Document Detail


Are you asking the right admission questions when assessing dyspnea?
MedLine Citation:
PMID:  16027647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sandra MacDonald; Jan Yates; Robyn Lance; Noreen Giganti; Diana Chepurko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  34     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-07-19     Completed Date:  2005-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  260-9     Citation Subset:  AIM; IM    
Affiliation:
Nursing and Patient Care Services, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA.
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MeSH Terms
Descriptor/Qualifier:
Dyspnea / 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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