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Amy J. Markowitz, JD; Michael Rabow, MD

JAMA. 2002;287:2261.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In March 2001¹ Drs John and Judith Luce discussed the management of dyspnea in the seriously ill, presenting 2 cases. The first patient, Mrs D, was a 74-year-old white woman with dyspnea secondary to emphysema. The second patient, Mrs I, was a 65-year-old white woman diagnosed with limited-stage small-cell lung cancer and a central nervous system (CNS) recurrence of her cancer.

The authors described 4 management strategies for dyspnea: reducing ventilatory impedance, reducing ventilatory demand, improving respiratory muscle function, and altering central perception. They also advised physicians to proactively encourage patients and their caregivers to discuss issues such as accepting or forgoing mechanical ventilation and other aggressive therapies, to prepare advance directives, and to participate in a comprehensive plan to manage their dyspnea.

MRS D

Over the 6 months subsequent to her interview, Mrs D's condition declined substantially. A suspected neoplasm was discovered and she . . . [Full Text of this Article]

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