Supportive and palliative care for lung cancer patients

Yates, Patsy, Schofield, Penelope, Zhao, Isabella (Danni) and Currow, David (2013) Supportive and palliative care for lung cancer patients. Journal of Thoracic Disease, 5 Supp. 5: S623-S628. doi:10.3978/j.issn.2072-1439.2013.10.05

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Yates, Patsy
Schofield, Penelope
Zhao, Isabella (Danni)
Currow, David
Title Supportive and palliative care for lung cancer patients
Journal name Journal of Thoracic Disease   Check publisher's open access policy
ISSN 2072-1439
Publication date 2013-10
Year available 2013
Sub-type Article (original research)
DOI 10.3978/j.issn.2072-1439.2013.10.05
Open Access Status
Volume 5
Issue Supp. 5
Start page S623
End page S628
Total pages 6
Place of publication Hong Kong, China
Publisher Pioneer Bioscience Publishing Company
Collection year 2014
Language eng
Abstract Lung cancer patients face poor survival and experience co-occurring chronic physical and psychological symptoms. These symptoms can result in significant burden, impaired physical and social function and poor quality of life. This paper provides a review of evidence based interventions that support best practice supportive and palliative care for patients with lung cancer. Specifically, interventions to manage dyspnoea, one of the most common symptoms experienced by this group, are discussed to illustrate the emerging evidence base in the field. The evidence base for the pharmacological management of dyspnoea report systemic opioids have the best available evidence to support their use. In particular, the evidence strongly supports systemic morphine preferably initiated and continued as a once daily sustained release preparation. Evidence supporting the use of a range of other adjunctive non-pharmacological interventions in managing the symptom is also emerging. Interventions to improve breathing efficiency that have been reported to be effective include pursed lip breathing, diaphragmatic breathing, positioning and pacing techniques. Psychosocial interventions seeking to reduce anxiety and distress can also improve the management of breathlessness although further studies are needed. In addition, evidence reviews have concluded that case management approaches and nurse led follow-up programs are effective in reducing breathlessness and psychological distress, providing a useful model for supporting implementation of evidence based symptom management strategies. Optimal outcomes from supportive and palliative care interventions thus require a multilevel approach, involving interventions at the patient, health professional and health service level.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 31 Jan 2014, 11:20:48 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work