Update on complex nonpharmacological interventions for breathlessness

Yates, Patsy and Zhao, Isabella (2012) Update on complex nonpharmacological interventions for breathlessness. Current Opinion in Supportive and Palliative Care, 6 2: 144-152. doi:10.1097/SPC.0b013e3283536413

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Author Yates, Patsy
Zhao, Isabella
Title Update on complex nonpharmacological interventions for breathlessness
Journal name Current Opinion in Supportive and Palliative Care   Check publisher's open access policy
ISSN 1751-4258
Publication date 2012-06
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1097/SPC.0b013e3283536413
Open Access Status
Volume 6
Issue 2
Start page 144
End page 152
Total pages 9
Place of publication London, United Kingdom
Publisher Lippincott Williams and Wilkins
Collection year 2013
Language eng
Formatted abstract
Purpose of review: The study provides a review of current evidence about the role of complex nonpharmacological strategies in managing the multidimensional components of the breathlessness experience for individuals with life-limiting conditions.

Recent findings:
Evidence continues to demonstrate the significant impact of breathlessness on patients' quality of life, day-to-day activity, and physical and psychosocial functioning. Recent evidence also confirms that patients draw on a number of self-initiated actions to cope with breathlessness, although many do not use strategies that are supported by a growing body of evidence from randomized controlled trials. Current literature supports the use of multicomponent, nonpharmacological interventions comprising strategies to improve breathing efficiency and reducing psychological distress to manage breathlessness. However trials of these approaches have mostly been conducted among patients with chronic obstructive pulmonary disease (COPD) or lung cancer, and few studies have investigated the benefits of nonpharmacological for patients in later stages of disease. Further investigation of interventions is required across a broader range of chronic life-limiting conditions. Addressing breathlessness and its co-occurring symptoms (symptom clusters) is also an area for future enquiry.

The experience of breathlessness and strategies adopted by patients to manage the experience highlight the importance of multidimensional approaches to improve outcomes for patients with life-limiting conditions. There is good evidence to support the role of multicomponent, nonpharmacological interventions in reducing breathlessness for patients with COPD and lung cancer, although further studies are required to understand the particular clinical contexts in which such interventions are appropriate.
Keyword Breathlessness
Palliative care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Mon, 25 Mar 2013, 11:49:12 EST by Amy Spence on behalf of Paediatrics & Child Health - RBWH