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Supportive Care in Respiratory Disease$
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Sam H. Ahmedzai, David R. Baldwin, and David C. Currow

Print publication date: 2012

Print ISBN-13: 9780199591763

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199591763.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 September 2021

Multidimensional assessment of dyspnoea

Multidimensional assessment of dyspnoea

(p.91) Chapter 6 Multidimensional assessment of dyspnoea
Supportive Care in Respiratory Disease

Ingrid Harle

Deborah Dudgeon

Oxford University Press

Dyspnoea is a common and distressing symptom in people with advanced disease of diverse aetiologies. The American Thoracic Society defines dyspnoea as: ‘a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity’. This chapter discusses the multidimensional assessment of dyspnoea. The process involves both a clinical appraisal and measurement of the different factors that impact on the perception of breathlessness and the effects of shortness of breath on the individual. Prior to embarking on an assessment of a person's dyspnoea it is important to determine what questions you are trying to answer and in the setting of advanced disease for which clinical assessments and measurements are reasonable to consider given the patient's diagnosis, prognosis, functional abilities, setting, and goals of care. Clinical assessments are usually to determine the underlying pathophysiology, the most effective treatments, and subsequently the response to the interventions. Measurement instruments or tools are used to bring some objectivity and precision to the evaluation of clinical assessments or interventions and to answer research questions.

Keywords:   breathlessness, shortness of breath, clinical assessments, measurement, interventions

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