| Are you asking the right admission questions when assessing dyspnea? | |
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MedLine Citation:
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PMID: 16027647 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Dyspnea is an important admission parameter to detect undiagnosed cardiopulmonary conditions. The typical admission question, "Are you short of breath?" can give insufficient or misleading data. OBJECTIVES: A group of clinical research nurses sought to improve dyspnea assessments by using a more accurate measure that would not unduly lengthen the admission process itself. The methodology used to achieve this outcome was research utilization. METHODS: On admission, 103 patients were given the standard question "Are you short of breath?" followed by 4 Visual Analog Scales of Dyspnea (VASD). These response measures assess the degree of dyspnea in relationship to variable exertion activities on a scale of 0 to 10. All responses to VASD were analyzed using descriptive statistics. RESULTS: The results showed that 30% of patients who responded "No" to the shortness of breath query scored 5 or more for dyspnea on the VASD. All scores of 5 or more were reported to the primary care provider for further workup. CONCLUSION: The results from this project gave impetus to designing a more formal research study that could validate VASD use in clinical admission assessments. |
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Authors:
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Sandra MacDonald; Jan Yates; Robyn Lance; Noreen Giganti; Diana Chepurko |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Heart & lung : the journal of critical care Volume: 34 ISSN: 0147-9563 ISO Abbreviation: Heart Lung Publication Date: 2005 Jul-Aug |
Date Detail:
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Created Date: 2005-07-19 Completed Date: 2005-11-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0330057 Medline TA: Heart Lung Country: United States |
Other Details:
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Languages: eng Pagination: 260-9 Citation Subset: AIM; IM |
Affiliation:
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Nursing and Patient Care Services, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Dyspnea
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diagnosis*,
therapy Humans Medical History Taking / standards* Patient Admission* Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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