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Be Inspired – a non pharmacological breathlessness management pathway. Sue Acreman April 2010. The 8 domains of care. Physical Practical Nutritional Psychological Informational Spiritual Financial Social. Background. Evidence review 2008 Service provision survey Audit

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be inspired a non pharmacological breathlessness management pathway

Be Inspired – a non pharmacological breathlessness management pathway

Sue Acreman

April 2010

the 8 domains of care
The 8 domains of care
  • Physical
  • Practical
  • Nutritional
  • Psychological
  • Informational
  • Spiritual
  • Financial
  • Social
background
Background
  • Evidence review 2008
  • Service provision survey
  • Audit
  • Local demographics/ stats
slide4
Aims

Develop a sound, evidence based pathway

Equity of access to care

Empowerment and independence

Widen knowledge and skills in managing breathlessness

resources outputs
Resources/outputs
  • Pathway
  • Assessment measures
  • Handbook
  • Calming hand
  • Systematic focussing
  • Relaxation technique
  • Education programme
slide6

Step 1

:Triage

-

Meets criteria

No

Yes

Step 2

: Refer for BeInspired

Intervention

EXITpathway

  • Step 3: Arrange Appointment
    • send self assessment form & daily activity impact diary

-

  • Step 4: Assessment and Intervention – still meetscriteria
  • Iniatiate Supported self management
    • Triggers
  • Beinspired handbook
  • Signpost

Step 5: Review

Are BeInspired interventions adequate for patients needs?

Yes

No

  • Step 6: Initiate referral for complex case management
    • Goal setting
  • Outcome measures
  • Self management plan
results 1 february 2010
Results – 1 (February 2010)
interim results 3 february 2010

Type of Intervention

17%

Complex case

management

Self

management

83%

Interim Results – 3(February 2010)
interim results 4
Interim results (4)

It is nice to have all the necessary information in one place to hand

If only I had known all this before

All useful-good simple basic details that have helped my breathing

I couldn’t believe I had been struggling so long

with my breathing and the answer was so simple

once explained

conclusions
Conclusions

Dyspnoea is not routinely assessed and is an expected burden for many people with cancer

Dyspnoea can affect all patients with cancer, irrespective of tumour site

Early evaluation suggests that appropriate patients are being identified and the pathway and other resources are fit for purpose

contact details
Contact details

sue.acreman@wales.nhs.uk

Work mobile: 07837163930