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Remote Laboratory Management: Respiratory Virus Diagnostics
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Respiratory problems in low-resource settings.

Mhoira E F Leng1, Sunitha Daniel, Daniel Munday

  • 1aPalliative Care Unit, Makerere University, Kampala, Uganda; Cairdeas International Palliative Care Trust, Aberdeen, Scotland bAmrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India cNational Academy of Medical Sciences, Kathmandu, Nepal.

Current Opinion in Supportive and Palliative Care
|July 7, 2017
PubMed
Summary
This summary is machine-generated.

Chronic breathlessness management in low-income countries needs adaptation. Evidence-based palliative care interventions, including fans and morphine, can be integrated into primary care for noncommunicable diseases (NCDs).

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Area of Science:

  • Palliative Care
  • Global Health
  • Symptom Management

Background:

  • Chronic breathlessness significantly impacts patients with advanced illness, particularly in low and middle-income countries (LMICs).
  • Palliative care access is limited in LMICs, despite a higher burden of advanced illness.
  • Existing evidence for managing chronic breathlessness predominantly originates from high-income countries.

Purpose of the Study:

  • To explore the context of chronic breathlessness in low-income settings.
  • To assess the applicability of current evidence for breathlessness control in these regions.
  • To identify future research priorities for managing breathlessness in LMICs.

Main Methods:

  • Literature review focusing on chronic breathlessness management in advanced illness.
  • Analysis of existing evidence in the context of low-income healthcare systems.
  • Exploration of palliative care integration within noncommunicable disease (NCD) management.

Main Results:

  • Healthcare systems in LMICs are often overburdened and lack integrated, multidisciplinary approaches for NCDs.
  • Evidence-based interventions like handheld fans, breathing techniques, exercise, and low-dose morphine are adaptable for low-income settings.
  • Holistic and primary care-integrated palliative care is crucial for NCD management.

Conclusions:

  • Palliative care interventions for chronic breathlessness can be adapted and implemented in low-income settings.
  • Further research is essential to determine effective implementation strategies for these interventions.
  • Promoting palliative care as a fundamental component of NCD management is vital in LMICs.