Fillable Daily Record of Your Breathing Rate (Services Australia)

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Daily Record of Your Breathing Rate (Services Australia)

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The Daily Record of Your Breathing Rate (Services Australia) form is 1 page long and contains:

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Country of origin: AUSTRALIA
File type: PDF

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Services Australia, (previously DHS - Department of Human Services) is responsible for delivering services relating to health and welfare of Australian citizens. It processes payment of child support other services.

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Instructions
•
Monitor your breathing rate at the times
shown below.
•
If you have just done some form of activity
(e.g. walking upstairs, etc.) that increases
your breathing rate, take your breathing
rate about 20 minutes after you have
finished the activity.
•
Try to be sitting or standing quietly when
you count your breathing. Don’t try to
alter your breathing rate as you are
counting.
•
Breathing Exercise:
a) put your writing hand on your stomach
and the other hand on your chest,
b) breathe in through your nose and out
through your mouth. Remember…jaw
relaxed, breathe low and slow
c) Do this for approximately 5 minutes
three times per day.
•
Remember to: 1) monitor your breathing
rate, 2) practise the breathing exercise,
and 3) monitor your breathing rate again.
10:00 a.m. 2:00 p.m.
Date
Before After Before After Before After
7:00 p.m.
Daily Record of Your Breathing Rate
CALMING TECHNIQUE
1. Ensure that you are sitting on a comfortable chair or laying on a bed
2. Take a breath in for 4 seconds (through your nose if possible)
3. Pause for 2 seconds
4. Release the breath taking 6 seconds (through your mouth).
•
Psychotherapy
•
Research
•
Training
C
C
I
entre for
linical
nterventions
Breathing Rate: Number of breaths (in and out) in one minute.
1..2..3..4..
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Daily Record of Your Breathing Rate (Services Australia)

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Completed 24 September 2021

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