James is a 67-year-old black male who is a retired high school teacher and is married, with two grown children. He was diagnosed a year ago with group B COPD. He has a 49-pack-year history and, unfortunately, continues to smoke cigarettes. James was admitted 1 week ago with his first COPD exacerbation. He is currently receiving oxygen via nasal cannula at 2 L. It is anticipated that he will be discharged in 2 days. AS a Case Manager, you will assist him in transitioning to the home setting.
What interventions would you recommend to optimize James's health-related quality of life?
Observe sign and symptoms of infections.
Position head midline with flexion on appropriate for condition.
advise to keep environmental pollution to a minimum such as dust, smoke, and feather pillows, according to the individual situation.
Encourage abdominal or pursed-lip breathing exercises.
Observe characteristics of cough (persistent, hacking, moist). Assist with measures to improve the effectiveness of cough effort.
Demonstrate chest physiotherapy, such as bronchial tapping when in cough, proper postural drainage.
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