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Palliative Care in COPD

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Palliative Care in Lung Disease

Part of the book series: Respiratory Medicine ((RM))

Abstract

People who live with chronic obstructive pulmonary disease (COPD), the fourth leading cause of death in the United States, have chronic and progressively debilitating dyspnea and systemic symptoms that reduce quality of life and result in high acute care utilization near the end of life. Despite recommendations to integrate specialist palliative care in COPD and the proven benefits of its early integration in the care of patients with advanced cancer, specialist palliative care is exceedingly rare in COPD and is not typically considered by pulmonary clinicians until a person is at the very end of life. Palliative care beyond its role at the very end of life has much to offer patients with COPD and their families earlier in the disease trajectory. This chapter calls for early integration of palliative care into routine practice for COPD. We explore broad care needs experienced by patients with COPD and their families, define barriers to proactive palliative care referral in COPD, describe feasible inter-professional models for palliative care integration in COPD, and propose an innovative strategy for early palliative care integration into routine COPD practice through the fusion of palliative care into the field of pulmonary medicine, i.e., a “pallipulm” approach.

“The best time to plant a tree was 20 years ago. The next best time is now.” – Chinese Proverb

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Authors and Affiliations

  1. Division of Pulmonary, Allergy, and Critical Care Medicine, Birmingham, AL, USA

    Anand S. Iyer

  2. Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    Anand S. Iyer

  3. Lung Health Center, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    Anand S. Iyer

  4. Center for Palliative and Supportive Care, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA

    Anand S. Iyer

  5. Berks Schuylkill Respiratory Specialists, Wyomissing, PA, USA

    Dina Khateeb

Authors
  1. Anand S. Iyer
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  2. Dina Khateeb
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Correspondence to Anand S. Iyer .

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Editors and Affiliations

  1. College of Nursing, Medical University of South Carolina, Charleston, SC, USA

    Kathleen O. Lindell

  2. Department of Medicine, Johns Hopkins University, Baltimore, MD, USA

    Sonye K. Danoff

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Iyer, A.S., Khateeb, D. (2021). Palliative Care in COPD. In: Lindell, K.O., Danoff, S.K. (eds) Palliative Care in Lung Disease. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-81788-6_10

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