• The patient has been refusing his treatment and breathing exercise which is making it very hard to continue his current medications but as a health care provider, it’s still our job to go to the patient’s room and offer him his breathing treatment. On the assessment of his breath sound, he had secretions, for which he needed nasotracheal suctioning and it should be getting done as per patient’s need to make him feel better. Also, we can add incentive spirometry in his plan to bring up the secretions and instruct him the steps. He was on venture mask on 50% fio2 15 lpm, his saturation was good so weaning trail can be performed by lower down the fio2 to 40%. According to the patient’s chart it is important to know that the patient code status
