Your question: What do you do if a COPD patient wants no visitors?
My humble answer: You leave him alone.
Your question: What do you do if a COPD patient doesn't want his Q4 breathing treatment at 2 a.m.?
My humble answer: You let him sleep.
Your humble question: What do you do if a COPD patient doesn't want breathing treatments at all?
My humble answer: You respect his wishes.
Your humble question: What do you do if an end stage COPD patient is short of breath but says a breathing treatment won't help and he refuses it?
My humble answer: Chances are the patient knows his body better than you do.
Your humble question: What if a patient gets dyspneic going to the commode and the nurse calls for a treatment and the patient says all he needs is rest.
My humble answer: Then you know your patient is wise. You monitor the patient and pass on the treatment because you know Ventolin doesn't treat hypoxia due to heart failure.
Your humble question: Yeah, but what if the patient has an audible wheeze.
My humble answer: What about it? If it's audible it's not bronchospasm it's secretions. An audible wheeze is a sign of heart failure. It's a cardiac wheeze.
Your humble question: Yet what if the doctor and nurse insist the patient needs Albuterol?
My humble answer: The patient has a right to refuse.
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