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An OTR® is conducting a treatment session with a client with chronic obstructive pulmonary disease. The client is engaged in a light work task while sitting, suddenly experiences extreme shortness of breath, and panics. Which response by the OTR® would be MOST appropriate?

User Serafins
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Final answer:

If a client with COPD experiences extreme shortness of breath, an OTR® should help them sit upright, guide through controlled breathing, monitor oxygen saturation, and potentially call for medical assistance, including the insight of a respiratory therapist if necessary.

Step-by-step explanation:

Appropriate Response to a Client with COPD Experiencing Shortness of Breath

The most appropriate response for an Occupational Therapist Registered (OTR®) when a client with chronic obstructive pulmonary disease (COPD) suddenly experiences extreme shortness of breath would be to first ensure the client is in a safe position, such as sitting upright to optimize lung expansion. The OTR® should then attempt to calm the client, guiding them through controlled breathing techniques or the use of pursed-lip breathing to promote better ventilation. It is also essential to assess the need for medical intervention and to use a pulse oximeter, if available, to monitor oxygen saturation. Ensuring that the client's respiratory distress is managed effectively is crucial and may involve notifying a respiratory therapist or other medical staff immediately if the situation does not improve or worsens.

In case the client's condition continues to deteriorate, it is paramount that a medical team intervenes promptly with appropriate measures, which could include administering oxygen, medications, or potentially more advanced respiratory support. An understanding of clinical symptoms and the integration with a medical team is critical in providing holistic care to those suffering from COPD, as elucidated by the cases of respiratory patients needing complex care cited in the scenarios presented.

User Jake Braun
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