Use of Palliative Care, Oxygen Therapy Increasing for COPD
Increase in use of formal palliative care services, long - term oxygen, but proportions still remain low
Authors: Chino K, Ganzberg S, Mendoza K Abstract The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office-based settings can be quite complex without a current understanding of the etiology, course, severity, and treatment modalities of the disease. The additional concerns of providing sedation and/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other como...
Conclusions: The need for palliative care is great and is mostly represented by cardiovascular and respiratory disease in rural areas. Provision must be adapted and developed to meet this need, but more primary data is needed to inform such decisions.
At the end of life, chronic obstructive pulmonary disease (COPD) and lung cancer (LC) patients exhibit similar symptoms; however, a large-scale study comparing end-of-life health care utilization between these two groups has not been conducted in East Asia.
DISCUSSION: Based on available data, no conclusions can be driven on the clinical efficacy of psammotherapy. However, very limited evidence suggests that hot sand baths might be useful in improving symptoms and functionality of patients with some rheumatic and respiratory chronic illnesses. Further studies are encouraged to better assess the clinical efficacy of hot sand baths. PMID: 30670225 [PubMed - in process]
Patients in hospice or receiving palliative care often are found to be receiving numerous medications. While we all agree that deprescribing, in practice, is a good idea, it can be difficult to discern which medications to stop, and at what point in the disease process. This all-day preconference will provide guidance to hospice and palliative care practitioners on deprescribing, as taught by experts in each therapeutic area. Learn about slimming down medications for heart disease, COPD, metabolic syndrome, cancer and more.
Despite recommendations, advanced care planning (ACP) occurs infrequently in patients with COPD. A few studies describe rates of 11-15%, with scant information regarding methods to increase ACP in this population.
Little direction exists on how to integrate early palliative care (EPC) in COPD.
Patients with advanced pulmonary disease including COPD report a poor quality of life. These patients also live with a great amount of prognostic uncertainty. Symptoms include dyspnea, pain, fatigue, and mood changes. Patients note changing and diminishing functional status and quality of life. Often, conversations about goals of care are not pursued early. Literature exists to support the treatment of subjective dyspnea in advanced COPD with opioids, however, studies are small and limited.
Publication date: Available online 14 January 2019Source: Heart &LungAuthor(s): Naciye Vardar-Yagli, Melda Saglam, Ebru Calik-Kutukcu, Deniz Inal-Ince, Hulya Arikan, Lutfi CopluAbstractBackgroundRecent reports have identified pain as a comorbidity in obstructive lung diseases, but data regarding pain in certain obstructive lung diseases such as COPD and bronchiectasis vs. healthy controls and differences in pain between these chronic lung diseases are limited.ObjectivesThe primary aim of this study was to compare pain sensitivity, postural abnormalities, and functional balance in patients with COPD/bronchiectasis vs. h...
by Bob Arnold (@rabob)Winter suits me just fine since I do not like heat. I have a lot of sympathy for patients with chronic obstructive lung disease who do not have an air conditioner during the summer. I am told that there is nothing worse than sitting in hot, humid weather and not being able to breathe.As a palliative care physician, I love fans. When my patients are short of breath and opiates do not work (1,2) I send their families down to the local ACE hardware store to buy a hand-held fan. Therefore, I was excited tosee an article in the Journal of Pain and Symptom Management on fan therapy being effective in treati...