ISSN 1671-5411 CN 11-5329/R
Lourdes Vicent, Juan Manuel Nunez Olarte, Luis Puente-Maestu, Esther Artajona, Francisco Fernandez-Aviles, Manuel Martinez-Selles. Hospital without dyspnea: rationale and design of a multidisciplinary intervention. J Geriatr Cardiol 2016; 13(7): 625-631. doi: 10.11909/j.issn.1671-5411.2016.07.008
Citation: Lourdes Vicent, Juan Manuel Nunez Olarte, Luis Puente-Maestu, Esther Artajona, Francisco Fernandez-Aviles, Manuel Martinez-Selles. Hospital without dyspnea: rationale and design of a multidisciplinary intervention. J Geriatr Cardiol 2016; 13(7): 625-631. doi: 10.11909/j.issn.1671-5411.2016.07.008

Hospital without dyspnea: rationale and design of a multidisciplinary intervention

doi: 10.11909/j.issn.1671-5411.2016.07.008
  • Received Date: 2015-11-02
  • Rev Recd Date: 2016-01-20
  • Publish Date: 2016-07-28
  • Dyspnea is a common and disabling symptom of respiratory and heart diseases, which is growing in incidence. During hospital admission, breathlessness is under-diagnosed and under-treated, although there are treatments available for controlling the symptom. We have developed a tailored implementation strategy directed to medical staff to promote the application of these pharmacological and non-pharmacological tools in dealing with dyspnea. The primary aim is to decrease the rate of patients that do not receive an adequate relief of dyspnea. This is a four-stage quasi-experimental study. The intervention consists in two teaching talks that will be taught in Cardiology and Respiratory Medicine Departments. The contents will be prepared by Palliative Care specialists, based on available tools for management of dyspnea and patients’ needs. A cross-sectional study of dyspnea in hospitalized patients will be performed before and after the intervention to ascertain an improvement in dyspnea intensity due to changes in medical practices. The last phase consists in the creation of consensus protocols for dyspnea management based in our experience. The results of this study are expected to be of great value and may change clinical practice in the near future and promote a changing for the better of dyspnea care.
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