Management of Refractory Breathlessness: a Review for General Internists
- PMID: 33469757
- PMCID: PMC8041955
- DOI: 10.1007/s11606-020-06439-0
Management of Refractory Breathlessness: a Review for General Internists
Abstract
Internists frequently care for patients who suffer from breathlessness in both the inpatient and the outpatient settings. Patients may experience chronic refractory breathlessness despite thorough evaluation and management of their underlying medical illnesses. Left unmanaged, chronic breathlessness is associated with worsened quality of life, more frequent visits to the emergency room, and decreased activity levels, as well as increased levels of depression and anxiety. This narrative review summarizes recent research on interventions for the relief of breathlessness, including both non-pharmacologic and pharmacologic options.
Keywords: breathlessness; chronic disease management; dyspnea.
Conflict of interest statement
Neither author has any conflict of interest to report.
References
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- Smith AK, Currow DC, Abernethy AP, et al. Prevalence and Outcomes of Breathlessness in Older Adults: A National Population Study. J Am Geriatr Soc. 2016;64(10):2035–2041. - PubMed
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- Currow DC, Plummer JL, Crockett A, Abernethy AP. A community population survey of prevalence and severity of dyspnea in adults. J Pain Symptom Manage. 2009;38(4):533–545. - PubMed
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