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Breathlessness in older people.

P J Poole1

  • 1Faculty of Medicine and Health Science, University of Auckland, Auckland Healthcare. p.poole@auckland.ac.nz

The New Zealand Medical Journal
|March 4, 2000
PubMed
Summary

Breathlessness in older adults is common but treatable. A comprehensive approach involving diagnosis, symptom relief, and exercise can improve quality of life, avoiding ineffective treatments.

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Area of Science:

  • Geriatrics
  • Pulmonology
  • Internal Medicine

Background:

  • Breathlessness is a frequent complaint in the elderly.
  • It is often wrongly attributed to aging.
  • Diverse causes necessitate a thorough diagnostic approach.

Purpose of the Study:

  • To outline a comprehensive strategy for evaluating and managing breathlessness in older adults.
  • To emphasize the importance of identifying and treating reversible causes.
  • To guide management towards symptom relief and functional improvement.

Main Methods:

  • Comprehensive clinical assessment to identify specific causes.
  • Targeted investigations based on clinical questions.
  • Multifaceted management including symptom relief, exercise, breathing pattern optimization, and education.

Main Results:

  • Breathlessness in the elderly is not an inevitable part of aging.
  • A structured, comprehensive approach can effectively manage the condition.
  • Objective evaluation of interventions is crucial.

Conclusions:

  • Breathlessness in the elderly requires a detailed and individualized assessment.
  • Management should focus on reversible factors and symptom management.
  • Interventions must be objectively evaluated for efficacy and safety.

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