Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases

Bausewein, Claudia; Booth, Sara; Gysels, Marjolein; Higginson, Irene J

doi:10.1002/14651858.cd005623.pub2

Cited by 181 publications

(111 citation statements)

References 135 publications

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“…A range of nonpharmacological strategies are available, with variable evidence to support their use [8][9][10][11]. Among other strategies, a hand-held fan ("fan") has been recommended for managing acute exacerbations of breathlessness ("breathlessness crises") by the American Thoracic Society [12].…”

Section: Introductionmentioning

confidence: 99%

Contributions of a hand-held fan to self-management of chronic breathlessness

et al. 2017

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This study explored the benefits of a hand-held fan as perceived by patients with chronic breathlessness and their carers.A secondary multimethod analysis was conducted of interview data collected in three clinical trials. Two researchers independently coded level of benefit qualitatively reported by each patient. Univariate and multivariate statistics were used to explore perceived benefit as a factor of sex, age and diagnosis. Qualitative analysis used an integrative method.133 patients commented on the fan, of whom 72 had a carer. Diagnoses included nonmalignant (n=91, 68.4%) and malignant (n=21, 15.8%) conditions. Of 111 patients who provided codable data, four (3.6%) perceived no benefit, 16 (14.4%) were uncertain, 80 (72.0%) perceived some benefit and 11 (10.0%) perceived very substantial benefit. Multivariate analysis was inconclusive. Benefit was described in terms of shorter recovery time, especially after activity. 10 (7.5%) patients said the fan reduced their need for home oxygen or inhaled β-agonist medications. Negative perceptions of a few included dislike of the cooling sensation and embarrassment in public.Findings suggest that a hand-held fan is a portable intervention with few disadvantages from which most patients with chronic breathlessness will derive benefit alongside other nonpharmacological and pharmacological strategies. Research is needed to optimise guidance on fan administration.

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Section: Introductionmentioning

confidence: 99%

Contributions of a hand-held fan to self-management of chronic breathlessness

et al. 2017

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“…2 Breaking the cycle of deconditioning is an important element, confirmed by other trials of pulmonary rehabilitation and exercise. Tailoring the relevant non-pharmacological interventions to each patient's needs is still poorly defined in the literature but access to multidisciplinary team members such as a physiotherapist or occupational therapist with an interest in respiratory disorders is likely to be beneficial.…”

Section: Non-pharmacological Interventionsmentioning

confidence: 92%

Evidence-based intervention for chronic refractory breathlessness: practical therapies that make a difference

Currow

Johnson²,

White

et al. 2013

Br J Gen Pract

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“…In addition, these exercise programs are thought to be effective for cancer patients with dyspnea. [27,28] [33,34] Room air and oxygen therapy were compared in a study conducted with 31 patients with lung cancer or other metastatic cancer, and stated that there was no significant difference between the groups in terms of dyspnea. [35] In another randomized controlled study conducted with 12 patients with lung cancer and dyspnea, half of participants walked with oxygen-enriched air and the other half with medical air.…”

Section: Pulmonary Rehabilitation and Exercise Programsmentioning

confidence: 99%

Dyspnea Management in Patients with Cancer

Metin¹

2016

TJ Oncol

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SUMMARYDyspnea in patients with cancer is a common symptom and is generally associated with anxiety. It limits patients' activities of daily living and adversely affects not only patients, but also caregivers. It remains a difficult symptom to manage, despite recent advances in cancer treatment and the increasing evidence available. Different pharmacological approaches such as opioids, and nonpharmacological interventions including oxygen, fun, exercise, pulmonary rehabilitation, acupuncture, acupressure and cognitive-behavioral therapies are used to manage dyspnea. Symptom management and supportive therapies given by oncology nurses become important in patients with cancer who experience dyspnea. There are limited number of publications about the management of dyspnea in Turkish oncology nursing literature. This literature review aims to inform nurses about cancer patients with dyspnea.

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Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases

Cited by 181 publications

References 135 publications

Contributions of a hand-held fan to self-management of chronic breathlessness

Contributions of a hand-held fan to self-management of chronic breathlessness

Evidence-based intervention for chronic refractory breathlessness: practical therapies that make a difference

Dyspnea Management in Patients with Cancer

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