Inspiring change: humanities and social science insights into the experience and management of breathlessness
- PMID: 27490147
- PMCID: PMC4974063
- DOI: 10.1097/SPC.0000000000000221
Inspiring change: humanities and social science insights into the experience and management of breathlessness
Abstract
Purpose of review: Breathlessness can be debilitating for those with chronic conditions, requiring continual management. Yet, the meaning of breathlessness for those who live with it is poorly understood in respect of its subjective, cultural, and experiential significance. This article discusses a number of current issues in understanding the experience of breathlessness.
Recent findings: Effective communication concerning the experience of breathlessness is crucial for diagnosis, to identify appropriate treatment, and to provide patients with the capacity to self-manage their condition. However, there is an evident disconnect between the way breathlessness is understood between clinical and lay perspectives, in terms of awareness of breathlessness, the way symptoms are expressed, and acknowledgement of how it affects the daily lives of patients.
Summary: The review highlights the need for integrated multidisciplinary work on breathlessness, and suggests that effective understanding and management of breathlessness considers its wider subjective and social significance.
References
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- IMPRESS: Improving and Integrating Respiratory Services; Responding effectively to people with long term breathlessness: introduction, methodology, scope and definitions. IMPRESS 2014; 44pp. http://www.impressresp.com/index.php?option=com_content&view=article&id=... [Accessed 4 March 2016]
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- Carel H. Illness: the cry of the flesh. 2008; Stocksfield, England: Acumen,
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This book offers a brilliantly clear and touching account of the impact of chronic illness on the daily lives of those living with it, focussing on illness as experience rather than as a physiological problem.
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- Currow DC, Johnson MJ. Distilling the essence of breathlessness: the first vital symptom. Eur Respir J 2015; 45:1526–1528. - PubMed
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- Waignwright M, Macnaughton J. Is a qualitative perspective missing from COPD guidelines? Lancet Respir Med 2013; 1:441–442. - PMC - PubMed
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A brief but illuminating comparison of NICE (National Institute for Health and Care Excellence) and GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines on COPD, questioning how the medical knowledge within is constructed with evident contradictions, and noting how cultural understandings of COPD may widen understandings of its measurement.
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