A client with COPD reports shortness of breath during meals. What is the best instruction to provide?

For a client with COPD who experiences shortness of breath during meals, the recommendation to have several small meals throughout the day is particularly beneficial. This approach helps minimize the amount of food that needs to be consumed at one time, which can ease the physical burden on the lungs. Larger meals can increase intra-abdominal pressure, which may restrict diaphragm movement, making it harder for individuals with respiratory conditions to breathe comfortably.

In addition, consuming smaller, more frequent meals can help maintain energy levels without overwhelming the respiratory system. This practice also allows for better digestion and can improve overall nutritional intake.

Other options like increasing portion sizes or skipping meals may lead to exacerbated shortness of breath or inadequate nutrition, while relying solely on liquid foods could lack necessary nutrients and fiber that solid foods provide. Therefore, smaller, more manageable meals are an appropriate instructional approach for individuals with COPD experiencing breathing difficulties during mealtime.