Dyspnea review for the palliative care professional: assessment, burdens and etiologies

Arif Kamal, Jennifer Maguire, J Wheeler, David Currow, Amy Abernethy

    Research output: Contribution to journalArticle

    27 Citations (Scopus)

    Abstract

    Background: Dyspnea is a common symptom experienced by many patients with chronic, life-threatening, and/or life-limiting illnesses. Although it can be defined and measured in several ways, dyspnea is best described directly by patients through regular assessment, as its burdens exert a strong influence on the patient's experience throughout the trajectory of serious illness. Its significance is amplified due to its impact on family and caregivers. Discussion: Anatomic and physiologic changes associated with dyspnea, and cognitive perceptions related to patients and the underlying disease, provide insights into how to shape interventions targeting this oppressive symptom. Additionally, as described in the concept of "total dyspnea," the complex etiology and manifestation of this symptom require multidisciplinary treatment plans that focus on psychological, social, and spiritual distress as well as physical components. Several validated assessment tools are available for clinical and research use, and choice of method should be tailored to the individual patient, disease, and care setting in the context of patient-centered care. Conclusion: This article, the first in a two-part series, reviews the identification and assessment of dyspnea, the burden it entails, and the underlying respiratory and nonrespiratory etiologies that may cause or exacerbate it.

    Original languageEnglish
    Pages (from-to)1167-1172
    Number of pages6
    JournalJournal of Palliative Medicine
    Volume14
    Issue number10
    DOIs
    Publication statusPublished - 2011

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