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  Vol. 287 No. 17, May 1, 2002 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Perspectives on Care at the Close of Life: CODA
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Management of Dyspnea in Patients With Far-Advanced Lung Disease

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]



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Advance Care Planning for Fatal Chronic Illness: Avoiding Commonplace Errors and Unwarranted Suffering
Lynn and Goldstein
ANN INTERN MED 2003;138:812-818.
ABSTRACT | FULL TEXT  





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