Country : United Kingdom
Assignment Task

 

1. Characteristics and health related quality of life in a population with advanced chronic obstructive pulmonary disease, a cross-sectional study.

Abstract

Background: It is important to understand the total burden of COPD and thereby be able to identify patients who need more intensive palliative care to avoid deteriorated quality of life. The aim of this study was to describe the psychosocial and demographic characteristics of a population with advanced COPD in a stable phase of the disease. Methods: This study was cross-sectional based on a prospective observational cohort. The following questionnaires were administered: Chronic Respiratory Disease Questionnaire (CRQ), The COPD Assessment Test (CAT), The Hospital and Anxiety and Depression Scale (HADS), The Medical Research Council dyspnoea scale (MRC), and self-rate general health. Results: We included 242 patients with advanced COPD from a Danish pulmonary outpatient clinic. Their mean FEV1 was 38% (±12.7) and 19% were treated with long term oxygen.

 

2. Proactive Integration of Geriatrics and Palliative Care Principles Into Practice for Chronic Obstructive Pulmonary Disease.

Abstract This Viewpoint proposes that clinicians who routinely care for older patients with chronic obstructive pulmonary disease should proactively integrate geriatrics and palliative care principles into their daily practice.

 

3. Advance Care Planning for Individuals With Chronic Obstructive Pulmonary Disease: A Scoping Review of the Literature.

Abstract

Context: Individuals with chronic obstructive pulmonary disease (COPD) typically experience a gradual worsening of the illness in the years before death. Owing to difficulties in predicting the disease trajectory or the timing of acute exacerbations, advance care planning (ACP) may be of particular importance for individuals with COPD.Objectives: The objective of this study was to review and summarize the available literature on current practices around ACP in COPD.Methods: A scoping review of the literature was conducted following the Arksey and O'Malley framework. Original research studies of any design were included.Results: Twenty- eight studies were included. Across studies, there was agreement that ACP should be incorporated into routine COPD management. There was evidence that this does not occur in everyday practice, with conversations tending to focus on day-to-day symptom management. Barriers included prognosis uncertainty, insufficient time and training, and a lack of protocols for who is responsible for initiating ACP. Facilitators included the use of transition points for identifying the appropriate time to initiate ACP, and an increased focus on ACP in professional education.

 

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  • Uploaded By : Brett
  • Posted on : March 03rd, 2019
  • Downloads : 197

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