End-of-life care for COPD patients.
Primary care respiratory journal : journal of the General Practice Airways Group, Mar 2008, vol. 17, no. 1
p. 46-50
Dean-Mervyn-M.
Abstract
Patients with chronic obstructive pulmonary disease (COPD) receive poor end-of-life (EoL) care, in part because their disease course is not predictable. If the family physician would not be surprised at the patient's death within a year, then EoL issues should be raised for discussion. Embarking on such a discussion has the potential to enhance the patient's quality of life and EoL care, thereby avoiding unnecessary treatments or interventions. An Advance Health Care Directive can be useful. Appropriately-used systemic (not nebulised) opioids are safe and effective for managing dyspnoea. The family physician is in an excellent position to provide comprehensive EoL care for COPD patients.
Tuesday, 26 August 2008
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