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Insights from Australians with respiratory disease living in the community with experience of self-managing through an emergency department 'near miss' for breathlessness: a strengths-based qualitative study.

Tim LuckettJane PhillipsMiriam JohnsonMaja GarciaPriyanka BhattaraiVirginia Carrieri-KohlmanAnne HutchinsonRebecca T DislerDavid Christopher CurrowMeera AgarSerra IvynianRichard ChyePhillip J NewtonPatricia M Davidson
Published in: BMJ open (2017)
In addition to teaching non-pharmacological and pharmacological management of breathlessness, interventions should aim to develop patients' generic self-management skills. Interventions to improve self-efficacy should ensure this is substantiated by transfer of skills and support, including knowledge about when ED presentation is necessary. Complementary initiatives are needed to improve coordinated, person-centred care. Future research should seek ways to break the cyclical relationship between affective and sensory-perceptual dimensions of breathlessness.
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