Chapter

Non-pharmacological strategies for dyspnoea

Virginia Carrieri-Kohlman and DorAnne Donesky-Cuenco

in Supportive Care in Respiratory Disease

Second edition

Published in print January 2012 | ISBN: 9780199591763
Published online May 2012 | e-ISBN: 9780191739149 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199591763.003.0010

Series: Supportive Care Series

Non-pharmacological strategies for dyspnoea

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Despite optimal medical therapy and rehabilitation, nearly 75% of individuals with moderate to severe chronic obstructive pulmonary disease continue to experience dyspnoea with daily activities. Dyspnoea causes social isolation, difficulty performing routine activities, and impairs sexual function. Depression and anxiety often precipitate dyspnoea or are escalated by dyspnoea. This chapter discusses non-pharmacological strategies based on a multidimensional definition of dyspnoea as a symptom, accepted phases of symptom perception, evidence of strong relationships between malleable factors and dyspnoea intensity, and principles of biological, sociological, and cognitive-behavioural theory.

Keywords: breathlessness; patient care; supportive care; dyspnoea

Chapter.  10632 words. 

Subjects: Palliative Medicine

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