Managing Breathlessness in the Community


Book Description

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




Managing Breathlessness in Clinical Practice


Book Description

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.










Chronic Obstructive Pulmonary Disease Exacerbations


Book Description

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




Living a Healthy Life with Chronic Conditions


Book Description

Drawing on input from people with long-term ailments, this book points the way to achieving the best possible life under the circumstances.




Pulmonary Rehabilitation


Book Description

Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice.




Dyspnoea in Advanced Disease


Book Description

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.




Dyspnea


Book Description

With the high prevalence of chronic pulmonary diseases, including asthma, COPD, and interstitial lung disease, physicians need to recognize the cause of dyspnea and know how to treat it so that patients can cope effectively with this distressing symptom. Detailing recent developments and treatment methods, this revised and updated third edition of




The ESC Textbook of Intensive and Acute Cardiovascular Care


Book Description

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.