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Breathlessness is increasingly recognised as a common, disabling symptom of many advanced diseases and one that is very difficult to treat. There is now an understanding that a multi-disciplinary approach to management can make a significant impact on the severity of the symptom improving both the patient’s and their carers’ quality of life. Breathlessness is one of the most difficult conditions that palliative care (and other clinicians who care for patients with advanced disease) have to treat. With the improvements in pain control, it is possibly now the most difficult symptom for clinicians to manage: many feel frustrated at not being able to give their patients better care. Many patients and families are enduring terrible suffering. There has been little progress in improving the symptom, in spite of an increase in the amount of research and interest in it over the last twenty years. The Cambridge Breathlessness Intervention Service (CBIS) has been established since 2004 and is a research-based service which has being evaluated since its inception: its model of caring has been shaped by the patients and families who use it and the clinicians who refer to it. CBIS has firm evidence of its effectiveness with patients with breathlessness with both malignant and non-malignant disease. This book will help others to manage breathlessness in their day-to-day clinical practice and, if so desired, set up their own breathlessness service. There is a well-established website which can be used in conjunction with the book. The book is written to give practical help in the clinical management of breathlessness and written so that the information is easy to access in clinic, ward or home.
In this landmark Companion, expert contributors from around the world map out the field of the critical medical humanities. This is the first volume to introduce comprehensively the ways in which interdisciplinary thinking across the humanities and social sciences might contribute to, critique and develop medical understanding of the human individually and collectively. The thirty-six newly commissioned chapters range widely within and across disciplinary fields, always alert to the intersections between medicine, as broadly defined, and critical thinking. Each chapter offers suggestions for further reading on the issues raised, and each section concludes with an Afterword, written by a leading critic, outlining future possibilities for cutting-edge work in this area. Topics covered in this volume include: the affective body, biomedicine, blindness, breath, disability, early modern medical practice, fatness, the genome, language, madness, narrative, race, systems biology, performance, the postcolonial, public health, touch, twins, voice and wonder. Together the chapters generate a body of new knowledge and make a decisive intervention into how health, medicine and clinical care might address questions of individual, subjective and embodied experience.
Managing breathlessness is an important and often difficult task, especially when dealing with patients in their own homes. The causes of breathlessness may be physiological, pathological, or both; and patients may be suffering from more than one condition at the same time. This makes it a challenge to ensure that the best and most effective form of treatment is provided, according to each patient’s particular needs. Written by experts in the field, Managing Breathlessness in the Community mainly focuses on four conditions (chronic obstructive pulmonary disease, heart failure, interstitial lung disease and pulmonary hypertension) in which breathlessness is a key and often distressing symptom. The authors also discuss common breathlessness management techniques that are relevant to all patients, regardless of their underlying condition. Aimed at community healthcare workers, this book applies the lessons of clinical research and practice to a wide range of breathlessness interventions, from activity and fitness to pharmacological treatments, rehabilitation, oxygen therapy and patient-specific support. It will be useful to the many practitioners who see breathless patients in their day-to-day practice and have a desire to improve the experience and clinical care that they receive. CONTENTS: Introduction to breathlessness and community management Mechanisms of breathlessness Assessment of the breathless patient in the community Breathlessness and chronic obstructive pulmonary disease Breathlessness and heart failure Breathlessness and interstitial lung disease Breathlessness and pulmonary hypertension Non-pharmacological management of breathlessness Pharmacological management of breathlessness End-of-life breathlessness management at home
Revised and updated for its third edition, the Oxford Handbook of Respiratory Medicine is the must-have resource for junior doctors and students, and all clinicians caring for patients with respiratory problems. Concise, practical, and designed for rapid access to essential information, this handbook will ensure you have everything you need for the ward, clinic, or exams. This handbook covers the latest clinical guidelines and developments in the field. It features unique sections on practical procedures and a symptoms section to aid in differential diagnosis and clinical management. Practical advice on management is integrated throughout and a dedicated section on respiratory emergencies ensures you can cope with any eventuality. New sections such as thoracic ultrasound, indwelling pleural catheters, safe sedation, and cardiopulmonary exercise testing have been added, and all major respiratory diseases and symptoms are covered in practical, succinct chapters. This third edition will ensure you have all the information you need at your fingertips.
Supplement to "Putting Evidence into Practice: Improving Oncology Patient Outcomes" (Eaton and Tipton, 2009).
Covering current knowledge on the treatment of dyspnoea in people with different underlying diseases, this text provides comprehensive information on the latest scientific advances. The authors combine scientific understanding with practical clinical guidance on how to help, manage and treat patients with breathlessness.
Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat
A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.
Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.