Breathlessness is increasingly recognised as a common, disabling
symptom of many advanced diseases and one that is very difficult to
treat. There is now an understanding that a multi-disciplinary
approach to management can make a significant impact on the
severity of the symptom improving both the patient s and their
carers quality of life.
Breathlessness is one of the most difficult conditions that
palliative care (and other clinicians who care for patients with
advanced disease) have to treat. With the improvements in pain
control, it is possibly now the most difficult symptom for
clinicians to manage: many feel frustrated at not being able to
give their patients better care. Many patients and families are
enduring terrible suffering. There has been little progress in
improving the symptom, in spite of an increase in the amount of
research and interest in it over the last twenty years. The
Cambridge Breathlessness Intervention Service (CBIS) has been
established since 2004 and is a research-based service which has
being evaluated since its inception: its model of caring has been
shaped by the patients and families who use it and the clinicians
who refer to it.CBIS has firm evidence of its effectiveness with
patients with breathlessness with both malignant and non-malignant
disease. This book will help others to manage breathlessness in
their day-to-day clinical practice and, if so desired, set up their
own breathlessness service. There is a well-established website
which can be used in conjunction with the book. The book is written
to give practical help in the clinical management of breathlessness
and written so that the information is easy to access in clinic,
ward or home."
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