Nurse-led breathlessness clinic
Category: Follow-Up and End-of-Life Care
The problem identified
Breathlessness is a significant problem for lung cancer patients with around 80% of all patients experiencing it at some point. The lung cancer nurses highlighted a need for a dedicated service to enable lung cancer patients to manage and cope with this breathlessness more effectively.
The intervention made to change the problem
The lung CNSs searched for a breathlessness training course specifically for lung cancer patients and attended the MPACE course in Manchester. Funding was obtained from the Arden Cancer Network and an additional nurse was employed allowing the setting up of a breathlessness clinic. Necessary clinic space was identified ensuring it was appropriately furnished with sufficient and appropriate seating.
How it changed my practice
The lung cancer management of breathlessness clinic was set up to help patients manage and cope with their breathlessness and also to help their family and carers. The clinic offers four x 1 hour sessions to each patient on a one to one basis. Carers are welcome to attend allowing for patient choice. The CNS carries out a detailed assessment of the patient's breathing problems ensuring all reversible medical conditions have been addressed. Relaxation techniques, breathing exercises and ways to conserve energy are taught. Discussions take place about planning daily activities and how to pace ones self to ensure evening activities are achievable. Feedback from the clinic suggests that patients feel more confident about managing their breathlessness and can regain some control of their abilities. The CNSsê will accept referrals from anyone involved in the care of the lung cancer patients and also referrals from the patients themselves. Home visits are often arranged due to the nature of the clinic and this is welcomed by the patient. The clinic has made a big impact on patients lives and is rewarding to do.