TY  - JOUR
T1  - The Timing of Care as a Component of Breathlessness Management: A Theoretical Framework for Coordinating Exertion, Recovery, and Essential Nursing Activities in Advanced Illness
A1  - Mariana Silva
A1  - Rafael Duarte
A1  - Camila Rocha
JF  - Journal of Integrative Nursing and Palliative Care
JO  - J Integr Nurs Palliat Care
SN  - 3006-5550
Y1  - 2026
VL  - 7
IS  - 2
DO  - 10.51847/TNmwFWMd8O
SP  - 73
EP  - 81
N2  - To examine timing as a clinically relevant but underdeveloped dimension of breathlessness management and to develop a theoretical account of how exertion, recovery opportunity, essential nursing activity and patient priorities may be coordinated in advanced illness. Discursive theoretical paper integrating contemporary breathlessness, nursing, rehabilitation, symptom-management and palliative-care scholarship. A critically selected evidence set from 2017–2025 was used to examine chronic and episodic breathlessness, functional activity, self-management, nursing practice, rehabilitation and multimodal symptom management. Necessary care can itself require exertion. Temporal organization therefore deserves attention alongside intervention choice, symptom assessment and patient preference. The proposed theory treats recovery opportunity as individualized and conditional rather than as a fixed interval. Breathlessness management may be strengthened by considering how care demands accumulate, how recovery is enabled between demanding activities and which activities patients regard as essential or worthwhile. These propositions require prospective empirical evaluation before they can support prescriptive sequencing protocols. The paper provides a nursing-specific conceptual basis for studying whether the organization of necessary activities across time influences tolerability, participation and symptom burden in advanced illness.
UR  - https://journalinpc.com/article/the-timing-of-care-as-a-component-of-breathlessness-management-a-theoretical-framework-for-coordina-z3cmtwsmtnhltfz
ER  -