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Dublin Core
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Title
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Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
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<a href="http://doi.org/10.1089/jpm.2017.0240" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/jpm.2017.0240</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Dyspnea in Children with Life-Threatening and Life-Limiting Complex Chronic Conditions
Publisher
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Journal of Palliative Medicine
Date
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2018
Subject
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children; Adolescents; palliative care; complex chronic conditions; adolescents; pediatrics; dyspnea; breathing difficulties; complex chronic conditions; pharmacological interventions; physical interventions
Creator
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Pieper L; Zernikow B; Drake R; Frosch M; Printz M; Wager J
Description
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BACKGROUND: Dyspnea is one of the most frequent symptoms in children with complex chronic conditions (CCC) requiring palliative care. Although it is a subject of high importance, there has been little research on dyspnea in critically ill children. OBJECTIVE: The purpose of this systematic review was to investigate the prevalence and causes of dyspnea in children with CCC and to identify the current state of research on the measurements, treatments, and the evaluation of therapeutic interventions. METHODS: A systematic literature search for relevant literature from 1990 until the present was performed using the online database PubMed. Information about prevalence, pathophysiological mechanisms, measurement, and treatment of dyspnea was extracted from all 43 eligible publications. RESULTS: The prevalence ranged widely from 17% to 80%. Breathlessness was primarily attributed to a disease-specific pathophysiology. A multidimensional approach has not been reported. Assessment of dyspnea included eight tools using either subjective self- or proxy-ratings or objective measures. Evidence for the effectiveness of various treatment approaches was low. DISCUSSION: The prevalence rates for dyspnea could be generalized across all conditions and patient subgroups. The biopsychosocial-spiritual approach was not addressed by the studies. There is a lack of an adequate and validated measurement tool that can be applied to children of various ages and diagnoses, communication ability, and practicable across different settings. Most found treatment approaches lacked good evidence in children. CONCLUSION: Although the prevalence rate of dyspnea in pediatric palliative care is high, it has been poorly studied.
Identifier
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<a href="http://doi.org/10.1089/jpm.2017.0240" target="_blank" rel="noreferrer noopener">10.1089/jpm.2017.0240</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Adolescents
breathing difficulties
Children
Complex Chronic Conditions
Drake R
Dyspnea
Frosch M
Journal of Palliative Medicine
Palliative Care
Pediatrics
pharmacological interventions
physical interventions
Pieper L
Printz M
Wager J
Zernikow B