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Quality of Life in Elderly Dyspnea Patients

  • A. Hooshiaran
  • F. van der Horst
  • G. Wesseling
  • J. J. M. H. Strik
  • J. A. Knottnerus
  • A. Gorgels
  • A. Fastenau
  • M. van den Akker
  • J. W. M. Muris
Reference work entry

Abstract:

 Dyspnea is a subjective term. Psychosocial or cultural parameters may influence the reaction of individuals to a certain sensation of breathing discomfort. The context in which dyspnea occurs can also impact its perception. Most of underlying diseases of dyspnea are progressive, frustrating and debilitating and their influence permeates every aspect of the patient’s life. In most elderly patients with chronic dyspnea, the specific cause of the dyspnea is usually elusive and because of coexistence of multiple causes a specific treatment is not available; so treatment should be aimed at symptom relief.

Research literature concerning dyspnea as a symptom in the elderly is scarce, although much has been written about specific diseases that may cause dyspnea, especially  chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). As the prevalence of these conditions increases with advancing age, dyspnea becomes an important cause of decrease in  quality of life and morbidity in the elderly. To get a better view of this impact we need standardized means to quantify dyspnea. There are several objective instruments available to measure dyspnea. Much of them focus on quantifying the functional consequences of dyspnea, such as decreased activity, which have the potential to dramatically impact quality of life and translate into impairment and disability.

In this chapter diagnostic procedures and measurement of dyspnea and its consequences are discussed. Furthermore, current evidence based effective methods to manage and rehabilitate elderly patient with dyspnea are summarized.

Keywords

Chronic Obstructive Pulmonary Disease Congestive Heart Failure Chronic Obstructive Pulmonary Disease Patient Panic Disorder Pulmonary Rehabilitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

ABG

arterial blood gas

ADL

 activities of daily life

BDI

baseline dyspnea index

BNP

brain natriuretic peptide

CAD

coronary artery disease

CCQ

 clinical COPD questionnaire

CHF

chronic heart failure

CHQ

chronic heart failure questionnaire

COPD

chronic obstructive pulmonary disease

CRP

cardiac  rehabilitation program

CRQ/CRQ-D

chronic respiratory questionnaire/-dyspnea subscale

CXR

chest X ray

ECG

electrocardiography

FEV1

forced expiratory volume in 1 s

HRQOL

health related quality of life

KCCQ

kansas cardiomyopathy clinical questionnaire

MBS

modified borg scale

METs

metabolic equivalent tasks

MLHF

minnesota living with heart failure

MRC

medical research council

MVO2

myocardial volume oxygen (consumption)

NFPD

non-fearful panic disorder

NYHA

New York heart association

OT

occupation therapy

PFSDQ/PFSDQ-M

pulmonary functional status and dyspnea questionnaire/-modified

QLQ- QOL

quality of life

SF-36

short-form 36-item questionnaire

SGRQ

St. George’s respiratory questionnaire

SHF

quality of life questionnaire in severe heart failure

SIP

sickness impact profile

SOLQ

seattle obstructive lung disease questionnaire

TDI

transition dyspnea index

VAS

visual analogue scale

WHO

World Health Organization

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • A. Hooshiaran
  • F. van der Horst
  • G. Wesseling
  • J. J. M. H. Strik
  • J. A. Knottnerus
  • A. Gorgels
  • A. Fastenau
  • M. van den Akker
  • J. W. M. Muris

There are no affiliations available

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