Geriatric dyspnea: doing worse, feeling better
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Geriatric dyspnea: doing worse, feeling better. / Petersen, Sibylle; von Leupoldt, Andreas; Van den Bergh, Omer.
in: AGEING RES REV, Jahrgang 15, 01.05.2014, S. 94-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Geriatric dyspnea: doing worse, feeling better
AU - Petersen, Sibylle
AU - von Leupoldt, Andreas
AU - Van den Bergh, Omer
N1 - Copyright © 2014 Elsevier B.V. All rights reserved.
PY - 2014/5/1
Y1 - 2014/5/1
N2 - Older age is associated with a decline in physical fitness and reduced efficiency of the respiratory system. Paradoxically, it is also related to reduced report of dyspnea, that is, the experience of difficult and uncomfortable breathing. Reduced symptom reporting contributes to misdiagnosis or late diagnosis of underlying disease, suboptimal treatment, faster disease progression, shorter life expectancy, lower quality of life for patients, and considerably increased costs for the health care system in an aging society. However, pathways in the complex relationship between dyspnea and age are not well explored yet. We propose a model on geriatric dyspnea that integrates physiological, neurological, psychological and social pathways which link older age with dyspnea perception and expression. We suggest that the seemingly paradox of reduction of dyspnea in older age, despite physiological decline, can be solved by taking age-related changes on these multiple levels into account. In identifying these variables, the Geriatric Dyspnea Model highlights risk factors for reduced dyspnea perception and report in older age and pathways for intervention.
AB - Older age is associated with a decline in physical fitness and reduced efficiency of the respiratory system. Paradoxically, it is also related to reduced report of dyspnea, that is, the experience of difficult and uncomfortable breathing. Reduced symptom reporting contributes to misdiagnosis or late diagnosis of underlying disease, suboptimal treatment, faster disease progression, shorter life expectancy, lower quality of life for patients, and considerably increased costs for the health care system in an aging society. However, pathways in the complex relationship between dyspnea and age are not well explored yet. We propose a model on geriatric dyspnea that integrates physiological, neurological, psychological and social pathways which link older age with dyspnea perception and expression. We suggest that the seemingly paradox of reduction of dyspnea in older age, despite physiological decline, can be solved by taking age-related changes on these multiple levels into account. In identifying these variables, the Geriatric Dyspnea Model highlights risk factors for reduced dyspnea perception and report in older age and pathways for intervention.
KW - Aged
KW - Aging
KW - Dyspnea
KW - Emotions
KW - Humans
KW - Models, Biological
KW - Quality of Life
U2 - 10.1016/j.arr.2014.03.001
DO - 10.1016/j.arr.2014.03.001
M3 - SCORING: Journal article
C2 - 24675044
VL - 15
SP - 94
EP - 99
JO - AGEING RES REV
JF - AGEING RES REV
SN - 1568-1637
ER -