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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Palliative home oxygen: practical framework for clinicians
1Croydon Health Services NHS Trust, Croydon, UK shaun.chew@nhs.net.
BMJ Supportive & Palliative Care
|April 24, 2024
Summary
This review provides a framework for using palliative home oxygen therapy, addressing its benefits and offering practical advice for end-of-life care when evidence is limited.
Area of Science:
- Palliative Care
- Respiratory Medicine
- Clinical Guidelines
Background:
- The British Thoracic Society 2015 guidelines offer robust recommendations for long-term oxygen therapy in adults.
- Evidence-based guidance for home oxygen use specifically within palliative care settings remains less developed.
- This gap necessitates a focused approach to support clinicians in this area.
Purpose of the Study:
- To establish a clinical framework for the application of palliative home oxygen therapy.
- To evaluate the prognostic and symptomatic benefits of home oxygen in palliative care.
- To offer pragmatic recommendations for end-of-life care involving home oxygen.
Main Methods:
- This study is a narrative review of existing literature.
- It synthesizes current evidence regarding home oxygen therapy in palliative care.
- The review considers both benefits and practical implementation aspects.
Main Results:
- Palliative home oxygen therapy offers potential prognostic and symptomatic benefits.
- A structured clinical framework can guide its appropriate use.
- Pragmatic advice is crucial for effective end-of-life care.
Conclusions:
- A comprehensive framework is needed to optimize palliative home oxygen therapy.
- Further research is warranted to strengthen the evidence base.
- This review provides practical guidance for clinicians managing patients at end-of-life.
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