Dyspnoea in advanced disease: A guide to clinical management

Paperback | December 19, 2005

EditorSara Booth, Deborah Dudgeon

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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 associatedwith 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 attemptto 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.

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From the Publisher

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 associatedwith congestive heart failure, end-stage chro...

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

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Format:PaperbackDimensions:288 pages, 9.21 × 6.14 × 0.65 inPublished:December 19, 2005Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019853003X

ISBN - 13:9780198530039

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Table of Contents

1. Douglas Beach and Richard M. Schwartzstein: The genesis of breathlessness - what do we understand?2. Virginia Carrieri-Kohlman and Deborah Dudgeon: Multidimensional assessment of dyspnoea3. David P. Dutka and Miriam J. Johnson: Breathlessness in heart failure4. Michelle M. Peters and Denis O'Donnell: Dyspnoea in chronic obstructive pulmonary disorder5. Deborah Dudgeon: Breathlessness in advanced cancer6. Fliss Murtagh, Rachel Burman and Polly Edmonds: Breathlessness in neurological disease7. Stephen Liben: Breathlessness in children8. Michael Polkey: Respiratory muscle function in breathlessness9. Nha Voduc, Katherine Webb and Denis O'Donnell: Pulmonary rehabilitation10. Andrew J. Drain and Francis C. Wells: Surgical interventions to improve dyspnoea11. Virginia Carrieri-Kohlman: Non-pharmacological approaches12. Anna Spathis, Rosemary Wade and Sara Booth: Oxygen in the palliation of breathlessness13. David C. Currow: Pharmacological approaches to breathlessness14. Sara Booth and Deborah Dudgeon: A palliative approach to the breathless patient

Editorial Reviews

`The authors should be commended for putting together an interesting and relevant book...Coverage of the British Thoracic Society guidelines...was clear, concise and extremely relevant...A laminated copy should be on every medical assessment unit wall! This is a very interesting book, andrelevant to the clinical practice of many. It would be a welcome addition to the clinical library of respiratory, oncology and palliative care units.'Oncology News, Vol. 1:4