Clinical Case Database / Category: Clinical Care

Palliative care in end-stage chronic lung disease

Publication details

Jennifer Scaife, Stephen Murphy
Foundation Years Journal, volume 5, issue 9, p.5 (123Doc Education, London, October 2011)

Abstract

The prognosis for severe COPD is comparable to inoperable lung cancer but few patients dying from COPD receive adequate palliative and end of life care. Early identification of patients with poor prognostic features and a multi-disciplinary approach to treatment are required to optimise symptom control, quality of life and end of life care.

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Authors

Jennifer Scaife

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Stephen Murphy

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References

1. British Thoracic Society (2006) - Burden of Lung Disease 2nd Edition
2. Denis E. O'Donnell, Robert B. Banzett et al. Pathophysiology of Dyspnoea in Chronic Obstructive Pulmonary Disease. A Roundtable discussion. Proc Am Thorac Soc 2007 4: 145–168
3. Global Initiative on Obstructive lung disease, (2009) www.goldcopd.org
4. Celli BR, Cote C, Marin JM, et al. The body-mass index, airflow obstruction, dyspnoea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 2004; 350: 1005–1012.
5. British Thoracic Society. Pulmonary Rehabilitation. Thorax 2001;56:827–834
6. J. R. Curtis. Palliative and end-of-life care for patients with severe COPD. Eur Respir J 2008; 32:796-803
7. Lynn J, Adamson DM. Living well at the end of life. Adapting healthcare to serious chronic illness in old age. 2003 RAND Santa Monica
8. Hilary Pinnock, Marilyn Kendall, Scott A Murray, et al. Living and dying with severe chronic obstructive pulmonary disease: multi-perspective longitudinal qualitative study. BMJ 2011; 342:d142

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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