Dyspnoea in Advanced Disease

A Guide to Clinical Management
Erscheinungsjahr 2005
ISBN: 978-0-19-853003-9
Verlag: OUP Oxford

Buch, Englisch, 288 Seiten, Paperback, Format (B × H): 156 mm x 234 mm, Gewicht: 436 g

Summarizes current knowledge on the pathophysiology and treatment of dyspnoea in people with different underlying diseases
- Provides comprehensive information on the latest scientific advances of this complex condition
- Combines scientific understanding with practical clinical guidance
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.

Contents
- 1 Douglas Beach & Richard M. Schwartzstein: The genesis of breathlessness - what do we understand?
- 2 Virginia Carrieri-Kohlman & Deborah Dudgeon: Multidimensional assessment of dyspnoea
- 3 David P. Dutka & Miriam Johnson: Breathlessness in heart failure
- 4 Michelle M. Peters & Denis O'Donnell: Dyspnoea in chronic obstructive pulmonary disorder
- 5 Deborah Dudgeon: Breathlessness in advanced cancer
- 6 Fliss Murtagh, Rachel Burman & Polly Edmonds: Breathlessness in neurological disease

- 7 Stephen Liben: Breathlessness in children
- 8 Michael Polkey: Respiratory muscle function in breathlessness
- 9 Nha Voduc, Katherine Webb & Denis O'Donnell: Pulmonary rehabilitation
- 10 Andrew J. Drain & Francis C. Wells: Surgical interventions (including management of malignant pleural effusions)
- 11 Virginia Carrieri-Kohlman: Non-pharmacological approaches
- 12 Anna Spathis, Rosemary Wade & Sara Booth: Oxygen in the palliation of breathlessness
- 13 David Currow: Pharmacological approaches to breathlessness
- 14 Sara Booth & Deborah Dudgeon: A palliative approach to the breathless patient

Zielgruppe

Palliative care doctors, specialist nurses, oncologists, and physicians in other disciplines who are responsible for the care of patients with advanced disease

Autoren/Hrsg.

Booth, Sara

Dudgeon, Deborah

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Allgemeinmedizin, Familienmedizin
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Kardiologie, Angiologie, Phlebologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Palliativpflege, Sterbebegleitung, Hospiz
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Palliativmedizin
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Onkologie, Krebsforschung
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Physiotherapie, Physikalische Therapie Ergotherapie, Kreativtherapie (z. B. Kunst, Musik, Theater)
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Pneumologie, Atmung, Asthma

Über Autor(innen)

Edited by Sara Booth, Macmillan Consultant in Palliative Medicine and Director of Palliative Care Service, Addenbrooke's Palliative Care Service, Cambridge, UK and Deborah Dudgeon, W. Ford Connell Professor of Palliative Care Medicine, Queen's University, Kingston, Ontario, Canada

Contributors: Douglas Beach, Division of Pulmonary and Critical Care Medicine and Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA Sara Booth, Macmillan Consultant in Palliative Medicine, Addenbrooke's Palliative Care Service, Cambridge, UK Rachel Burman, Consultant in Palliative Medicine, King's College Hospital Palliative Care Team. London, UK Virginia Carrieri-Kohlman, Professor, Department of Physiological Nursing, University of California, San Francisco, USA David Currow, Professor, Department of Palliative and Supportive Services, Flinders University, South Australia; Director, Southern Adelaide Palliative Services, Daw Park, South Australia Andrew J. Drain, Specialist Registrar, Papworth Hospital, Cambridge, UK Deborah Dudgeon, W. Ford Connell Professor of Palliative Care Medicine, Queen's University, Kingston, Ontario, Canada David P. Dutka, Lecturer in Cardiovascular Medicine and Honorary Consultant Cardiologist, Addenbrooke's NHS Trust, Cambridge, UK Polly Edmonds, Consultant in Palliative Medicine, King's College Hospital Palliative Care Team, London, UK Miriam Johnson, Consultant Palliative Physician, St Catherine's Hospice, Scarborough, UK Stephen Liben, Director, Palliative Care Program, The Montreal Children's Hospital of the McGill University Health Center; Associate Professor of Pediatrics, McGill University, Montreal, Canada Fliss Murtagh, Specialist Registrar, King's College Hospital Palliative Care Team, London, UK Denis O'Donnell, Professor of Medicine and Physiology; Head, Division of Respirology and Critical Care Medicine, Department of Medicine, Queen's University, Kingston, Ontario, Canada Michelle M. Peters, MSC Candidate, Physiology, Queen's University, Kingston; Research Associate, Kingston General Hospital, Ontario, Canada Michael Polkey, Consultant Physician and Reader in Respiratory Medicine, Royal Brompton Hospital/National Heart and Lung Institute, London, UK Richard M. Schwartzstein, Associate Professor of Medicine, Harvard Medical School; Clinical Director, Division of Pulmonary and Critical Care Medicine, Beth Israel Deaconess Medical Center, Boston, USA Anna Spathis, Specialist Registrar in Palliative Medicine, Addenbrooke's Hospital, Cambridge Nha Voduc, Assistant Professor, University of Ottawa, Canada Rosemary Wade, Consultant in Palliative Medicine, West Suffolk Hospitals NHS Trust, Bury St Edmonds, UK Katherine Webb, Research Associate, Queen's University, Kingston, Ontario, Canada Francis C. Wells, Consultant Cardiothoracic Surgeon, Papworth and Addenbrooke's Hospital; Associate Lecturer in Surgery, Cambridge University, Cambridge, UK