Anxiety and Panic Attacks In Emphysema ... - Mind Publications

pursed lips as if gently blowing a kiss at someone or cooling hot soup in a
bowl.
You may breathe in through the nose, if possible, and breathe out
through the pursed lips. The action of leaning slightly forward and blowing
out against pursed lips encourages the contraction of abdominal muscles,
thereby forcing the diaphragm upward to empty the lungs more completely.
People with COPD tend to cut short exhalation and rush to swallow more air,
making breathlessness even worse.
Pursed-lip breathing slows down exhalation and assists with the action of
emptying the lungs and may also help strengthen the breathing muscles.
Lengthen your exhalation. Silently counting while exhaling and inhaling can
help. At first they should inhale for a count of three or four and exhale for the same
count.
Over time, you may aim to increase the exhalation to a count of perhaps six or
eight. An ideal ratio for the length of inhalation to exhalation is 1:2.
10- Steps of PLB
1.“Imagine you are smelling a rose (Inhaling slowly) blowing at the candle like you are bending or
flickering the flame but not so forcefully as to put out the candle. Imagine blowing softly, gently and
slowly.”
2. “Relax your shoulders and neck.”
3. “Pucker your lips as if you were going to whistle or kiss a baby.”
“Softly, VERY GENTLY, and s-l-o-o-w-w-ly breathe out through the pursed lips.
If possible, through both sides of the lips.”
4. “Breathe in slowly through your nose.”
5. “Do not force air out of your lungs. Blow out the breath softly.”
6. “Exhalation should be longer than inhalation. However, increase the length of exhalation gradually.
Exhaling longer than your capacity could make the next breath jerky. If your breathing gets agitated, take a
break.
7. Count in your head as you inhale and exhale so you can keep track of the length of breath. Always
breathe slowly and softly.
8. As much as possible, breathe in through the nose and breathe out through the pursed lips.
9. Gradually learn to exhale twice longer than inhale. For example, if possible, inhale to a count of 5 and
exhale to a count of 10. Never inhale longer than exhale.
10. Over time, lengthen your exhale and inhale maintaining the same ratio. For example, at present, if you
exhale to a count of 8 and inhale 4, over time, perhaps several month, lengthen your exhale to a count of 10
or 12 and inhalation to a count of 5 or 6.
Remember about the length of inhalation and exhalation
It is generally better to exhale longer than inhale
However, if you must, you may exhale and inhale for equal length
But, do not inhale longer than you exhale.