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Updated: Jun 14, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
[Integrated care for patients with advanced chronic obstructive pulmonary disease]
Ewa Jassem1, Dorota Górecka, Piotr Krakowiak
1Klinika Alergologii Gdańskiego Uniwersytetu Medycznego, ul. Debinki 7, Gdańsk. ejassem@gumed.edu.pl
Pneumonologia I Alergologia Polska
|March 23, 2010
Summary
Advanced Chronic Obstructive Pulmonary Disease (COPD) affects over 60s, causing significant disability. An integrated healthcare approach, like palliative care, can improve support and outcomes for these patients.
Area of Science:
- Pulmonology
- Public Health
- Geriatrics
Context:
- Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality and disability in individuals over 60.
- Severe and very severe COPD (FEV1 ≤ 50% and ≤ 30% of expected) affects 20% of COPD patients.
- Advanced COPD leads to physical/mental decline, exacerbations, increased costs, and mortality, with current care models often inadequate.
Purpose:
- To evaluate the potential of an integrated healthcare approach for advanced COPD patients.
- To adapt successful palliative care models from oncology to COPD management.
Summary:
- An integrated approach, inspired by WHO recommendations and Polish palliative care experience in cancer patients, is proposed.
- This model emphasizes collaboration between general practitioners, specialized nurses, and multidisciplinary auxiliary staff (social workers, psychologists, etc.).
- It aims to provide comprehensive health and social support tailored to individual patient needs, especially in the terminal phase.
Impact:
- Implementing integrated care could significantly improve the quality of life and support for advanced COPD patients.
- This approach may reduce exacerbations, healthcare costs, and mortality associated with severe COPD.
- Leveraging existing palliative care structures can streamline the integration process and enhance patient outcomes.
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