Knuckling - a "new" method for applying nasal spray

Today had a rogue customer-cum-boh chap about father scenario in a community setting. Not easy when the patient is absent and you end up counselling the third party to reply message to the patient @@.

Made a few blunders here and there,
- Realised I was leaning against the table
- Was looking down at the patient - he sat, I stood
- Didn't realised I mentioned "expectorant" when I wanted to pass him a normal cough linctus
- Should have intro the range of Duro-tuss products available
- Forgot to give frequency of use and ended with the word "often"
- Never explained in depth about certain instructions and their importance.
- No need to shake Afrin spray but I still ask to shake (because of consistency)
- My big handwriting and gaps left behind in the earlier questions rendered me insufficient space to write - only 1 sheet given *sianz 0.5* discrimination against people with big handwriting bleah
- and most idiotic of all - DUNNO HOW TO SIMULATE PHARMACIST AND DOCTOR COMMUNICATION ... should have asked doctor direct about patient when son boh hiu right? *tock on th head*

With regards to nasal sprays, there are several techniques of use out there.
Most common method is the use of a finger to press down on nostril and inhale through the other. But then hor, if you suffered from rhinitis, I confirm you will super jiak lat if you do that.

During congestion of your nose, your nasal conchae would have become swollen and tender. Adding pressure to that area may because pain and may trigger a bout of sneezing = more pain!

Some may use the pointed cap of the spray to jam up the nostril but I find that a bit yucky - especially if you forgot to clean the cap later. Ast least skin will secrete their own anti-microbial substances

My tester heard my technique for the first time. When I was counselling he was thinking "Oh realllllyyyyy"-because I never explained the background behind the technique (tell son for what, his father suffering but he boh chap) - whether he eventually accepted it or not is another issue.

1. Wash hands
2. Stand by nasal spray
3. Shake nasal spray
4. Using your non-spraying hand, fold your index finger towards palm and insert the knuckle into the other nostril that is not being sprayed into.
5. The knuckle should fit snuggly into the nostril and the skin folds help to form a tighter seal as compared to you pressing on your tender nasal conchae or using a rigid spray cap.
6. Start inhaling through your nose and spray a dose.
7. Breathing in deeply through nose as possible.
8. Repeat with the other nostril if needed.
9. Some people would pinch the nose after spraying to suck in another time (to try to get some stuff into the sinual cavity)
10. If using a steroidal spray, you may want to gargle mouth after use.

Should we conduct a multicentre RCT on techniques of spraying stuff into stuffed noses?