Hong-. Phuc. Tran, M.D.. Learning Objectives. Understand . pathophysiology. of dyspnea. Learn how to evaluate dyspnea. Understand reversible causes / potential contributors of shortness of breath. Manage shortness of breath in terminally ill patients.
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Palliative Care: Shortness of Breath and Secretions
Presentation on theme: "Palliative Care: Shortness of Breath and Secretions"— Presentation transcript:
Palliative Care:Shortness of Breath and Secretions
Learn how to evaluate dyspnea
Understand reversible causes / potential contributors of shortness of breath
Manage shortness of breath in terminally ill patientsSlide3
Shortness of breath is common in terminally ill patients
“Death rattle” (noisy breathing) occurs in 23-92% of dying patients
Patients lose ability to clear secretions as
Appropriate management of excessive secretions is important in providing palliationSlide4
Pathophysiology of Dyspnea
Increased work of breathing
Carotid and aortic body
Mismatch between what brain desires for respiration and sensory feedback brain receivesSlide5
SZ and Isaac M. End-of-life care for the hospitalized patient. Med
North Am. 2008; 92(2): 349-70.
A et al. Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2008 Jan 15;148(2):141-6.
T, Okada M. Atropine
for death rattle in a terminal cancer patient. J
Med. 2013 Feb;16(2):212-3.
Wee B, Hillier R. Interventions for noisy breathing in patients near to death. Cochrane Database
Rev. 2008 Jan 23;(1):CD005177
H et al. Atropine,
, or scopolamine are equally effective for the treatment of death rattle in terminal care. J Pain Symptom Manage. 2009 Jul;38(1):124-33
Palliative Care: Shortness of Breath and Secretions - Description
Hong Phuc Tran MD Learning Objectives Understand pathophysiology of dyspnea Learn how to evaluate dyspnea Understand reversible causes potential contributors of shortness of breath Manage shortness of breath in terminally ill patients ID: 743783 Download Presentation
MORNING REPORT HPI CC: 70 y/o w/ shortness of breath x ~1month 70 y/o Caucasian male with a history of HTN, HLD, DM, BPH, ED, and recently diagnosed polyclonal hypergammaglobulinemia presents with shortness of breath, fatigue, and lightheadedness. Symptoms began over month ago with worsening over the past two weeks. He was treated for community acquired pneumonia about a month ago with Azithromycin. He felt a little better while on the ABX but now feels about the same. He endorses shortness of breath, lightheadedness, substernal non-radiating chest pain associated with the shortness of breath, palpitations, feeling easily fatigued, feeling cold, and night sweats. Denies syncopal episodes, subjective fevers, easy bruising, headache, wheeze, cough, sputum production, Abd pain, N/V/Constipation, dysuria, and swelling.
Abdulrahman Al Frayh. Professor of Pediatrics. Consultant Pediatric Pulmonologist. King Saud University. Definition. . Shortness of breath (SOB), or dyspnea, is a feeling of difficult or labored breathing that is out of proportion to the patient’s level of physical activity..
It is used for people with weakness of the muscles used for breathing A piece of equipment called a modified ambu bag is used to help push more air into the lungs as you breathe in Benefits of breath stacking x Keeps the lung clear of secretions x H
Dr.Sundar Balasubramanian. L.Consultant in Palliative Care.. Cumbria Partnership Trust.. Carlisle.. Myth No.1. Palliative care equates to End of Life Care. Myth No:2. Hospice is a one way ticket.. Integration of Services & Provision of Palliative care for MND patients in North Cumbria( Eden Valley Hospice & Community)..
Lisa Newton. Bradford Teaching Hospitals NHS Foundation Trust. Palliative care and haematology. Background information. Blood product support. Bleeding in cancer patients. Case studies. Myelodysplasia.
Pippa Hawley,. . UBC and BCCA, Vancouver. July 2016. Objectives. Discuss words used . when talking about . palliative care. Present a visual model to help you describe it’s various aspects to patients, families, colleagues and the .