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Dyspnea.

The Nursing Clinics of North America

|December 1, 1990

Summary

This summary is machine-generated.

This study presents a multidimensional model for understanding and managing dyspnea (shortness of breath). It reviews current treatments and highlights the crucial role of nurses in improving patient comfort.

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Area of Science:

Respiratory Medicine
Nursing Science
Patient Symptom Management

Background:

Dyspnea is a complex, multidimensional symptom impacting patient quality of life.
Existing models often fail to capture the full scope of the dyspnea experience.
Effective management requires a comprehensive approach addressing multiple patient-reported and physiological aspects.

Purpose of the Study:

To present a multidimensional model of dyspnea.
To evaluate current assessment tools for dyspnea.
To review evidence for pharmacologic, oxygen, physical, and psychologic interventions.

Main Methods:

Literature review of dyspnea assessment tools and treatment research.
Synthesis of findings into a multidimensional conceptual model.

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Analysis of the role of nursing in dyspnea management.

Main Results:

A comprehensive model encompassing sensation, perception, distress, response, and reporting components of dyspnea.
Evaluation of the strengths and limitations of existing assessment instruments.
Summary of evidence supporting various treatment modalities for dyspnea.

Conclusions:

The multidimensional model provides a framework for a holistic understanding of dyspnea.
Nurses play a vital role in implementing and coordinating dyspnea amelioration strategies.
Integrated care approaches are essential for effectively managing this complex symptom.