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Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...

Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...

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<strong>Nurs<strong>in</strong>g</strong> Best Practice Guidel<strong>in</strong>eAppendix I: Energy Conservation TipsEnergy Conservation means avoid<strong>in</strong>g fatigue by f<strong>in</strong>d<strong>in</strong>g the easiest ways <strong>of</strong> do<strong>in</strong>g your work, and achiev<strong>in</strong>ga good balance between work and rest.General Pr<strong>in</strong>ciples <strong>of</strong> Energy Conservation:Pac<strong>in</strong>g:■■■■■Balance activities and restSteady work = decreas<strong>in</strong>g efficiencyPeriodic breaks = ma<strong>in</strong>ta<strong>in</strong>ed efficiencyRest follow<strong>in</strong>g mealsUse slow rhythmic movementsPlann<strong>in</strong>g:■ Time management is important■ Develop a healthy schedulePrioritiz<strong>in</strong>g:■ Set priorities■ Elim<strong>in</strong>ate unnecessary tasksPosture:■ Make correct use <strong>of</strong> your body <strong>in</strong> all tasks■ Keep your work <strong>with</strong><strong>in</strong> easy range■ Change positions frequently■ Make sure your work is at the proper heightPr<strong>of</strong>iciency:■ Organization is essential■ Use equipment that is best suited to the job, and which requires the least amount <strong>of</strong> workWays to Conserve Energy:1. Control Your Breath<strong>in</strong>g: Use breath<strong>in</strong>g control dur<strong>in</strong>g activities to help reduce shortness <strong>of</strong> breath andfatigue. Exhale dur<strong>in</strong>g the strenuous part <strong>of</strong> an activity and use pursed-lip and diaphragmatic breath<strong>in</strong>g.2. Elim<strong>in</strong>ate Unnecessary Activities: For <strong>in</strong>stance, use a terry robe after shower<strong>in</strong>g to avoid the work <strong>of</strong>dry<strong>in</strong>g yourself, and allow dishes to air dry after wash<strong>in</strong>g.Sit for as many activities as possible. Sitt<strong>in</strong>g uses 25% less energy than stand<strong>in</strong>g.3. Get Assistance: Don’t be afraid to ask for assistance when necessary. Some jobs may be too difficult to doalone. Or, there may be a task that you dislike do<strong>in</strong>g, and which someone else may enjoy do<strong>in</strong>g for you. Ask<strong>in</strong>gfor help does not mean you are dependent; it means you are us<strong>in</strong>g your energy to its best advantage.109

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