Routine dyspnea assessment on unit admission
- PMID: 24113531
- PMCID: PMC4142691
- DOI: 10.1097/01.NAJ.0000437112.43059.a0
Routine dyspnea assessment on unit admission
Abstract
Dyspnea assessment is valuable in diagnosis, prognosis, symptom management, and targeted intervention, and in the allotment and management of patient care resources. The assessment of dyspnea, like that of pain, depends on patient self-report. Expert consensus panels have called for dyspnea to be measured quantitatively and documented on a routine basis, as is the practice with pain. But little information is available on how to measure and record dyspnea ratings systematically. Consequently, the prevalence of dyspnea in hospital settings may be greater than is generally recognized, and dyspnea may be insufficiently managed. This article describes a pilot study that sought to test the feasibility of measuring dyspnea as part of the initial patient assessment performed by nurses within several inpatient units of a large urban hospital.
Conflict of interest statement
The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
References
-
- American Thoracic Society. DyspneaMechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med. 1999;159(1):321–40. - PubMed
-
- Abidov A, et al. Prognostic significance of dyspnea in patients referred for cardiac stress testing. N Engl J Med. 2005;353(18):1889–98. - PubMed
-
- Nishimura K, et al. Dyspnea is a better predictor of 5-year survival than airway obstruction in patients with COPD. Chest. 2002;121(5):1434–40. - PubMed
-
- Djarv T, et al. Prognostic value of changes in health-related quality of life scores during curative treatment for esophagogastric cancer. J Clin Oncol. 2010;28(10):1666–70. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
