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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Thomas, Shirley Bausewein, Claudia Higginson, Irene Booth, Sara |
| Description | Country affiliation: United kingdom Author Affiliation: Thomas S ( Addenbrookes Hospital, Palliative Care Team, Cambridge CB2 2QQ, UK. shirleythomas30@yahoo.co.uk) |
| Abstract | PURPOSE OF THE REVIEW: Breathlessness in patients with advanced cancer is common. It remains a difficult symptom to improve despite recent advances in cancer treatment and the increasing evidence available. Patients and carers experience a high level of distress from this frightening symptom. There is a greater volume of evidence to guide the management of breathlessness accompanying advanced non-malignant disease, as opposed to malignant disease, as most research has been conducted in this group. This article reviews the management of breathlessness in patients with cancer. METHODS: A systematic review of the literature in this area was completed. The results of the research work carried out by co-authors were also reviewed. The following databases were searched: MEDLINE, CINAHL, EMBASE, PsycINFO, the Cochrane Library. This search strategy was supplemented by hand-searching references in relevant palliative care text books and by searching relevant websites. KEY RESULTS: Pharmacological and non-pharmacological measures to alleviate breathlessness are discussed in this paper. Non-pharmacological approaches are discussed in detail as these are currently the most effective for the greatest number of patients. CONCLUSIONS: The cause of breathlessness in advanced cancer patients is usually multifactorial. A combination of pharmacological with non-pharmacological approaches is essential to manage breathlessness. Breathlessness services (e.g. Breathlessness Intervention Service) can be considered to be innovative and effective models of care when provided as part of a network of services aimed at helping patients with advanced cardiorespiratory disease, including patients with advanced cancer. |
| File Format | HTM / HTML |
| ISSN | 14623889 |
| Issue Number | 5 |
| Volume Number | 15 |
| e-ISSN | 15322122 |
| Journal | European Journal of Oncology Nursing |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2011-12-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Nursing Discipline Oncology Dyspnea Therapy Neoplasms Complications Drug Therapy Etiology Humans Meta-analysis As Topic Pathology Randomized Controlled Trials As Topic Treatment Outcome Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Oncology (nursing) |
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