Which technique is the most effective for a client with chronic obstructive pulmonary disease to cough?

The most effective technique for a client with chronic obstructive pulmonary disease (COPD) to cough is to take a deep abdominal breath, bend forward, and cough three or four times on exhalation. This method utilizes diaphragmatic breathing, which is particularly beneficial for individuals with COPD. The emphasis on deep abdominal breaths promotes effective lung expansion and mobilizes secretions within the airways.

Bending forward during the cough enhances diaphragmatic function and allows for greater thoracic expansion, facilitating the expulsion of mucus. By focusing on exhalation while coughing multiple times, this technique can help clear the airways more effectively, making it suitable for individuals struggling with secretions due to their chronic condition.

In contrast, other techniques listed may not provide the same level of effectiveness for several reasons. For instance, lying flat (as mentioned in another technique) can impede diaphragmatic movement and exacerbate respiratory distress in individuals with COPD, making it less effective. Rapid, shallow breathing combined with a forceful cough can lead to hyperventilation and is less controlled, which might not promote the effective clearance of secretions.

Thus, the chosen technique is optimal for encouraging a productive cough while also supporting lung function and efficiency in airway clearance for those living