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How to coach a patient to perform spirometry

The typical spirometry exam is a three-phased process – each with their own coaching techniques to help patients produce an effective test.

  1. Phase 1
    In the first phase, the goal is to instruct the patient on the proper techniques to apply their mouth to the spirometry mouthpiece. Best results are achieved when the patient takes a deep, deep breath, placing the mouthpiece between their teeth, and sealing the mouthpiece with their lips.
  2. Phase 2
    The second phase is the BLAST. This is when the patient will blow out as hard and as fast as possible. Coaching a patient in this phase is best achieved by developing a rapport with them prior to the exam, as the tester will learn which level of coaching is best for that individual patient.
  3. Phase 3
    The final phase is the remaining 5 to 6 seconds of exhalation. In this phase, you’ll quietly encourage the patient to “keep blowing” to complete the exhalation.

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