An 84-year-old woman presented for her first visit to the clinic with her granddaughter. Her lung volumes and capacities were evaluated using spirometry. She was found to have moderate lung function impairment. She was taught pursed lips breathing and diaphragmatic breathing exercises and instructed to do them at home 10-15 times twice daily. Her progress will be assessed in a follow up appointment in 3 days.

1. Old patient (84 years old woman) presents for the first time at the
LOES clinic with her granddaughter.

4. After the clinical history, the patient was evaluated with a spirometer to measure
its level to determine the volumes and capacities of the lung
which could only moderate the minimum of the level

5. Extreme
Maximum
Very very heavy
Very heavy
Heavier
Heavy
Something heavy
Light
Very light
Very very light
Repose
Mrs. Abigail presents a level 8 on the
Borg scale
• SUBJECTIVE evaluation of effort
during physical exercise: Borg scale

6. Exercises used in the patient
Pursed Lips Breathing
Indications
The first: If tolerated: sit in
a chair, armchair or reclining
in bed supported by pillows.
The second: Inhale through
the nose slowly.
The third: Hold your breath,
if possible, for 2 or 3 seconds
(considering the tolerance
of the patient).
Finally: Form a U with your
lips to exhale slowly through
your mouth
(In clinic and home)

7. Abigail this exercise should be done in repetitions of 10 to 15 times, 2 or 3 times
a day in your home.
What benefits will it bring you.
• Obeying the tolerance.
•Helps to retrain the muscles used for breathing.
•Allows to eliminate secretions.

8.  Diaphragmatic breathing
Indications
The first: Lie down or sit down and place your hands on your abdomen and inhale to
dilate it
The second: form a U with your lips, and exhale slowly at
so that the abdomen relaxes.
(In clinic and home)

9. Abigail this exercise should be done in repetitions of 10 to 15 times, 2 times a
day.
It can be done sitting or lying down, slightly flexing the legs, for which
You can lean on a cushion under them.
• Helps retrain the muscles used for breathing.
• Helps re-educate breathing.
• Increases the respiratory volume and decreases the work of breathing.
• Allows to eliminate secretions.

10.  Doing these exercises abigail felt better, so once the exercises are done, you
will be printed step by step how to do it at home. The next scheduled
appointment will be in 3 days to assess your progress .