
Dyspnoea in Advanced Disease
A guide to clinical management
Oxford University Press
Published on 24. November 2005
Book
Paperback/Softback
288 pages
978-0-19-853003-9 (ISBN)
Description
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.
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.
Reviews / Votes
This book is eminently readable, not too long, and offers information to a wide variety of practitioners...in palliative care, respiratory medicine, cardiology, neurology and oncology. * Palliative Medicine 20 * This is an organized book explaining the pathophysiology of dyspnoea and well suited for physicians, nurses, respiratory therapists and palliative care personnel who provide care for patients with end-stage pulmonary, cardiac, renal and malignant diseases. * Doody's Journal *More details
Language
English
Place of publication
Oxford
United Kingdom
Target group
Professional and scholarly
Palliative care doctors, specialist nurses, oncologists, and physicians in other disciplines who are responsible for the care of patients with advanced disease
Illustrations
15 s/w Abbildungen
15 black & white line illustrations
Dimensions
Height: 234 mm
Width: 156 mm
Thickness: 15 mm
Weight
436 gr
ISBN-13
978-0-19-853003-9 (9780198530039)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Persons
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
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
Editor
Macmillan Consultant in Palliative Medicine and Lead Clinician in Palliative Care, Cambridge University Hospitals NHS Foundation Trust; Honorary Senior Lecturer, Department of Palliative Care and Policy, Kings College, London, UK
W Ford Connell Professor of Palliative Care Medicine, Queen's University, Kingston, Ontario, Canada
Content
1. The genesis of breathlessness - what do we understand? ; 2. Multidimensional assessment of dyspnoea ; 3. Breathlessness in heart failure ; 4. Dyspnoea in chronic obstructive pulmonary disorder ; 5. Breathlessness in advanced cancer ; 6. Breathlessness in neurological disease ; 7. Breathlessness in children ; 8. Respiratory muscle function in breathlessness ; 9. Pulmonary rehabilitation ; 10. Surgical interventions to improve dyspnoea ; 11. Non-pharmacological approaches ; 12. Oxygen in the palliation of breathlessness ; 13. Pharmacological approaches to breathlessness ; 14. A palliative approach to the breathless patient