Dyspnoea in Advanced Disease A Guide to Clinical Management

by Booth, Sara; Dudgeon, Deborah

• ISBN13: 9780198530039
• ISBN10: 019853003X
• Format: Paperback
• Copyright: 2006-01-26
• Publisher: Oxford University Press

Summary

Dyspnoea (breathlessness) is an uncomfortable awareness of breathing that occurs in approximately 30-75% of terminal cancer patients. It is one of the most distressing symptoms for both patients and family members and can seriously impact on quality of life. Typically, dyspnoea is associatedwith congestive heart failure, end-stage chronic obstructive pulmonary disease, or lung cancer. This book provides palliative care doctors and specialist nurses with practical guidelines to help manage and treat patients with breathlessness. It includes the science behind the symptom in an attemptto explain the pathology and physiology of this complex condition. The book has been organized to address generalized aspects of breathlessness in advanced illness and more specific aetiologies and managements relevant to particular underlying diseases. It summarizes the epidemiology and the pathophysiology of breathlessness, measurement, research approaches,rehabilitation and exercise, clinical approaches that can be taken at the bedside, pharmacological and non-pharmacological approaches, and surgical interventions. The care of patients with dyspnoea requires input from a variety of disciplines such as palliative care, physiotherapy, respiratory medicine and nursing, and this is reflected in the multidisciplinary list of contributors.

Table of Contents

Contributors	xi
The genesis of breathlessness. What do we understand?	1	(18)
Douglas Beach
Richard M. Schwartzstein
Multidimensional assessment of dyspnea	19	(20)
Virginia Carrieri-Kohlman
Deborah Dudgeon
Breathlessness in heart failure	39	(16)
David P. Dutka
Miriam J. Johnson
Dyspnea in chronic obstructive pulmonary disorder	55	(20)
Michelle M. Peters
Denis E. O'Donnell
Breathlessness in advanced cancer	75	(24)
Deborah Dudgeon
Breathlessness in neurological disease	99	(14)
Fliss Murtagh
Rachel Burman
Polly Edmonds
Breathlessness in children	113	(14)
Stephen Liben
Respiratory muscle function in breathlessness	127	(10)
Michael Polkey
Pulmonary rehabilitation	137	(20)
Nha Voduc
Katherine Webb
Denis E. O'Donnell
Surgical interventions to improve dyspnoea	157	(14)
Andrew J. Drain
Francis C. Wells
Non-pharmacological approaches	171	(34)
Virginia Carrieri-Kohlman
Oxygen in the palliation of breathlessness	205	(32)
Anna Spathis
Rosemary Wade
Sara Booth
Pharmacological approaches to breathlessness	237	(18)
David C. Currow
A palliative approach to the breathless patient	255	(8)
Sara Booth
Deborah Dudgeon
Index	263