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
The Patients' Stories, Perspectives, Conclusions, The End of the Stories, Methods to Update This Chapter, Resources, References, Chapter Glossary Terms
dyspnea, lung diseases
"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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