The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease.


Type
Article
Change log
Authors
Booth, Sara 
Moffat, Catherine 
Hurst, Rhys 
Abstract

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.

Description
Keywords
Chronic Disease, Delivery of Health Care, Dyspnea, Evidence-Based Medicine, Heart Diseases, Humans, Pulmonary Disease, Chronic Obstructive, Respiratory Tract Diseases, Self-Management
Journal Title
NPJ Prim Care Respir Med
Conference Name
Journal ISSN
2055-1010
2055-1010
Volume Title
27
Publisher
Springer Science and Business Media LLC