Okay, I've looked and looked and cannot find a good source of information on teaching coughing and deep breathing for someone with a long term tracheostomy. I was practicing teaching for a postop patient and realized if my patient had a trach I wasn't sure how to teach this. I googled and searched my textbook and other books and am a little frustrated that I can't find any info on this. Surely trach patients have to be taught coughing and deep breathing. Shoot I'd think they'd be more at risk for respiratory complications and need it more that other patients. Anyhow, how would you teach coughing and deep breathing to someone with a permanent tracheostomy?