Putting evidence in to practice®: Evidence-based interventions for cancer-related dyspnea Journal Article
| Authors: | Disalvo, W. M.; Joyce, M. M.; Tyson, L. B.; Culkin, A. E.; Mackay, K. |
| Article Title: | Putting evidence in to practice®: Evidence-based interventions for cancer-related dyspnea |
| Abstract: | Despite the common occurrence of cancer-related dyspnea, a paucity of literature is available for review, especially research literature that reports interventions to control dyspnea. The Oncology Nursing Society's Putting Evidence Into Practice® (PEP) initiative organized a team of nurses to examine the literature, rank the evidence, summarize the findings, and make recommendations for nursing practice to improve patient outcomes. Pharmacologic and nonpharmacologic agents have been used to treat dyspnea. Patients who received parenteral or oral immediate-release opioids demonstrated a benefit in the reduction of breathlessness; thus, parenteral or oral opioids are recommended for practice. Five interventions are listed in the effectiveness not established category and include extended-release morphine, midazolam plus morphine, nebulized opioids, the use of gas mixtures, and cognitive-behavioral therapy. This article critically examines the evidence, provides nurses with the best evidence for practice, and identifies gaps in the literature and opportunities for further research. |
| Keywords: | review; research design; methodology; evidence based medicine; neoplasm; oncology nursing; organization and management; evidence-based medicine; neoplasms; oncologic nursing; quality control; consensus; oxygen therapy; practice guideline; dyspnea; narcotic analgesic agent; practice guidelines as topic; cognitive therapy; benchmarking; analgesics, opioid; nurse attitude; nurse's role; mass communication; diffusion of innovation; nursing research; oxygen inhalation therapy |
| Journal Title: | Clinical Journal of Oncology Nursing |
| Volume: | 12 |
| Issue: | 2 |
| ISSN: | 1092-1095 |
| Publisher: | Oncology Nursing Society (ONS) |
| Date Published: | 2008-04-01 |
| Start Page: | 341 |
| End Page: | 352 |
| Language: | English |
| DOI: | 10.1188/08.cjon.341-352 |
| PUBMED: | 18390468 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 3" - "Export Date: 17 November 2011" - "Source: Scopus" |
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