The Effectiveness of Deep-Breathing Exercises After Coronary Artery Bypass Surgery
argumentative Essay
875 words
The purpose of this evidence-based nursing practice paper is to discuss the effectiveness of deep-breathing exercises in the care of a patient who is recently postoperative a coronary artery bypass graft surgery (CABG). It will also critique two professional research studies on this topic, and will answer three essential questions about each study. What are the results of the study? Are the results of the study valid? How are the findings clinically relevant to this patient? The patient, who will be referred to as Mr. Doe throughout this paper, is a 58 year old male with coronary artery disease. His medical history includes angina, shortness of breath, diabetes type II, as well as hypercholesterolemia. He was scheduled for a CABG surgery, and it was performed on February 4 of this year (Mr. Doe, personal communication). Two days postoperative, Mr. Doe had regular complaints of pain and nausea, for which he was medicated for by a patient-controlled analgesia (PCA) pump and with intravenous medication. He had diminished breath sounds in his right and left upper lobes, and his O2 saturations were steady at 94%. He was reluctant to ambulate in the early morning, stating that the nausea was too severe, and that the medications “made him too dizzy,” (Mr. Doe, personal communication). It was also difficult to get Mr. Doe to perform deep-breathing exercises every hour because of the nausea, but he did perform them when prompted to by the nurse and being reminded how important these exercises are in preventing complications. Deep breathing exercises are very important after any surgery. Current research states that “postoperative hypoventilation can be a problem after abdominal or thoracic surgery if pain prevents the patient from ... ... middle of paper ... ...patients. Works Cited Pruitt, B. (2006). Help your patient combat postoperative atelectasis. Nursing 2006, 36(5), Retrieved from February 17, 2010, from CINAHL with Full Text database. Stiller, K., Montarello, J., Wallace, M., Daff, M., Grant, R., Jenkins, S., Hall, B., & Yates, H. (1994). Efficacy of breathing and coughing exercises in the prevention of pulmonary complications after coronary artery surgery. American College of Chest Physicians, 105(3), 741-747. Retrieved from http://chestjournal.chestpubs.org/content/105/3/741. Westerdahl, E., Lindmark, B., Eriksson, T., Friberg, O., Hedenstierna, G., & Tenling, A. (2005). Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. American College of Chest Physicians, 128(5). Retrieved from http://chestjournal.chestpubs.org/content/128/5/3482.full.html.
In this essay, the author
- Explains the purpose of this evidence-based nursing practice paper, which is to discuss the effectiveness of deep-breathing exercises in the care of a patient who recently postoperatively underwent coronary artery bypass graft surgery.
- Describes the patient, who will be referred to as mr. doe throughout this paper, as a 58-year-old male with coronary artery disease. his medical history includes angina, shortness of breath, diabetes type ii, and hypercholesterolemia.
- Explains that mr. doe had regular complaints of pain and nausea, and was medicated for by a patient-controlled analgesia pump and intravenous medication. he was reluctant to ambulate in the early morning, stating that the nausea was too severe.
- Explains that deep breathing exercises are very important after any surgery. postoperative hypoventilation can be a problem after abdominal or thoracic surgery if pain prevents the patient from deep-breathing and effective coughing.
- Analyzes two studies that will be critiqued over the effectiveness of deep-breathing exercises in reducing postoperative pulmonary complications after cabg surgery.
- Explains that the study began with 115 patients who were all undergoing cabg surgery at a university hospital. they were randomized to deep-breathing exercises postoperatively and to no breathing exercises.
- Concludes that the study is valid, and the use of deep-breathing exercises in reducing pulmonary complications postoperatively is likely to be effective.
- Explains that mr. doe would benefit from performing deep-breathing exercises because he is a postoperative cabg patient.
- Explains that study #2 did not come to the same conclusions as study #1. it states that chest physiotherapy didn't seem to decrease the incidence of clinically significant pulmonary complications or length of hospital stay.
- Explains that the study included 127 patients who were randomly assigned to one of three control groups. although 7 patients had to withdraw after surgery, they were replaced to maintain the original number of participants.
- Explains that a lot of criteria must be considered when it comes to determining whether or not research studies are valid. they also learned that there is still so much to be learned about the nursing profession.
- Explains that they plan to use evidence-based nursing practice when providing care for their patients by staying up-to-date with all the recommended nursing interventions and current technologies.
- Cites striller, montarello, daff, grant, r, jenkins, s, hall, b, & yates, h. efficacy of breathing and coughing exercises in the prevention of pulmonary complications after coronary artery surgery.
- Explains that deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery.
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