So, what do we do?
How do we help our patients?
How do we help Enrique take steps that
move more toward Jose's life experience?
Well, helping them develop a routine
of regular aerobic exercises,
meaning it causes you to have
to breathe a little bit harder
will be a better
workout for their lungs.
Now work with your patient,
know what they're capable of.
You know, if they have
difficulty with their joints
that may consider something
like water aerobics,
or senior exercise classes
that are joint-friendly.
There's lots of ways to do aerobic exercise
that don't have to include running.
If the patient smokes or vapes,
you want to encourage
them to look for ways
that they can minimize that in
an effort to stop it completely.
Now, there's been a lot in
the research about vaping.
And we know that initially,
people thought that was safer.
And we're finding out that it is
absolutely not safer than smoking.
So either smoking or
vaping without judgment,
if you discover in your assessment
that the patient has this habit,
just talk to them about
it and look for ways
that you can encourage
them to consider
minimizing and hopefully eventually getting
the point where they can stop altogether.
Now, it's best for all of us if you limit
your exposure to environmental pollution.
Some people don't have the luxury
of this based on where they live.
But if you do, so try to limit your
exposure to that as best you can.
Secondhand smoke can be just as
detrimental as if you were a smoker.
So that can become a touchy subject if
someone lives with someone who smokes.
Now dust and other toxins,
it's just better to breathe oxygen
instead of air that has toxins like dust
and smoke and environmental factors in it.
Now, maintaining a healthy weight
helps every system in your body
and the respiratory
system is no exception.
You also want to get your pneumonia and
flu vaccines as indicated or needed.
All elderly clients
are recommended to get
the pneumonia and vaccine
shots on a regular basis.
Now if I'm a nurse,
what are special respiratory
nursing actions that I would do?
Well, if I want to keep them safe and the
patient is having difficulty breathing
or they're at a risk for
I always want to keep the
head of the bed elevated.
So head of the bed elevated is the
best way to maintain patent airways.
So whether I'm feeding a patient,
whether having trouble breathing,
I'm worried about
I'm always going to want that
head of the bed up or elevated.
Watch them for the
need for oxygen.
So we're going to supplement
their oxygen as they needed.
They may need a nasal
cannula or a mask
or some other type of
but watch them to see if they need
additional oxygen supplements.
Now incentive spirometry,
nobody likes it, right?
Nobody likes doing it,
especially if they've had any trauma
to their chest wall or to a surgery.
It is uncomfortable
but it's a simple,
not very sexy nursing
intervention but it is the bomb.
You need incentive spirometry,
because what does it cause you to do?
To take deep breaths,
and we can measure them.
So we can encourage you to take bigger
and bigger, deeper and deeper breaths.
So again, it's not super sexy,
but it is really effective.
You want to make sure the
patient doesn't get dehydrated.
See if the patient
has a pneumonia
and they've got a bunch
of gunk in their lungs.
If they become dehydrated,
it's hard for us to get
that out of their lungs,
it kind of becomes like
cement down in there.
So we want to make sure that
they stay well hydrated.
Of course you would consider the patient
has any renal problems or CHF problems.
So you want to keep them appropriately
hydrated for their medical history.
Now moving around
and this is no exception when
someone's in the hospital.
Mobility is a priority.
You don't want somebody staying in bed
or sitting in a chair all day ever.
Whether they're at home
or in the hospital,
the more you can move them,
the better their body will function,
particularly their lungs.
The mobility and incentive spirometry are
two of the best ways to ward off pneumonia.
For clients who are at risk.
Now you have to help your patient
understand coughing is important.
So if they have an
you would want to splint that
meaning you would take a pillow
and you would hold it against
their chest while they cough.
We want to encourage
them to take
the strongest cough that they
can, none of that little stuff.
You want them to be able
to take a big breath in
and cough as hard as they can
in order to make it effective.