缓和医疗
医学
介绍
慢性阻塞性肺病
收据
多学科方法
治疗性护理
重症监护医学
疾病
肺康复
生活质量(医疗保健)
肺病
护理部
物理疗法
门诊护理
医疗保健
精神科
内科学
经济
经济增长
计算机科学
社会科学
社会学
万维网
作者
Matthew Maddocks,Natasha Lovell,Sara Booth,William D.-C. Man,Irene J Higginson
出处
期刊:The Lancet
[Elsevier]
日期:2017-09-01
卷期号:390 (10098): 988-1002
被引量:147
标识
DOI:10.1016/s0140-6736(17)32127-x
摘要
People with advanced chronic obstructive pulmonary disease (COPD) have distressing physical and psychological symptoms, often have limited understanding of their disease, and infrequently discuss end-of-life issues in routine clinical care. These are strong indicators for expert multidisciplinary palliative care, which incorporates assessment and management of symptoms and concerns, patient and caregiver education, and sensitive communication to elicit preferences for care towards the end of life. The unpredictable course of COPD and the difficulty of predicting survival are barriers to timely referral and receipt of palliative care. Early integration of palliative care with respiratory, primary care, and rehabilitation services, with referral on the basis of the complexity of symptoms and concerns, rather than prognosis, can improve patient and caregiver outcomes. Models of integrated working in COPD could include: services triggered by troublesome symptoms such as refractory breathlessness; short-term palliative care; and, in settings with limited access to palliative care, consultation only in specific circumstances or for the most complex patients.
科研通智能强力驱动
Strongly Powered by AbleSci AI