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Ms. Rose (Problem List: (Shortness of breath, Weakness, Unable to do her…

- - - - Grade up:
        
        Have the client perform the chin tucks without verbal cueing to do so.
      - Grade down:
        
        Before each bite, remind the client to tuck their chin when they goto swallow
  - - - Grade up:
        
        Have the client perform a swallow without pushing their tongue up against the roof of their mouth throughout the entire swallowing process.
      - Grade down:
        
        Before each bite, remind the client to tuck her chin and push her tongue up against the roof of her mouth through out the entire swallowing process.
  - - - Have the client perform exercises with more weight and fewer breaks.
    - - Give the client exercises that don't require additional weight or resistance, and let her take breaks more often.
  - - - Grade up:
        
        Have the client repeat given information back to the therapist.
      - Grade down:
        
        Give client a print out of precautions and information to remind them about the seriousness of COPD.
  - - - Grade up:
        
        Have client sit unsupported, in an upright posture for an entire meal.
      - Grade down:
        
        Allow the client to sit in a chair with arm rests or a bed with the ability to prop the patient up into a seated position while eating.