Long COVID and breathlessness: an overview

This article offers a review of what is known so far about post-acute covid-19 and the underlying pathophysiology related to this condition. The main focus will be on the respiratory symptoms. It will then explore how community nurses can monitor and support patients with symptoms of breathlessness with a supporting discussion of the current recommendations for the management and treatment of patients presenting with symptoms of breathlessness. Palliation of symptoms will be highlighted but managing the supportive care needs for patients affected by COVID-19 and nearing the end of life is outside the scope of this article.

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Making sense of advanced cancer: using narrative at the end of life to identify information and supportive care needs

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2016-001204.8 ◽

2016 ◽

Vol 6 (3) ◽

pp. 386.3-387

Author(s):

Nicky Baker ◽

Kathy Armour ◽

Sabi Redwood ◽

Chantal Meystre ◽

Angus Dawson

Keyword(s):

Supportive Care ◽

End Of Life ◽

Advanced Cancer ◽

Supportive Care Needs ◽

Care Needs ◽

Making Sense

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Perceived information provision, is it related to supportive care needs?

10.26226/morressier.5770e29cd462b80290b4c03a ◽

2016 ◽

Author(s):

Mark Rietveld

Keyword(s):

Supportive Care ◽

Information Provision ◽

Supportive Care Needs ◽

Care Needs

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Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey

Journal of Clinical Oncology ◽

10.1200/jco.2009.22.5151 ◽

2009 ◽

Vol 27 (36) ◽

pp. 6172-6179 ◽

Cited By ~ 354

Author(s):

Jo Armes ◽

Maggie Crowe ◽

Lynne Colbourne ◽

Helen Morgan ◽

Trevor Murrells ◽

...

Keyword(s):

Negative Affect ◽

Supportive Care ◽

Unmet Needs ◽

Unmet Need ◽

Hormone Treatment ◽

Longitudinal Survey ◽

Supportive Care Needs ◽

Fear Of Recurrence ◽

Care Needs ◽

Prospective Longitudinal

Purpose To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need. Patients and Methods A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1). Results Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments. Conclusion Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.

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