# 49

Discuss the nursing interventions for the client who is experiencing shortness of breath and dypnea. Fundamentals 1302
Position in semi-Fowlers or high-Fowlers allowing for maximum chest expansion in bed-confined clients, particular dyspneic clients. Encourage client to turn from side to side frequently, so alternate sides of chest are permitted maximum expansion. Dyspneic clients often sit in bed and lean over their overhead table advantage abdominal organs are not pressing on diaphagm, also lower part of chest on table helps in exhaling. Breathing exercises for clients with restricted chest expansion (I'm thinking this is shortness of breath part of the question) people with COPD or clients recovering from thoracic surgery, breathing exercise is abdominal diaphragmatic and pursed-lip breathing; abdominal breathing permits deep full breaths with liffle effort; pursed-lip breathing helps the client develop control over breathing.