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Related Concept Videos

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Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Published on: August 24, 2019

Advance care planning in COPD.

Kevin Patel1, Daisy J A Janssen, J Randall Curtis

  • 1Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington, USA.

Respirology (Carlton, Vic.)
|October 20, 2011
PubMed
Summary
This summary is machine-generated.

Advance care planning (ACP) improves outcomes for COPD patients and families. Implementing effective communication for end-of-life care remains a challenge in clinical practice.

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Area of Science:

  • Pulmonary Medicine
  • Palliative Care
  • Bioethics

Background:

  • Advance care planning (ACP) involves crucial patient-clinician communication regarding end-of-life care.
  • Effective communication is vital for informing COPD patients about their diagnosis, prognosis, and end-of-life trajectory.
  • Current clinical practice often features scarce and low-quality discussions on ACP and end-of-life care for COPD patients.

Purpose of the Study:

  • To review current concepts in advance care planning for Chronic Obstructive Pulmonary Disease (COPD) patients.
  • To provide a narrative review of recent trends in ACP and end-of-life care specific to COPD.
  • To highlight the importance and challenges of implementing ACP in advanced COPD care.

Main Methods:

  • Narrative review of existing literature on advance care planning and end-of-life care for COPD.
  • Synthesis of current concepts and recent trends in patient-clinician communication for palliative care in COPD.
  • Analysis of challenges in practical implementation of ACP within clinical settings.

Main Results:

  • ACP can significantly improve outcomes for COPD patients and their families.
  • Understanding patient values and preferences for life-sustaining treatments and terminal care is essential.
  • The unpredictable disease course of COPD complicates the timely initiation of end-of-life care discussions.

Conclusions:

  • ACP should be integrated with curative-restorative care for advanced COPD.
  • Future research should focus on interventions facilitating concurrent ACP and in-the-moment decision-making.
  • Improving the quality and implementation of ACP is critical for enhancing end-of-life care in COPD.