A post-operative adult patient demonstrates confusion on how to use an incentive spirometer. What should the therapist do?

Switching to a volume-type device can be an appropriate approach when a patient is having difficulty understanding how to use an incentive spirometer. Incentive spirometers require specific patient cooperation and understanding of the technique to be effective. In the case of confusion, simplifying the device used can help ensure that the patient is able to perform the necessary respiratory exercises effectively.

A volume-type device often provides more straightforward feedback, allowing the patient to see the volume of air they are inhaling. This can be less intimidating and more intuitive compared to using an incentive spirometer, particularly for patients who may be disoriented post-operatively. By switching to a more user-friendly device, the therapist can facilitate proper lung expansion efforts while reducing frustration and promoting compliance.

While other options, like coaching the patient more diligently or assessing the cause of their confusion, also play valuable roles in patient care, the immediate action of changing to a volume-type device addresses the urgency of the patient’s needs and aims to improve their respiratory function in a practical manner. The focus here is on ensuring the patient can successfully perform the task, ultimately supporting their recovery.