askvity

How to Rate Dyspnea?

Published in Respiratory Assessment 2 mins read

Dyspnea, or shortness of breath, can be rated using various scales, the most common being the Rating of Perceived Dyspnea (RPD) scale (also known as the Borg scale for dyspnea) which ranges from 0 to 10.

Here's a breakdown of how to rate dyspnea using the RPD scale:

  • Understanding the RPD Scale: The RPD scale is a subjective measurement of how difficult your breathing feels. It's a tool you use to communicate the intensity of your shortness of breath.

  • The Scale: The RPD scale typically ranges from 0 to 10.

    • 0: Represents no shortness of breath at all. You are breathing comfortably.
    • 10: Represents maximal shortness of breath. You feel like you absolutely have to stop the activity due to breathlessness.
  • Using the Scale:

    • During an activity or at rest, focus on how difficult it is to breathe.
    • Assign a number from 0 to 10 that best describes your current level of shortness of breath.
    • Consider how much effort it takes to breathe, and how restricted your breathing feels.
  • RPD Scale Levels: While the scale ranges from 0-10, here is an interpretation of how each level can be perceived:

    • 0: Nothing at all
    • 0.5: Just noticeable
    • 1: Very mild
    • 2: Mild
    • 3: Moderate
    • 4: Somewhat severe
    • 5: Severe
    • 6
    • 7: Very severe
    • 8
    • 9
    • 10: Maximal
  • Importance of Context: The rating should be relative to your normal breathing. What feels like a "2" after climbing stairs might feel like a "0" when you're sitting still.

  • Example Scenario: If you are walking on a treadmill, and you start feeling slightly short of breath, but you can still carry on a conversation, you might rate your dyspnea as a 2 or 3. If you feel severely short of breath and need to stop exercising, you might rate it as an 8, 9, or 10.

In summary, the RPD scale allows you to self-assess and communicate the severity of your dyspnea on a scale of 0 to 10, providing a useful tool for monitoring and managing your breathing.

Related Articles