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Breathlessness
Clinic
Alongside cough, breathlessness is the most commonly reported symptom
in lung cancer sufferers Despite the prevalence of breathlessness and
the negative impact it can have on a person’s quality of life there is
evidence to suggest that, for many, breathlessness is a symptom which
is poorly palliated.
Palliation of breathlessness has tended to focus on treatment of underlying causes, such as infection or pleural effusion, in conjunction with reducing the perception of breathlessness through the use of opioids. Whilst there is clearly a role for pharmacological intervention in the management of breathlessness it appears that by introducing other approaches, such as anxiety management, relaxation and activity pacing, the sufferer can become empowered to manage his or her own symptoms.
A joint venture between the Macmillan Oncology Nurse, Palliative Care Nurse and Occupational Therapist sees the development of a four-week educational support programme for patients with breathlessness related to lung cancer.The aim of the programme is to provide optimal independence physically, emotionally and spiritually for theses patients.
A combination of
the following techniques will be used in the programme with each patient
being seen individually
- Detailed assessment
of breathlessness and factors which relieve or exacerbate it
- Advice and support
for patients and their families on ways of managing breathlessness.
- Exploration of
the meaning of breathlessness, the disease and feelings about the future
- Goal setting to
assist in the management of functional and social activities and to
support the development of coping strategies
- Relaxation and
breathing retraining
- Early recognition of problems requiring medical or pharmacological intervention
The programme is due
to start on the 18th September and further information can be obtained
from
Judith Smith, Oncology Nurse, BGH, 01896 82600 bleep 3041
Jennifer Bramwell, Occupational Therapist, BGH, 01896 826000 bleep 1643
Christine Gray, Palliative Care Nurse, 01896 826829
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