The Trajectory of Dyspnea in Hospitalized Patients

Slides:



Advertisements
Similar presentations
Practical Dyspnea Assessment: Relationship Between the 0–10 Numerical Rating Scale and the Four-Level Categorical Verbal Descriptor Scale of Dyspnea Intensity 
Advertisements

Amber E. Barnato, MD, MPH, MS, Elan D. Cohen, MS, Keili A
YouTube as a Tool for Pain Management With Informal Caregivers of Cancer Patients: A Systematic Review  Elaine Wittenberg-Lyles, PhD, Debra Parker Oliver,
The Complementary Nature of Patient-Reported Outcomes and Adverse Event Reporting in Cooperative Group Oncology Clinical Trials: A Pooled Analysis (NCCTG.
Medical Students' Death Anxiety: Severity and Association With Psychological Health and Attitudes Toward Palliative Care  Pia Thiemann, Dipl-Psych, Thelma.
John G. Cagle, PhD, MSW, Kathleen T
Early Education for Early, Integrated Palliative Medicine
Anxiety After Diagnosis Predicts Lung Cancer–Specific and Overall Survival in Patients With Stage III Non–Small Cell Lung Cancer: A Population-Based Cohort.
Susan C. Miller, PhD, MBA, Julie C
Susan Enguidanos, PhD, MPH, Jennifer Ailshire, PhD 
Mindfulness-Oriented Recovery Enhancement Ameliorates the Impact of Pain on Self- Reported Psychological and Physical Function Among Opioid-Using Chronic.
Constanze Rémi, MSc, Jan Rémi, MD, Claudia Bausewein, PhD, MD, MSc 
Experience of Advanced Chronic Obstructive Pulmonary Disease: Metasynthesis of Qualitative Research  Rebecca T. Disler, MSc, PDAN, BSc, BN, RN, Anna Green,
Michael J. Hochman, BS, Arif H. Kamal, MD, MHS, Steven P
Development and Evaluation of the Psychometric Properties of the CKD-MBD Knowledge and Behavior (CKD-MBD-KB) Questionnaire for Patients With Chronic.
The Spanish Adaptation of the Palliative Performance Scale (Version 2) Among Cancer Patients at the End of Life: Psychometric Properties  Eva Barallat,
An Educational Intervention to Reduce Pain and Improve Pain Management for Malawian People Living With HIV/AIDS and Their Family Carers: A Randomized.
The Burden of Polypharmacy in Patients Near the End of Life
Arjun Poudel, PhD, Patsy Yates, PhD, Debra Rowett, BPharm, Lisa M
Impact of Hyponatremia Correction on the Risk for 30-Day Readmission and Death in Patients with Congestive Heart Failure  Jacques D. Donzé, MD, MSc, Patrick.
Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment  Katherine Webber, MBBS, MSc, PhD, Andrew.
Reliability and Validity of the Brief Fatigue Inventory and Dyspnea Inventory in People With Chronic Obstructive Pulmonary Disease  Yi-Wen Chen, BSc,
Petter Wilberg, DDS, Marianne J
An Intervention to Enhance Goals-of-Care Communication Between Heart Failure Patients and Heart Failure Providers  Ardith Z. Doorenbos, RN, PhD, FAAN,
“It Is Like Heart Failure
Dexamethasone for Dyspnea in Cancer Patients: A Pilot Double-Blind, Randomized, Controlled Trial  David Hui, MD, MSc, Kelly Kilgore, BS, Susan Frisbee-Hume,
Harold (Hal) Siden, MD, MHSC  Journal of Pain and Symptom Management 
Gregory P. Samsa, PhD, Steven Wolf, MB, Thomas W
Vincent Maida, MD, MSc, BSc, Jason Corban, MD, CM, Hon BSc 
Health Status Trajectories Among Outpatients With Heart Failure
Predictors of Thirst in Intensive Care Unit Patients
Early Education for Early, Integrated Palliative Medicine
Andrew Davies, FRCP, Katherine Webber, PhD 
Isaac M. Bromberg, MD  Journal of Pain and Symptom Management 
Distress-Based Gastrointestinal Symptom Clusters and Impact on Symptom Interference and Quality of Life in Patients with a Hematologic Malignancy Receiving.
Amber E. Barnato, MD, MPH, MS, Elan D. Cohen, MS, Keili A
Palliative Care in Romania
Developing a Costing Framework for Palliative Care Services
Resource Use and Health Care Costs of COPD Patients at the End of Life: A Systematic Review  Kristof Faes, MSc, Veerle De Frène, PhD, Joachim Cohen, PhD,
POST Forms More Than Advance Directives Associated With Out-of-Hospital Death: Insights From a State Registry  Sandra L. Pedraza, MD, Stacey Culp, PhD,
Jacob N. Hunnicutt, MPH, Jennifer Tjia, MD, MS, Kate L. Lapane, PhD 
A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums  Pamela Turrillas, MD, MSc, Maria Joao.
Comparative Analysis of Specialization in Palliative Medicine Processes Within the World Health Organization European Region  Carlos Centeno, PhD, Deborah.
Psychometric Validation of the Edmonton Symptom Assessment System in Chinese Patients  Yixue Dong, MD, Heng Chen, MD, Yuanyu Zheng, BS, Ying Guo, MD,
Mindfulness-Oriented Recovery Enhancement Ameliorates the Impact of Pain on Self- Reported Psychological and Physical Function Among Opioid-Using Chronic.
Nancy E. Avis, PhD, Beverly Levine, PhD, Sarah A
The Relationship Between Fatigue and Depression in Adults With End-Stage Renal Disease on Chronic In-Hospital Hemodialysis: A Scoping Review  Janine F.
What Factors Affect the Insomnia Symptom Trajectories in Women With Nonmetastatic Breast Cancer?  Yuping Wang, PhD, Xiongzhao Zhu, MD, PhD, Lingyan Li,
Documentation Quality of Inpatient Code Status Discussions
Katherine Webber, MBBS, MSc, PhD, Andrew N. Davies, FRCP, Martin R
Author's Response Journal of Pain and Symptom Management
Meena Kalluri, MD, Janice Richman-Eisenstat, MD, FRCPC 
Locked-In Syndrome: Case Report and Discussion of Decisional Capacity
Antonio T. Fernando, MD, Nathan S. Consedine, PhD 
Validation of “Cancer Dyspnea Scale” in Patients With Advanced Cancer in a Palliative Care Setting in India  Anuja Damani, MD, Arunangshu Ghoshal, MD,
What Aspects of Quality of Life Are Important From Palliative Care Patients' Perspectives? A Systematic Review of Qualitative Research  Nicola McCaffrey,
Michael J. Hochman, BS, Yinxi Yu, BS, Steven P. Wolf, MS, Greg P
Which Treatment Is Better
Bruno Gagnon, MD, MSc, Susan Scott, MSc, Lyne Nadeau, MSc, Peter G
William Shomali, MD  Journal of Pain and Symptom Management 
Association of Descriptors of Breathlessness With Diagnosis and Self-Reported Severity of Breathlessness in Patients With Advanced Chronic Obstructive.
Thijs Reyniers, PhD, Luc Deliens, PhD, H
Karla T. Washington, PhD, Christopher R. Rakes, PhD 
Missed Opportunities: A Mixed-Methods Analysis of CAM Discussions and Practices in the Management of Pain in Oncology  Aaron L. Leppin, MD, MSc, Cara.
Practical Dyspnea Assessment: Relationship Between the 0–10 Numerical Rating Scale and the Four-Level Categorical Verbal Descriptor Scale of Dyspnea Intensity 
Psychoeducational Intervention for Symptom Management of Fatigue, Pain, and Sleep Disturbance Cluster Among Cancer Patients: A Pilot Quasi-Experimental.
Logan H. Ramsey, BS  Journal of Pain and Symptom Management 
Katherine Webber, MBBS, Andrew N
Lisa C. Lindley, PhD, RN, Jennifer W. Mack, MD, MPH, Donald J
Is It the Difference a Day Makes
Presentation transcript:

The Trajectory of Dyspnea in Hospitalized Patients Ernest DiNino, MD, Mihaela S. Stefan, MD, Aruna Priya, BS, Benjamin Martin, MD, Penelope S. Pekow, PhD, Peter K. Lindenauer, MD, MSc  Journal of Pain and Symptom Management  Volume 51, Issue 4, Pages 682-689.e1 (April 2016) DOI: 10.1016/j.jpainsymman.2015.11.005 Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Patient selection flowchart. Journal of Pain and Symptom Management 2016 51, 682-689.e1DOI: (10.1016/j.jpainsymman.2015.11.005) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Dyspnea severity during hospitalization among included patients. *Discharged day 3 or later. VNS = verbal numeric scale. Journal of Pain and Symptom Management 2016 51, 682-689.e1DOI: (10.1016/j.jpainsymman.2015.11.005) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Distribution of change in dyspnea severity at 48 hours. Journal of Pain and Symptom Management 2016 51, 682-689.e1DOI: (10.1016/j.jpainsymman.2015.11.005) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 4 Dyspnea severity during hospitalization stratified by admission diagnosis. *Discharged day 3 or later. CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; VNS = verbal numeric scale. Journal of Pain and Symptom Management 2016 51, 682-689.e1DOI: (10.1016/j.jpainsymman.2015.11.005) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions