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Assessment DOB, abnormal breath sounds, changes in RR, tachypnea, cough, cyanosis, dyspnea, apnea, restlessness, use of accessory muscles for breathing, noisy respirations, shortness of breath, altered chest excursion, pursed-lip breathing, nasal flaring, fremitus, 3-point position, confusion, inability to cough out secretions, hypoxia, irritability

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Theoretical framework VBA is based on the COM-B (capability, opportunity, motivation and behaviour) model for behavior change [19]