Breathing SPACE—a practical approach to the breathless patient

Abstract Breathlessness is a common symptom that may have multiple causes in any one individual and causes that may change over time. Breathlessness campaigns encourage people to see their General Practitioner if they are unduly breathless. Members of the London Respiratory Network collaborated to d...

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Autores principales:	Nicholas S. Hopkinson, Noel Baxter, on behalf of the London Respiratory Network
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/69979ff350034b638e6c68ddb60bb738
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spelling	oai:doaj.org-article:69979ff350034b638e6c68ddb60bb7382021-12-02T16:19:45ZBreathing SPACE—a practical approach to the breathless patient10.1038/s41533-016-0006-62055-1010https://doaj.org/article/69979ff350034b638e6c68ddb60bb7382017-01-01T00:00:00Zhttps://doi.org/10.1038/s41533-016-0006-6https://doaj.org/toc/2055-1010Abstract Breathlessness is a common symptom that may have multiple causes in any one individual and causes that may change over time. Breathlessness campaigns encourage people to see their General Practitioner if they are unduly breathless. Members of the London Respiratory Network collaborated to develop a tool that 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 five 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.Nicholas S. HopkinsonNoel Baxteron behalf of the London Respiratory NetworkNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 27, Iss 1, Pp 1-6 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Nicholas S. Hopkinson Noel Baxter on behalf of the London Respiratory Network Breathing SPACE—a practical approach to the breathless patient
description	Abstract Breathlessness is a common symptom that may have multiple causes in any one individual and causes that may change over time. Breathlessness campaigns encourage people to see their General Practitioner if they are unduly breathless. Members of the London Respiratory Network collaborated to develop a tool that 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 five 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.
format	article
author	Nicholas S. Hopkinson Noel Baxter on behalf of the London Respiratory Network
author_facet	Nicholas S. Hopkinson Noel Baxter on behalf of the London Respiratory Network
author_sort	Nicholas S. Hopkinson
title	Breathing SPACE—a practical approach to the breathless patient
title_short	Breathing SPACE—a practical approach to the breathless patient
title_full	Breathing SPACE—a practical approach to the breathless patient
title_fullStr	Breathing SPACE—a practical approach to the breathless patient
title_full_unstemmed	Breathing SPACE—a practical approach to the breathless patient
title_sort	breathing space—a practical approach to the breathless patient
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/69979ff350034b638e6c68ddb60bb738
work_keys_str_mv	AT nicholasshopkinson breathingspaceapracticalapproachtothebreathlesspatient AT noelbaxter breathingspaceapracticalapproachtothebreathlesspatient AT onbehalfofthelondonrespiratorynetwork breathingspaceapracticalapproachtothebreathlesspatient
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Breathing SPACE—a practical approach to the breathless patient

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