Skip to main content

Zusammenfassung

Patienten beschreiben Atemnot als »bekomme nicht genug Luft«, »bin kurzatmig«, »ersticke« »brauche mehr Luft«. Leider bleibt die Wahrnehmung dieser Symptome durch Angehörige und Pflegende oft auf die terminale Krankheitsphase beschränkt, obwohl sich schon früher sinnvolle Maßnahmen treffen lassen. Trotz der Fortschritte in der Krebsbehandlung und Studien zu ihrer symptomatischen Behandlung bleibt Atemnot ein schwieriges und schwer zu linderndes Symptom, unter dem Patienten, Angehörige aber auch Pflegende zu leiden haben. Bei Atemnot nehmen pflegerische und nicht-pharmakologische Interventionen eine wichtige Stellung ein. Die Aufgabe der Pflegenden besteht in dem Erkennungen und Erfassungen der Atemnot, dem Umsetzen der nötigen erforderlichen Therapien sowie der Beruhigung der Patienten und ihrer Angehörigen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 79.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Abernathy AP et al. (2010) Effect of palliative oxygen verus room air in relief of breathlessnesss in patients with repractory daypnoes a double-blind randomized controlled trial. Lancet 376:784–393

    Google Scholar 

  • Bausewein C et al. (2007) Measurement of breathlessness in advanced disease: A systematic review: Respiratory Medicine Volume 101, Issue 3, Pages 399–410

    Google Scholar 

  • Ben-Aharon I, Gafter-Gvili A, Paul M et al. (2008) Interventions for alleviating cancer-related dyspnea: a systematic review. J Clin Oncol 26 (14): 2396–2404

    Google Scholar 

  • Ben-Aharon I et al. (2012) Interventions for alleviating cancer-related dyspnea: A systematic review and meta-analysis. Acta Oncologica, 2012; 51: 996–1008

    Google Scholar 

  • Bonk AK (2012) Management of Dyspnea in a Patient with Lung Cancer, Oncology Nursing Forum Vol 39, No. 3

    Google Scholar 

  • Boshuizen RC et al. (2013) Comparison of modified Borg scale and visual analog scale dyspnea scores in predicting re-intervention after drainage of malignant pleural effusion. Support Care Cancer (2013) 21:3109–3116

    Google Scholar 

  • Cairns L (2012) Managing breathlessness in patients with lung cancer. Nursing Standard, 27(13), 44–49

    Google Scholar 

  • Campbell ML et al. (2013) Oxygen is nonbeneficial for most patients who are near death. J Pain Symptom Manage 45:517–523

    Google Scholar 

  • Ekström MP, Abernethy AP, Currow DC (2015) The management of chronic breathlessness in patients with advanced and terminal illness. British Medical Journal 349:g7617

    Google Scholar 

  • Ellis J et al. (2012) Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers. J Pain Symptom Manage. 44(6):831–42

    Google Scholar 

  • Gaguski ME et al. (2010) Assessing dyspnea in patients with non-small cell lung cancer in the acute care setting. Clinial Journal of Oncology Nursing,14, 509–513

    Google Scholar 

  • Galbraith S, Fagan P, Perkins P, Lynch A, Booth S (2010): Does the use of a handheld fan improve chronic dyspnea? A randomized, controlled, crossover trial. J Pain Symptom Manage 39: 831

    Google Scholar 

  • Jennings AL, Davies AN, Higgins JP, Anzures-Cabrera J, Broadley KE (2012) Opioids for the palliation of breathlessness in advanced disease and terminal illness. Cochrane Database Syst Rev.: CD002066.

    Google Scholar 

  • Parschall MB et al. (2012) An Official American Thoracic Society Statement: Update on the Mechanisms, Assessment, and Management of Dyspnea .Am J Respir Crit Care Med Vol 185, Iss. 4, 435–452

    Google Scholar 

  • Shin JA et al. (2014) Dyspnea and Panic Among Patients With Newly Diagnosed Non–Small-Cell Lung Cancer Journal of Pain and Symptom Management, April

    Google Scholar 

Weiterführende Literatur

  • Bausewein C, Simon S (2013) Atemnot und Husten bei Palliativpatienten Dtsch Arztebl Int. 110: 563

    Google Scholar 

  • DiSalvo W et al. (2008) PEP evidence-based interventions for cancer-related dysnpea. Clin J Oncol Nurs 12, 2 341–352

    Google Scholar 

  • Doppler K, Deutsch J (2008) Dyspnoe – ein multifaktoriell bedingtes multidimensionales Symptom. Wien Med Wochenschr 158/23: 680–686

    Google Scholar 

  • Dunger C et al. (2014) Breathlessness and crises in the context of advanced illness: A comparison between COPD and lung cancer patients. Palliat Support Care. 2014 Feb 13:1–9

    Google Scholar 

  • Kloke M, Cherny N (2015) Treatment of Dyspnoea in Advanced Cancer Patients: ESMO Clinical Practice Guidelines. Annals of Oncology 26 (suppl 5): v169-v173

    Google Scholar 

  • Nava S et al. (2013) Palliative use of non-invasive ventilation in end-of life patient with solid tumors: a randomised feasibility trial. Lancet Oncol 14:219–227

    Google Scholar 

  • Rogier C et al. (2013) Comparison of modified Borg scale and visual analog scaledyspnea scores in predicting re-intervention after drainage of malignant pleural effusion, Support Care Cancer 21:3109–3116

    Google Scholar 

  • Uronis H et al. (2011) Symptomatic oxygen for non-hypoxaemic chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2011; 6:CD006429

    Google Scholar 

  • Zhao I, Yates P (2008) Non-pharmacological interventions for breathlessness management in patients with lung cancer: a systematic review. Palliat Med 22: 693–701

    Google Scholar 

Internetadressen

  • European Oncolgoy Nursing Society: www.cancernurse.eu / Education/ Euro-PEP /Dyspnea

  • The Cochrane Collaboration: www.cochrane.org (Bausewein C, Booth S, Gysels M, Higginson IJ (2009) Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant disease. Review)

  • FACIT Functional Assessment of Chronic Illness Therapy; www.facit.org/FACITOrg/Questionnaires/Dyspnea

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Jost, L., Margulies, A. (2017). Atemnot. In: Margulies, A., Kroner, T., Gaisser, A., Bachmann-Mettler, I. (eds) Onkologische Krankenpflege. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53955-2_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53955-2_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53954-5

  • Online ISBN: 978-3-662-53955-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics