A new way of organising palliative care for patients with severe chronic obstructive pulmonary disease

Marie Lavesen, Kristoffer Bastrup-Madsen Marsa, Dorthe Gaby Bove

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Patients with chronic obstructive pulmonary disease (COPD) often live with unmet palliative needs and low quality of life, although several guidelines recommend that those with COPD should be offered early and integrated palliative care. However, none of the guidelines describe how these recommendations can be operationalised and the current literature offers little information about experiences with developing and implementing new palliative care services. This article offers insight into the experience of developing and implementing a new palliative outpatient structure for patients with severe COPD. All patients are assigned to a nurse who has overall responsibility for establishing and maintaining an individualised relationship with the patient and identifying their needs for care and treatment. Routine outpatient visits are replaced by ad hoc consultations, and patients are seen by pulmonary specialists only when there is a need for medical assessment and treatment or a planned advanced care planning dialogue. The new service was succesfully implemented; however, the changes required good multidisciplinary collaboration, dedicated health professionals and managerial support. This paper highlights the need for further studies to investigate the effectiveness of new palliative care interventions for patients with COPD.

Original languageEnglish
JournalInternational Journal of Palliative Nursing
Volume24
Issue number2
Pages (from-to)64-68
ISSN1357-6321
DOIs
Publication statusPublished - 2. Feb 2018
Externally publishedYes

Keywords

  • Advance Care Planning
  • Ambulatory Care
  • Guidelines as Topic
  • Humans
  • Nurse-Patient Relations
  • Palliative Care/organization & administration
  • Pulmonary Disease, Chronic Obstructive/nursing

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