Section II: Respiratory Symptoms

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Presentation transcript:

Section II: Respiratory Symptoms Dyspnea Cough (at a glance)

Dyspnea: Overview and Incidence Subjective experience Most reported symptom Promotes disability, poor quality of life, and suffering Balkstra, 2015; Dudgeon, 2015

Causes of Dyspnea Major pulmonary causes Major cardiac causes Major neuromuscular causes Other causes

Assessment of Dyspnea Use subjective report Clinical assessment Physical exam Diagnostic tests Patient experience Underlying cause Dudgeon, 2015

Vignette : Symptom Assessment

Treatment of Dyspnea Treating symptoms or underlying cause Pharmacologic treatments Opioids Nonopioids Dudgeon, 2015; Hui et al., 2016; Quill et al., 2014

Treatment of Dyspnea (cont.) Nonpharmacologic Non-invasive ventilatory support (oxygen, positive pressure ventilation) if hypoxic Counseling Pursed lip breathing Energy conservation Fans, elevation Positioning Other Dudgeon, 2015

Symptom at a Glance: Cough Overview Causes Management Treatment of underlying causes Suppressant Dudgeon, 2015

Case Study on Assessment and Management of Symptoms: MARGARET—Part II How would you work with the interdisciplinary team to manage Margaret’s dyspnea? What pharmacological and non-pharmacological treatments might be helpful to decrease her dyspnea?