County Durham and Darlington - Home



.If possible use a spacer device with your inhaler. This helps to reduce the degree of powder residue left on your tissues.After inhaling rinse your mouth with water – swish it around to reach all areas inhale steam to rinse the tissues further down your throat, larynx and airway.·?Maintain high levels of fluid intake and steam inhalation throughout the day.How to contact usSpeech and Language Therapy Departments Office hours: Monday-Friday 8.30am - 4.30pmUniversity Hospital of North Durham Telephone: 0191 3332591Darlington Memorial Hospital Telephone: 01325 743152Bishop Auckland General Hospital Telephone: 01388 455714Contact details Central Appointments Bureau Speech & Language Therapy Bishop Auckland General Hospital Cockton Hill Road Bishop Auckland County Durham Tel: 01388 455200 cddft. Let us know your thoughts,patient.experience.cddft.nhs.uk15557589535 @CDDFTSpeechTherapy020000 @CDDFTSpeechTherapyDate Published: May 2017Date of Review: May 2023Responsibility: Speech & Language TherapyReference No: PIL/CG/0457Version: 115487644000500 Managing Chronic CoughInformation Leaflet318135118618000Breathing techniques to help with secretion management:?Many people with breathing disorders suffer regularly with chest infections. One effect of this is to increase the secretions produced within the lungs. In order to clear the lungs of these secretions it is common for people to resort to extreme bouts of coughing.?However this is not the most effective way to deal with the secretions.?Coughing for extended periods causes increased muscle tone in the lungs and can trigger bronchial spasm, which in turn causes more secretions to form in the lungs. Coughing hard to eject secretions causes the vocal folds to be brought sharply together which is very harsh and can lead to voice quality change.?The following exercise techniques will help to clear your lungs without promoting coughing or damaging your voice.?Environmental Dryness?We tend to live very dry lives nowadays with centrally heated, double-glazed, draught excluded homes; air-conditioned offices, leisure centres, hotels and public buildings like hospitals and shopping centres. These conditions dry-out the air we breathe and reduce the natural moisture support we need from our environment.?In such conditions try to improve moisture retention by:-Taking plenty of sips of water throughout the dayInhale steam whenever you have the opportunity?If you control the environment improve humidity by encouraging evaporation of water into the atmosphere:-Adding a bowl of water in a dry roomHanging cups of water on your radiatorsHaving vases of cut flowers or plants with large water-trays in the room?The Active Cycle of Breathing?The active cycle of breathing is designed to clear secretions with minimal effort and without the need for excessive coughing.?Getting started:?Adopt a comfortable position. You may find lying on your side or sitting at a table leaning forward with your head on a pillow will help with lung clearance.?Step one: Relaxed breathingWith slow rhythmical breathing (10 – 12 breaths per minute) your stomach should rise as you breathe IN and relax flattening back as you breathe OUT. Your shoulders and neck should be relaxed and your upper chest should not move. Place your hand on your stomach to feel it rise and fall.?Take 3 slow rhythmical breaths in and out.Step two: Deep breathingTake 3 deep breaths (feeling the air reach the bottom of your lungs), holding the breath in for 3 – 5 seconds, whilst keeping your shoulders relaxed. Breathe out gently and smoothly. The secretions will now be loosened and moving up the airway from the bottom of your lungs.?Take 3 slow rhythmical breaths in and out.?Step three: Huff or forced expirationTake 3 huffs: Imagine steaming up a mirror with your mouth open.First take a small breath in followed by a forceful huff out using your tummy muscles.Repeat with a medium breath in followed by a forceful huff out.Then take a deep breath in with a forceful huff out. When you feel phlegm at the back of your throat huff again to remove it and repeat the cycle again.?Return to relaxed breathing after each step and take 3 slow rhythmical breaths in and out.?Dry powder inhalersSome commonly prescribed medication can cause drying of the lining of your throat and mouth. Inhaled medications tend to be dry powder which can adhere to the lining of your mouth, throat and airway absorbing the natural moisture and drying the tissues. The following advice will help restore and balance moisture. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download