What should a nurse prioritize in the care of a patient with COPD who is a social smoker?

Prioritizing the acknowledgment of the impact of smoking while ensuring the patient effectively uses their inhaler addresses two critical aspects of managing Chronic Obstructive Pulmonary Disease (COPD). Understanding the consequences of smoking is essential, especially for a patient who identifies as a social smoker. This acknowledges the patient's lifestyle choices and creates an opportunity for open dialogue about their smoking habits.

By focusing on effective inhaler use, the nurse is directly contributing to the patient's respiratory management, which is crucial for managing COPD symptoms. Providing guidance on the correct use of inhalers can lead to improved medication adherence and better overall health outcomes. This approach also fosters a collaborative relationship with the patient, encouraging them to take an active role in their care rather than feeling judged for their smoking status.

In contrast, while educating the patient on the need to quit smoking is undeniably important in the long term, it may not be the most immediate priority if it doesn't directly address the patient's current management needs. Taking sole responsibility for administering inhalers can undermine the patient's autonomy and self-management skills, which are vital for effective chronic disease management. Lastly, simply documenting non-compliance without addressing the reasons behind the behavior does not contribute to patient engagement or understanding, which is key in nursing care.