What is the best initial action for a physical therapist assistant when treating a patient who is orthopneic?

For a patient who is orthopneic, which refers to difficulty breathing when supine that improves when sitting or standing, raising the head of the bed is an effective initial action. This position allows gravity to assist in lung expansion and aids in the reduction of respiratory distress by helping to alleviate pressure on the diaphragm. It can also promote better airflow and gas exchange, making it easier for the patient to breathe.

While oxygen therapy, monitoring oxygen saturation, and checking respiratory rates are important components of patient care, they may not address the immediate need for relief from orthopnea. Elevating the head of the bed directly targets the comfort and safety of the patient, enabling them to breathe more easily and effectively during the treatment session. Thus, positioning the patient appropriately is the most suitable first step in managing their condition.