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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Disability and long-term breathlessness: a cross-sectional, population study.

Slavica Kochovska1, Diana Ferreira2,3, Sungwon Chang4

  • 1Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia slavica.kochovska@uow.edu.au.

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Long-term breathlessness significantly increases disability across all levels, particularly impacting mobility and participation. Assessing disability is crucial for improving the health and social well-being of individuals experiencing breathlessness.

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Perception of Asthma/BreathlessnessSurveys and Questionnaires

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Area of Science:

  • Public Health
  • Disability Studies
  • Respiratory Medicine

Background:

  • Disability is a global health issue stemming from individual-environment interactions.
  • Breathlessness, a symptom of many diseases, causes disability, but its link to disability severity is unclear.
  • Persistent breathlessness is a significant public health concern, impacting quality of life.

Purpose of the Study:

  • To investigate the association between disability and the severity of long-term breathlessness limiting exertion.
  • To quantify disability using the WHO Disability Assessment Schedule (WHODAS) 2.0.
  • To explore the relationship between breathlessness levels and specific disability domains.

Main Methods:

  • A population-based, cross-sectional online survey of 10,033 participants.
  • Utilized the WHODAS 2.0 (12-item) to assess self-reported disability.
  • Employed the modified Medical Research Council (mMRC) breathlessness scale to measure breathlessness severity (0-4).

Main Results:

  • Higher levels of long-term breathlessness were consistently associated with increased disability (p <0.001).
  • Mobility and Participation domains were most affected by breathlessness.
  • Severe breathlessness (mMRC 3-4) led to 20 days of disability in the past month.

Conclusions:

  • Disability is a key component of persistent breathlessness, showing a dose-dependent and multidimensional relationship.
  • Disability assessment is recommended for individuals with long-term breathlessness to enhance social well-being.
  • Integrating disability assessment into breathlessness management is vital for holistic patient care.