Final answer:
To alleviate stomach discomfort and shortness of breath in an older osteoarthritis patient who has been taking aspirin, a switch to acetaminophen is suggested due to its lower risk of gastrointestinal and cardiopulmonary side effects. Coordination with healthcare providers is essential.
Step-by-step explanation:
If an older patient with osteoarthritis is experiencing stomach discomfort and shortness of breath after years of taking aspirin for pain relief, a change in pain control medication is advisable. Since aspirin is a nonsteroidal anti-inflammatory drug (NSAID) and has been associated with gastrointestinal discomfort and cardiovascular issues, another NSAID is unlikely to alleviate these side effects.
Oral corticosteroids could be effective for pain control but may pose risks of side effects, particularly in the elderly. Mild exercise and warm baths may help manage pain but are unlikely to be sufficient for an individual who has been relying on aspirin for pain relief. A better alternative might be acetaminophen, which has a lower risk of serious side effects when taken as prescribed. However, the home health care nurse should also consider the patient's overall health and coordinate with the patient's healthcare provider for a comprehensive treatment plan.