Individualized breathlessness interventions may improve outcomes in patients with advanced COPD

Respirology : Official Journal of the Asian Pacific Society of Respirology
Mary Y Y QianNatasha Smallwood

Abstract

Many patients with advanced COPD experience refractory breathlessness and individualized breathlessness interventions may improve management of this complex symptom. The aims of this study were to develop, implement and assess the efficacy of a breathlessness intervention for patients with COPD and refractory breathlessness and to evaluate patient acceptability. An individualized breathlessness plan, information leaflets, breathlessness education and a hand-held fan were offered to consecutive patients with severe COPD and refractory breathlessness attending a tertiary integrated respiratory and palliative care service. Validated dyspnoea, quality of life and anxiety/depression questionnaires were administered at baseline and after 6 weeks, with change in dyspnoea scores being the primary outcome measure. A subset of patients participated in a structured telephone interview to qualitatively assess the intervention. Twenty-six patients with severe COPD (mean forced expiratory volume in 1 s (FEV1 ) 38%) were included, with a mean age of 74 years. Mean modified Medical Research Council Breathlessness Scale score was 3.5. Anxiety and depression were common, being present in 38% and 35% of participants. At 6 weeks, there was a clini...Continue Reading

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Citations

Jun 14, 2019·Breathe·Keir PhilipNicholas S Hopkinson
May 31, 2019·Current Opinion in Supportive and Palliative Care·Charles C ReillyMatthew Maddocks
Jul 24, 2020·Current Opinion in Supportive and Palliative Care·Andreas von Leupoldt, Ysys Denutte
Apr 5, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·John W Upham
Jun 27, 2018·Respirology : Official Journal of the Asian Pacific Society of Respirology·Bartolome R Celli
Jul 1, 2021·Chronic Respiratory Disease·Sandra Esperanza Rubio-RaskAnders Løkke
Apr 23, 2021·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Margaret L CampbellLynn F Reinke

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