Friday 30 September 2016

Service delivery of complex interventions for refractory breathlessness

Current opinion in supportive and palliative care; Sep 2016; vol. 103) 228-235
Booth, Sara; Ryan, Richella; Spathis, Anna

The review considers the evidence for different service models existing for helping people manage the chronic, irreversible breathlessness that accompanies advanced disease. Randomized controlled trial evidence confirms that a complex intervention for breathlessness can improve quality of life, reduce symptom impact, and support carers. Some preliminary data suggest prognosis improvement in some people. Integrated care is needed for both rapidly progressive disease, where death is inevitable, and chronic illness, when health improvement is possible.