Palliative care in pulmonary medicine

Oliveira, E.P.; Medeiros, Paulo José de

doi:10.36416/1806-3756/e20190280

Cited by 7 publications

(3 citation statements)

References 65 publications

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“…Giving families precise information about physical care and comfort measures will also improve the patient's care. 29,30 (3) On the last day of treatment, provide care for treating symptoms. Most patients with advanced lung cancer have discomfort, dyspnea, cough, restlessness, delirium, and fatal respiratory secretions in the later stages of their illness.…”

Section: What Is "End-of-life Care" (Eolc)?mentioning

confidence: 99%

Implementing Palliative and End-of-Life Care in Lung Cancer: When to Start?

Haryati

Rahmawaty

Wanahari

2023

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Lung cancer is among the most prevalent cancers and the primary cause of cancer-related mortality. Despite advances in treatment, patients often have a poor prognosis, with a limited survival period, particularly in advanced stages. Significant morbidity is linked with lung cancer, and symptoms are frequently inadequately controlled, resulting in a considerable symptom burden for patients and their family caregivers. It is typically accompanied by an overall reduction in one’s quality of life (QoL). Palliative care is an established therapy paradigm that successfully enhances symptom management and physical and mental health. It can be initiated as soon as the patient develops symptoms (even in the early stage) or is diagnosed with a late stage. Over the past few decades, palliative care has become a vital part of comprehensive care for people, especially those with advanced diseases. Early palliative care (EPC) integration within the oncology setting is more effective than standard care in enhancing the patient’s QoL and length of survival, resulting in less intrusive end-of-life care. When caring for lung cancer patients, medical practitioners must remember their duty to cure occasionally, routinely alleviate, and constantly comfort the patient. Treating physical symptoms, illness comprehension, coping, and psychological and spiritual anguish are all vital components. Intervention strategies by multidisciplinary teams concentrating on the patient and their family and dealing with the circumstances are essential. All health providers should prioritize palliative and end-of-life care to enhance care and assist patients and their families in navigating the final period of life.

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Section: What Is "End-of-life Care" (Eolc)?mentioning

confidence: 99%

Implementing Palliative and End-of-Life Care in Lung Cancer: When to Start?

Haryati

Rahmawaty

Wanahari

2023

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“…Idealmente, isso exige a participação de uma equipe multidisciplinar composta por médicos, fisioterapeutas, enfermeiros, psicólogos e assistentes sociais, com conhecimento e preparo apropriados; contudo, o médico responsável com adequada compreensão do quadro do paciente já é capaz de elaborar o manejo da progressão da doença, priorizando o controle dos sintomas. (72) Em relação ao uso de oxigenoterapia em cuidados paliativos, a indicação requer, além da avaliação das causas passíveis de reversão e de critérios objetivos como a SpO 2 , uma avaliação global das necessidades do paciente e de um plano terapêutico individualizado. Esse deve ser elaborado de maneira compartilhada entre a equipe, o paciente e os cuidadores.…”

Section: Odp Nas Doenças Crônicas Avançadas E Cuidados Paliativosunclassified

2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy

et al. 2022

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Some chronic respiratory diseases can cause hypoxemia and, in such cases, long-term home oxygen therapy (LTOT) is indicated as a treatment option primarily to improve patient quality of life and life expectancy. Home oxygen has been used for more than 70 years, and support for LTOT is based on two studies from the 1980s that demonstrated that oxygen use improves survival in patients with COPD. There is evidence that LTOT has other beneficial effects such as improved cognitive function, improved exercise capacity, and reduced hospitalizations. LTOT is indicated in other respiratory diseases that cause hypoxemia, on the basis of the same criteria as those used for COPD. There has been an increase in the use of LTOT, probably because of increased life expectancy and a higher prevalence of chronic respiratory diseases, as well as greater availability of LTOT in the health care system. The first Brazilian Thoracic Association consensus statement on LTOT was published in 2000. Twenty-two years la-ter, we present this updated version. This document is a nonsystematic review of the literature, conducted by pulmonologists who evaluated scientific evidence and international guidelines on LTOT in the various diseases that cause hypoxemia and in specific situations (i.e., exercise, sleep, and air travel). These recommendations, produced with a view to clinical practice, contain several charts with information on indications for LTOT, oxygen sources, accessories, strategies for improved efficiency and effectiveness, and recommendations for the safe use of LTOT, as well as a LTOT prescribing model.

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“…Palliative care, a discipline rooted in compassionate and holistic patient-centered care, has become increasingly recognized as essential in managing complex and life-limiting illnesses. Within medical specialties, respiratory medicine stands out as a field where the integration of palliative care is paramount [ 1 ]. Palliative care is a specialized approach to healthcare that focuses on improving the quality of life for patients and their families facing life-threatening illnesses.…”

Section: Introductionmentioning

confidence: 99%

Navigating Compassion: A Comprehensive Review of Palliative Care in Respiratory Medicine

Jadhav,

Bhanushali,

Sindhu

et al. 2023

Cureus

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Palliative care has emerged as a crucial aspect of comprehensive healthcare, particularly in respiratory medicine. This review navigates the intricate landscape of palliative care in the context of respiratory diseases, including chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), and lung cancer. The exploration begins with a comprehensive examination of palliative care's definition, significance, and purpose in respiratory medicine. It progresses to understanding common respiratory diseases, their impact on patients' quality of life, and the nuances of disease progression and prognosis. Delving into the principles of palliative care, the review highlights the importance of a patient- and family-centered approach, emphasizing the multidisciplinary collaboration required for holistic care. Symptom management takes center stage, with a detailed exploration of dyspnea, cough, and pain, covering pharmacological and non-pharmacological interventions. The psychosocial and spiritual dimensions are then unveiled, recognizing the psychological impact of respiratory diseases and the significance of addressing spiritual needs with cultural sensitivity. Communication in palliative care is explored through breaking lousy news, advance care planning, and shared decision-making. The section acknowledges the complex considerations surrounding end-of-life care, including recognizing the end-of-life phase, establishing care goals, and withdrawing life-sustaining therapies. Recognizing the indispensable role of caregivers, the review underscores the importance of caregiver support. It delineates strategies for providing emotional and practical support alongside a crucial focus on self-care for caregivers who shoulder the responsibilities of providing palliative care. As the exploration concludes, the challenges in implementing palliative care in respiratory medicine are outlined, from late referrals to communication barriers. However, the review also envisions a future marked by innovation, with emerging approaches, such as telehealth and personalized medicine, offering promising avenues for improvement. Research gaps and areas for improvement are identified, emphasizing the need for a collaborative effort to enhance the quality of palliative care for individuals facing respiratory diseases. The review culminates in a call to action, urging early palliative care integration, investment in education and training, research initiatives, advocacy for accessible services, and collaboration across disciplines. By heeding this call, healthcare providers, researchers, and policymakers can collectively contribute to the evolution and enhancement of palliative care in the challenging landscape of respiratory medicine.

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Palliative care in pulmonary medicine

Cited by 7 publications

References 65 publications

Implementing Palliative and End-of-Life Care in Lung Cancer: When to Start?

Implementing Palliative and End-of-Life Care in Lung Cancer: When to Start?

2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy

Navigating Compassion: A Comprehensive Review of Palliative Care in Respiratory Medicine

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