Interdisciplinary management of chronic breathlessness. Issue 3 (September 2019)

• Record Type: Journal Article
• Authors: Reilly, Charles C.; Brighton, Lisa Jane; Maddocks, Matthew
• Is Part Of: Current opinion in supportive and palliative care. Volume 13:Issue 3(2019:Sep.)
• Publication Date: 2019-09
• Subjects: breathlessness -- chronic -- interdisciplinary -- multiprofessional -- palliative care; Palliative treatment -- Periodicals; Pain -- Periodicals; Palliative Care -- Periodicals; Pain Management -- Periodicals; 616.02905
• DOI: 10.1097/SPC.0000000000000435
• Languages: English
• ISSNs: 1751-4266

Abstract

Abstract : Purpose of review: Breathlessness is a common yet complex symptom of advanced disease. Effective management will most likely draw upon the skills of multiple disciplines and professions. This review considers recent advances in the management of chronic breathlessness with regards to interdisciplinary working. Recent findings: There are growing data on interventions for chronic breathlessness that incorporate psychosocial mechanisms of action, for example, active mind–body treatments; and holistic breathlessness services that exemplify interprofessional working with professionals sharing skills and practice for user benefit. Patients value the personalized, empathetic and understanding tenor of care provided by breathlessness services, above the profession that delivers any intervention. Workforce training, decision support tools and self-management interventions may provide methods to scale-up these services and improve reach, though testing around the clinical effects of these approaches is required. Summary: Chronic breathlessness provides an ideal context within which to realize the benefits of interdisciplinary working. Holistic breathlessness services can commit to a comprehensive approach to initial assessment, as they can subsequently deliver a wide range of interventions suited to needs as they are identified.