To that end, this article describes a pilot study we designed to test the feasibility of incorporating dyspnea measurement into nurses’ initial patient assessment(IPA) on several inpatient units at Beth Israel Deaconess Medical Center, a large Boston hospital. We are using the feedback we received from participating nurses to better integrate the process into nursing work flow and to guide future efforts to implement dyspnea assessment on a larger scale throughout the medical center. Here, we discuss the degree of success we achieved in our initial efforts, the challenges we faced, and the specific limitations of our pilot study that need to be addressed in future research.