Breathing SPACE – a practical approach to the breathless patient.

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Title: Breathing SPACE – a practical approach to the breathless patient.
Author(s): Hopkinson, NS
Baxter, N
Item Type: Journal Article
Abstract: Breathlessness is a common symptom which may have multiple causes in any one individual and causes which may change over time. Breathlessness campaigns encourage people to see their GP if they are unduly breathless. Members of the London Respiratory Network collaborated to develop a tool which would encourage a holistic approach to breathlessness, which was applicable both at the time of diagnosis and during ongoing management. This has led to the development of the aide memoire “Breathing SPACE” which encompasses 5 key themes – Smoking, Pulmonary disease, Anxiety/psychosocial factors, Cardiac disease and Exercise/fitness. A particular concern was to ensure that high value interventions (smoking cessation and exercise interventions) are prioritised across the life-course and throughout the course of disease management. The approach is relevant both to well people and in those with an underling diagnosis or diagnoses. The inclusion of anxiety draws attention to the importance of mental health issues. Parity of esteem requires the physical health problems of people with mental illness to be addressed. The SPACE mnemonic also addresses the problem of underdiagnosis of heart disease in people with lung disease and vice versa, as well as the systematic undertreatment of these conditions where they do co-occur.
Publication Date: 30-Jan-2017
Date of Acceptance: 2-Dec-2016
URI: http://hdl.handle.net/10044/1/42968
DOI: https://dx.doi.org/10.1038/s41533-016-0006-6
ISSN: 2055-1010
Publisher: Nature Publishing Group
Journal / Book Title: npj Primary Care Respiratory Medicine
Volume: 27
Copyright Statement: © The Author(s) 2017. This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Primary Health Care
Respiratory System
General & Internal Medicine
OBSTRUCTIVE PULMONARY-DISEASE
RANDOMIZED CONTROLLED-TRIAL
PHYSICAL-ACTIVITY
SMOKING-CESSATION
HEALTH-CARE
COPD
PREVALENCE
PEDOMETERS
INACTIVITY
EMPHYSEMA
Publication Status: Published
Article Number: 5
Appears in Collections:National Heart and Lung Institute
Airway Disease
Faculty of Medicine



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