Clinical Nuggets: Assessment of Dyspnea Patient’s with labored breathing or shortness of breath present with a combination of physiologic and psychological characteristics, making assessment a difficult task. Physicians supplement pulmonary function testing with clinical rating scales to assess the effects of dyspnea on activities of daily living. However, these scales focus on physical tasks and ... Article
Article  |   April 01, 1999
Clinical Nuggets: Assessment of Dyspnea
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Clinical Nuggets
Article   |   April 01, 1999
Clinical Nuggets: Assessment of Dyspnea
SIG 3 Perspectives on Voice and Voice Disorders, April 1999, Vol. 9, 2. doi:10.1044/vvd9.1.2
SIG 3 Perspectives on Voice and Voice Disorders, April 1999, Vol. 9, 2. doi:10.1044/vvd9.1.2
Patient’s with labored breathing or shortness of breath present with a combination of physiologic and psychological characteristics, making assessment a difficult task. Physicians supplement pulmonary function testing with clinical rating scales to assess the effects of dyspnea on activities of daily living. However, these scales focus on physical tasks and do not contain information about the impact of decreased respiratory support on speech.
A new dyspnea questionnaire was developed and tested at the University of Cincinnati. It assesses the patient’s perception of dyspnea during physical activities (e.g., walking), speech activities (e.g., talking in a car), and a combination of physical and speech activities (e.g., talking while walking up a flight of stairs). It is easily administered in 5 or 10 minutes. The questionnaire provides information about the extent to which communication is perceived as handicapped by dyspnea. It can be used as a guide when making decisions about the need for management, especially for the professional voice user, or for patients confined to a wheelchair or bed who use speech as an essential means of controlling their environment.
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