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Dyspnea: applying research to bedside practice.

Nancy Spector1, Maria A Connolly, Karen K Carlson

  • 1National Council of State Boards of Nursing, 111 E Wacker, Suite 2900, Chicago, IL 60601, USA. nspector@ncsbn.org

AACN Advanced Critical Care
|February 8, 2007
PubMed
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Dyspnea, or shortness of breath, is common in critical illness and palliative care. This article outlines evidence-based nursing interventions for managing dyspnea, improving patient outcomes.

Area of Science:

  • Critical care nursing
  • Pulmonary medicine
  • Palliative care

Background:

  • Dyspnea is a prevalent symptom across various medical specialties, particularly in critical and palliative care settings.
  • While the causes of dyspnea are similar across different clinical scenarios, it can significantly complicate patient care and prolong hospital stays.

Observation:

  • Dyspnea, though not always the primary reason for admission, frequently complicates the course of acute and chronic critical illness.
  • Understanding the pathophysiology of dyspnea is crucial for effective clinical management.

Findings:

  • This article provides a comprehensive overview of dyspnea, including its underlying mechanisms and pathophysiology.
  • An evidence-based plan of care for assessing, planning, intervening, and evaluating patients experiencing dyspnea is detailed.

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Implications:

  • Critical care nurses are encouraged to implement evidence-supported interventions for dyspnea management.
  • The outlined plan of care, supported by levels of evidence and illustrated with case studies, aims to enhance clinical practice and patient outcomes.