Orthopnea is the best term for the nurse to include in his or her assessment documentation to note that a client is unable to lie flat without becoming short of breath.
Dyspnea is the medical term for difficulty breathing or unpleasant breathing. The perception and description are products of the patient's subjective experience. Although dyspnea on exertion (DOE) is a common occurrence, it is regarded as a sign of disease when it occurs at a level of activity that is usually well tolerated.
Being unable to breathe while lying down is known as orthopnea; it can be treated by sitting up or standing. Paroxysmal nocturnal dyspnea (PND), a sensation of shortness of breath that wakes the patient up, generally after one or two hours of sleep, usually goes away when the patient is upright.
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