The patient was instructed in cystic fibrosis the importance of breathing exercises, percussion and postural drainage techniques. The patient was taught to use the home nebulizer, metered-dose nebulizer, and other respiratory equipment necessary to release secretions and dilate the bronchi. The patient was reviewed the need to avoid known respiratory irritants such as smoke and air pollutants and persons with upper respiratory infections. The patient was taught on methods of clearing secretions, such as coughing, positioning, or suctioning. The patient was instructed on adaptive breathing techniques to decrease work of breathing. The patient was encouraged to participate in a program of aerobic exercise; swimming helps strengthen the muscles of respiration and promotes good breathing habits.