Dyspnoea in Advanced Disease: A Guide to Clinical ManagementSara Booth, Deborah Dudgeon OUP Oxford, 2006 - 271 páginas 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 associated with 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 attempt to 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. |
Contenido
Multidimensional assessment of dyspnea | 19 |
Breathlessness in heart failure | 39 |
Dyspnea in chronic obstructive pulmonary disorder | 55 |
Breathlessness in advanced cancer | 75 |
Breathlessness in neurological disease | 99 |
Breathlessness in children | 113 |
Respiratory muscle function in breathlessness | 127 |
Surgical interventions to improve dyspnoea | 157 |
Nonpharmacological approaches | 171 |
Oxygen in the palliation of breathlessness | 205 |
Pharmacological approaches to breathlessness | 237 |
A palliative approach to the breathless patient | 255 |
Otras ediciones - Ver todas
Dyspnoea in Advanced Disease: A guide to clinical management Sara Booth,Deborah Dudgeon Vista previa limitada - 2005 |
Dyspnoea in Advanced Disease: A Guide to Clinical Management Sara Booth,Deborah Dudgeon Vista previa limitada - 2006 |
Términos y frases comunes
activities acute advanced disease afferent air hunger airway anxiety Appl Physiol arterial assessment associated asthma benefit Borg scale breathing discomfort breathlessness bronchoconstriction cancer patients carbon dioxide cardiac Carrieri-Kohlman cause cent chest wall chronic airflow chronic heart failure chronic obstructive pulmonary Clin clinical COPD COPD patients correlates DBRCT decrease diaphragm dihydrocodeine distress dose dynamic hyperinflation dyspnea dyspnea in patients exercise capacity exercise tolerance exercise training fatigue hypercapnia hyperinflation hypoxemia hypoxia improved increased interventions l/min via nasal lung cancer lung volume malignant measure mechanical morphine nasal cannulae O'Donnell obstructive pulmonary disease opioids oxygen therapy palliation palliative palliative care PaO2 patients with chronic patients with COPD pericardial effusion physiological pleural effusion pressure pulmonary rehabilitation receptors reduced rehabilitation program Respir Respir Crit Respiratory Disease response result Rev Respir SaO2 Schwartzstein RM sensation of breathlessness severe shortness of breath significant strategies studies supplemental oxygen theophylline Thorax tidal volume treatment ventilation walking test