• J Pain Symptom Manage · Mar 2016

    Effective Management of Breathlessness in Advanced Cancer Patients with a Program-Based, Multidisciplinary Approach: The "SOB Program" in Hong Kong.

    • Wing-lok Chan, Cheuk-wah Ng, Connie Lee, Pearl Cheng, Kit-wah Cheung, Wai-kwan Steven Siu, Kwok-keung Yuen, and To-wai Leung.
    • Department of Clinical Oncology, Queen Mary Hospital, Hong Kong. Electronic address: cwl088@ha.org.hk.
    • J Pain Symptom Manage. 2016 Mar 1; 51 (3): 623-7.e2.

    BackgroundBreathlessness is common in patients with advanced cancer. Using a multidisciplinary approach for relieving this challenging symptom was believed to be just a theory. The "SOB Program" was implemented in our institution in March 2013.MeasuresAn audit of medical records before and after implementation of the "SOB Program" was performed to identify any changes in practice after implementation, specifically in the use of nonpharmacologic interventions.InterventionThe "SOB Program" is a multidisciplinary service in our department, using both pharmacologic and nonpharmacologic interventions for all patients with advanced cancer who have dyspnea.OutcomesThere was a marked increase in the use of nonpharmacologic interventions after the "SOB Program" (26.86% preimplementation vs. 89.35% postimplementation). Patients joining the program also had satisfactory improvement in breathlessness.Conclusions/Lessons LearnedA multidisciplinary approach for breathlessness control is both feasible and practical. Similar services can be promoted in other palliative care centers.Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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