Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part B Symptom Management
Chapter 6. Management of Dyspnea in Patients With Far-Advanced Lung Disease: “Once I Lose It, It’s Kind of Hard to Catch It…”
John M. Luce, MD, Judith A. Luce, MD
Sections:
The Patients' Stories, Perspectives, Conclusions, The End of the Stories, Methods to Update This Chapter, Resources, References, Chapter Glossary Terms
Topics Discussed:
dyspnea, lung diseases
Excerpt:
"Mrs D is a 74-year-old woman followed up for the past 4 years
for management of dyspnea secondary to emphysema. Her pulmonologist,
Dr M, relates that she has had a substantial active (25 pack-years)
and passive (husband smoked 2 packs per day) tobacco exposure. She
is thin, with pursed-lip breathing and sternocleidomastoid contractions.
The results of pulmonary function tests demonstrate severe airflow
obstruction, air trapping, and marked reduction in diffusing capacity...."
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