Jump to ContentJump to Main Navigation
Supportive Care in Heart Failure$
Users without a subscription are not able to see the full content.

James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in OSO for personal use (for details see http://www.oxfordscholarship.com/page/privacy-policy).date: 20 June 2018

Dyspnoea

Dyspnoea

Chapter:
(p.159) Chapter 9 Dyspnoea
Source:
Supportive Care in Heart Failure
Author(s):

Patricia M. Dacidson

Phillip J. Newton

Peter S. Macdonald

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198570288.003.0009

This chapter aims to describe the physiological basis of dyspnoea; discuss a conceptual model for the patient's perception and management of dyspnoea; outline useful pharmacological and non-pharmacological strategies; and summarize key considerations for patients, their families, and clinicians to manage this complex symptom. In addition, a variety of pathophysiological factors that may contribute to the symptom of dyspnoea in heart failure (HF) include chemoreceptor activation, mechanoreceptors, and impaired sense of effort/increased motor command. Dyspnoea is a common and troublesome symptom in HF. Moreover, the barriers to effective dyspnoea management are presented. A conceptual framework to guide treatment and management decisions is also provided. Monitoring dyspnoea is important for the clinician to be able to track the severity and intensity of symptoms to inform management strategies. In spite of the sparse evidence in relation to pharmacological strategies to inform practice, clinicians can be comforted by the fact that many of the needs identified by patients and their families relate to effective communication and coordination of care.

Keywords:   dyspnoea, heart failure, conceptual model, management strategies, pharmacological strategies

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .