Severe COPD and the transition to a palliative approach
| Autor: | Suzanne Pitama, Rachel Wiseman, Lutz Beckert, Amanda Landers |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
lcsh:RC705-779 COPD medicine.medical_specialty Referral business.industry Primary care.team Reviews lcsh:Diseases of the respiratory system Severe copd medicine.disease Severe chronic obstructive pulmonary disease 03 medical and health sciences 0302 clinical medicine 030228 respiratory system medicine 030212 general & internal medicine Chaotic trajectory Intensive care medicine business Specialist palliative care |
| Zdroj: | Breathe, Vol 13, Iss 4, Pp 310-316 (2017) Breathe |
| ISSN: | 2073-4735 1810-6838 |
| Popis: | Patients with severe chronic obstructive pulmonary disease (COPD) have a chaotic trajectory towards death. Research has focused on identifying a “transition point” that would allow identification of those patients who may benefit from a palliative approach to their care, or referral to a specialist palliative care service. This article aims to outline difficulties in identifying this transition point, summarise current literature on this topic and suggests a model based on clinical milestones. Educational aims To outline the difficulties associated with identifying patients with severe COPD who are at risk of dying. To summarise current research on this topic. Key points A specific transition point is difficult to identify in severe COPD. Tools are available that may assist the physician in identifying those at risk of dying. It is essential that the patient voice is heard, patients can describe specific events that may be used as a “trigger” for a palliative approach. Specialist palliative care services may only be required for a subgroup of patients whose needs cannot be managed by the primary care team. Patient voice and experiences have started to change the delivery of palliative care in severe COPD http://ow.ly/m4GU30fquoS |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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