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Dyspnoea in Advanced DiseaseA guide to clinical management$
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Sara Booth and Deborah Dudgeon

Print publication date: 2005

Print ISBN-13: 9780198530039

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198530039.001.0001

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Non-pharmacological approaches

Non-pharmacological approaches

Chapter:
(p.171) 11 Non-pharmacological approaches
Source:
Dyspnoea in Advanced Disease
Author(s):

Virginia Carrieri-Kohlman

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198530039.003.0011

The most recent definition of dyspnoea refers to the symptom as a subjective experience of breathing discomfort that involves qualitatively distinct sensations which vary in intensity. This recent definition asserts that dyspnoea is influenced by social and physiological factors resulting in physiological and behavioural responses. This new definition also acknowledges the methods and strategies that modulate the symptom beyond the physiological domain. It supports methods that target the cognitive, emotional, sensory, and behavioural dimensions of dyspnoea. This chapter discusses the non-pharmacological strategies of addressing dyspnoea. To understand the other dimensions of dyspnoea, it begins with the symptom-perception models of dyspnoea, its affective dimension, and the cognitive-behavioural perspective behind the symptom. The strategies discussed include: physiological, cognitive-behavioural, distraction, and attention strategies. The chapter also considers the different non-pharmacological strategies that may be adapted in the different phases of the patient's illness.

Keywords:   social factors, physiological factors, cognitive, emotional, sensory, behavioural, non-pharmacological strategies, symptom-perception models, cognitive-behavioural perspective

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