2004
DOI: 10.1191/0269216304pm928oa
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Living with severe chronic obstructive pulmonary disease (COPD): perceptions of patients and their carers

Abstract: This study confirmed the inexorable decline in activities of daily life and social isolation for patients with severe COPD. Adaptive strategies were common and some positive aspects were identified. Support from the primary health care team was appreciated. The strain on carers was very apparent. The concept of a more structured sharing of information and a surveillance role mediated by health care professionals known to the patient and carer would be a pragmatic approach to improving care.

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Cited by 210 publications
(242 citation statements)
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“…Other common manifestations of the failing body in COPD are weakness and fatigue, pain, insomnia, loss of appetite and difficulty with mobility (Elkington et al, 2005, Jones et al, 2004, Gullick & Stainton, 2008, Seamark et al, 2004. Fatigue is strongly linked to levels of breathlessness and depression and has major consequences for functional performance (Kapella et al, 2006).…”
Section: Losing Control Of the Body's Taken-for-granted Functionsmentioning
confidence: 99%
“…Other common manifestations of the failing body in COPD are weakness and fatigue, pain, insomnia, loss of appetite and difficulty with mobility (Elkington et al, 2005, Jones et al, 2004, Gullick & Stainton, 2008, Seamark et al, 2004. Fatigue is strongly linked to levels of breathlessness and depression and has major consequences for functional performance (Kapella et al, 2006).…”
Section: Losing Control Of the Body's Taken-for-granted Functionsmentioning
confidence: 99%
“…Son relevantes las repercusiones familiares y en el ocio señaladas por los participantes, ya que el aislamiento social y la reducción de actividades se asocia con afrontamiento inadaptativo pasivo a la enfermedad (Seamark, Blake y Seamark, 2004).…”
Section: Discussionunclassified
“…Many studies confirm the predominance of the symptoms of breathlessness, anorexia, and constipation in severe COPD, 14,[27][28][29][30] along with significant problems with fatigue, pain, anxiety and depression, and poor sleep. The evidence base for symptom control in end-stage COPD is poor and management relies on a mix of evidence, considered best practice and experience.…”
Section: Symptomsmentioning
confidence: 95%
“…A GP is likely to have spent considerable time over a number of years in face-to-face contact with patients with COPD, 12 and increasingly more time as death approaches. 13 Patients with COPD appreciate continuity of care and reassurance provided by the primary healthcare team 14,15 and the GP is in a key position to deliver and coordinate end-oflife care for patients with COPD.…”
mentioning
confidence: 99%