Orthopnea is the best term for the nurse to include in his or her assessment.
Breathing that is difficult or painful is referred to as dyspnea. It is a patient's subjective experience that they perceive and describe. Dyspnea on exertion (DOE) may be a natural occurrence, but when it happens at a level of activity that is typically well tolerated, it is seen as symptomatic of illness.
Orthopnea is the feeling of being out of breath while lying down; it is remedied by sitting or standing. A feeling of shortness of breath that causes the patient to wake up, frequently after one or two hours of sleep, is known as paroxysmal nocturnal dyspnea (PND), and it is typically resolved when the patient is upright.
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Language and communication barrier influence the quality of care that an individual can receive. For instance, in USA, non English speakers are less likely to go for preventive check ups in the hospitals than English speaking people. In the case, where an interpreter will be needed to communicate with the health practitioners, this service is not usually available. Communication barrier can lead to poor comprehension, patients' dissatisfaction, poor adherence and ultimately poor quality of care.