respiratory problems.
8. Deep, slow breathing reduces the work load for the heart. The result is a more efficient, stronger heart that operates better and lasts longer.
It also means reduced blood pressure and less heart disease. The yoga breathing exercises reduce the work load on the heart in two ways.
Firstly, deep breathing leads to more efficient lungs, which means more oxygen is brought into contact with blood sent to the lungs by the
heart. So, the heart doesn't have to work as hard to deliver oxygen to the tissues. Secondly, deep breathing leads to a greater pressure
differential in the lungs, which leads to an increase in the circulation, thus resting the heart a little.
9. Deep, slow breathing assists in weight control. If you are overweight, the extra oxygen burns up the excess fat more efficiently. If you are
underweight, the extra oxygen feeds the starving tissues and glands. In other words, yoga tends to produce the ideal weight for you.

10. Relaxation of the mind and body. Slow, deep, rhythmic breathing causes a reflex stimulation of the parasympathetic nervous system, which
results in a reduction in the heart rate and relaxation of the muscles. These two factors cause a reflex relaxation of the mind, since the mind
and body are very interdependent. In addition, oxygenation of the brain tends to normalize brain function, reducing excessive anxiety levels
and relieves pain.
REFERENCES
Microsoft Encarta Encyclopedia 2005; World Book Encyclopedia 2001, Brunner and Sudddarths Medical Surgical Nursing by Smeltzer and
Bare