A 72-year-old female with a history of coronary artery disea…
A 72-year-old female with a history of coronary artery disease (CAD), hypertension, and type 2 diabetes presents to the clinic with complaints of increasing shortness of breath over the past few weeks. She reports feeling short of breath after walking short distances or climbing stairs, but denies any chest pain or swelling in her legs. Her current medications include aspirin, metoprolol, and lisinopril. Her blood pressure is 130/80 mmHg, heart rate is 78 bpm, and respiratory rate is 18 breaths per minute. On physical examination, there is mild bilateral pitting edema in her lower extremities, but no jugular venous distention or crackles upon auscultation of her lungs. Given her symptoms and history, which is the most important health promotion intervention for this patient?