The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease.
NPJ Prim Care Respir Med
Springer Science and Business Media LLC
MetadataShow full item record
Spathis, A., Booth, S., Moffat, C., Hurst, R., Ryan, R., Chin, C., & Burkin, J. (2017). The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease.. NPJ Prim Care Respir Med, 27 (1), 27. https://doi.org/10.1038/s41533-017-0024-z
Refractory breathlessness is a highly prevalent and distressing symptom in advanced chronic respiratory disease. Its intensity is not reliably predicted by the severity of lung pathology, with unhelpful emotions and behaviours inadvertently exacerbating and perpetuating the problem. Improved symptom management is possible if clinicians choose appropriate non-pharmacological approaches, but these require engagement and commitment from both patients and clinicians. The Breathing Thinking Functioning clinical model is a proposal, developed from current evidence, that has the potential to facilitate effective symptom control, by providing a rationale and focus for treatment.
Humans, Respiratory Tract Diseases, Pulmonary Disease, Chronic Obstructive, Dyspnea, Heart Diseases, Chronic Disease, Evidence-Based Medicine, Delivery of Health Care, Self-Management
External DOI: https://doi.org/10.1038/s41533-017-0024-z
This record's URL: https://www.repository.cam.ac.uk/handle/1810/287248
Attribution 4.0 International
Licence URL: https://creativecommons.org/licenses/by/4.0/