Which intervention should you suggest to the client with COPD to reduce early satiety?
A. "Avoid drinking fluids just before and during meals."
B. "Use a bronchodilator inhaler 30 minutes before meals."
C. "Increase the amount of protein and reduce the amount of fat in your diet."
D. "Practice diaphragmatic breathing against resistance at least 4 times each day."
A
Early satiety is a sensation of fullness after eating a relatively small amount of food. This sensa-tion makes it harder for clients with COPD to eat enough food to meet their energy requirements. Drinking fluids just before a meal or during a meal contributes to the sensation of fullness and clients stop eating sooner. Although it is recommended that clients with COPD use an inhaler before meals to increase ventilation and gas exchange (and to reduce coughing during meals), this practice does not affect early satiety and neither does diaphragmatic breathing.
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