Dyspnea Management in Palliative Home care: A Case Series in Malaysia

被引：2

作者：

Thongkhamcharoen, Rojanasak ^{[1
,2
]}

Breaden, Katrina ^{[1
,3
]}

Agar, Meera ^{[1
,3
,4
]}

Hamzah, Ednin ^{[5
]}

机构：

[1] Flinders Univ S Australia, Discipline Palliat & Support Serv, Sturt Rd, Bedford Pk, SA 5042, Australia

[2] Maesot Gen Hosp, Dept Social Med, Maesot 63110, Tak Prov, Thailand

[3] Braeside Hosp, Dept Palliat Care, Prairiewood, NSW, Australia

[4] Univ New South Wales, South West Sydney Clin Sch, Liverpool, NSW, Australia

[5] Hospis Malaysia, Kuala Lumpur 56100, Malaysia

来源：

INDIAN JOURNAL OF PALLIATIVE CARE | 2012年 / 18卷 / 02期

关键词：

Asian perspective; Breathlessness; Community care; Dyspnea; Home care; Hospis Malaysia; Palliative;

D O I：

10.4103/0973-1075.100835

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Managing dyspnea at home is a challenging task. Although a competent palliative home care team can assist a patient to live at home with better pain control, dyspnea is usually not as well managed. In the Asian context, there are few research studies in dyspnea management in palliative home care. This paper aims to illustrate the cultural context that has an impact on dyspnea management at home and the assessment and management of dyspnea in a community palliative care setting in Malaysia. This paper reports on a study of 5 dyspneic patients suffering from both cancer-related and non-cancer-related dyspnea. Its focus is on a unique Asian cultural belief system that affects communication about prognosis and the role of family in palliative home care. In addition, this paper also describes dyspnea assessment, the barriers to morphine use, benzodiazepine prescription, oxygen therapy, and nonpharmacologic intervention in this center.

引用

页码：128 / 133

页数：6

共 36 条

[1] Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial [J].