Breathlessness and cough assessment algorithmsPosted on: 31 Jan 2019
Breathlessness is not only frightening and disabling for patients, but also a strong indicator for hospitalisation and premature death. Despite this, it is not included in any current general health assessment. As well as being a cardinal symptom in COPD, breathlessness can also indicate a number of other conditions. Therefore, a structured approach to diagnosing breathlessness is essential – even in patients with existing respiratory conditions. This can easily be done in primary care, without the need for specialist diagnostic testing.
Persistent chronic cough in adults is also in need of a structured out-of-hospital approach to diagnosis. and the Lambeth and Southwark Adult Cough Assessment Algorithm, here reproduced with permission from Lambeth and Southwark CCGs, offers an approach that includes checking the basics, accurate coding and top cough tips.
- IMPRESS breathlessness algorithm, published by BTS/PCRS
- NHS Lambeth and Southwark Breathlessness and Cough assessment algorithms
- East of England non-acute breathlessness