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Palliative Care in End-Stage Lung Disease
1Department of Pulmonary, Allergy, and Critical Care Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
Journal of Hospice and Palliative Care
|March 12, 2025
Summary
Palliative care is crucial for intensive care unit (ICU) patients with chronic obstructive pulmonary disease (COPD) to manage symptoms and improve quality of life. Implementing this care in Korea faces cultural and professional barriers, hindering dignified end-of-life support.
Area of Science:
- Medical Science
- Palliative Care Research
- Pulmonology
Background:
- Chronic obstructive pulmonary disease (COPD) prevalence is rising, with high mortality and unpredictable progression, posing challenges for clinicians.
- Patients with COPD in the intensive care unit (ICU) experience severe breathlessness, ventilator dependence, and complex medical needs.
- Palliative care is essential for COPD patients, focusing on symptom relief, quality of life, and aligning care with patient values.
Purpose of the Study:
- To explore strategies for delivering effective palliative care to ICU patients with COPD.
- To address the challenges in implementing palliative care for non-cancer patients, specifically COPD, in the Korean context.
- To enhance meaningful and dignified end-of-life experiences for patients with advanced COPD in critical care settings.
Main Methods:
- This study is a review exploring existing literature and practices.
- It examines the specific difficulties in providing palliative care for COPD patients in Korean ICUs.
- The review analyzes cultural and professional barriers to end-of-life discussions and care.
Main Results:
- Palliative care offers a patient-centered approach vital for managing severe symptoms and improving quality of life in COPD.
- Significant cultural and societal barriers exist in Korea regarding end-of-life care discussions for non-cancer patients.
- Lack of professional attention and public perception of hospice as treatment termination impede palliative care implementation for COPD patients.
Conclusions:
- Palliative care is indispensable for improving the quality of life and ensuring dignity for ICU patients with COPD.
- Overcoming cultural reluctance and professional barriers is critical for successful palliative care integration in Korea.
- Further research and education are needed to promote understanding and adoption of palliative care for advanced COPD.
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