Next talk at #hapc21! Controlling the dyspnea-anxiety cycle.
Remember that dyspnea is very common. Not just in COPD but in other diagnoses, and not just in hospice patients but in the ICU and other settings as well. #hapc21
The complicated and vicious cycle of breathlessness. #hapc21
Patients often feel ashamed: "if only I could get over my anxiety..." It's important to validate that anxiety is the normal response to breathlessness. #hapc21
Non-pharmacologic approaches to breathlessness. #hapc21
Behavioral strategies can help, and palliative care teams can learn to use them with patients. Here are some main messages the speakers discuss with their patients. #hapc21
Back to the vicious cycle between breathlessness and dyspnea. Unfortunately, behaviors that give patients short term relief can have long term negative effects (eg avoiding activity). #hapc21
This is a recurring #hapc theme! We've already heard today that what is unseen or unheard can't be healed. Inviting patients to tell their stories of breathlessness and anxiety is the first step to healing. #hapc21
It's helpful to focus on one approach to anxiety and breathlessness at a time (ie don't try to do it all at once!).
Pro tip: have a collection of one step resources that you can click on and within a minute be exploring with the patient. #hapc21
Guide to teaching self-management of the dyspnea-anxiety cycle. #hapc21
Don't forget the value of pulmomary rehab for putting it all together. #hapc21
It will surprise no one that breaking the dyspnea - anxiety cycle is a team sport! Seek out collaborations with others. #hapc21
Final takeaway: find one aspect of breaking the dyspnea-anxiety cycle and learn more about it so that you can apply it to your patients. Here are some resources to get us started! #hapc21
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Diving into a difficult topic at #hapc21. Dr. Horowitz is starting with his mother, who had dementia and was considering voluntarily stopping eating and drinking (VSED).
Key points about the key clinical considerations around VSED: note that life should be unacceptable and IRREVERSIBLY difficult. This can't be an impulsive decision. #hapc21.
Psychiatric considerations are important too. There is an important difference between the wish to die vs. the wish to "not live like this" when considering VSED. #hapc21