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Palliative Care Integration for Pati...

Fusi-Schmidhauser, Tanja.

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Palliative Care Integration for Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD): An Action Research Study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Palliative Care Integration for Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD): An Action Research Study./
作者:	Fusi-Schmidhauser, Tanja.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	256 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-05, Section: B.
Contained By:	Dissertations Abstracts International82-05B.
標題:	Health sciences. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28277761
ISBN:	9798691269011

Palliative Care Integration for Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD): An Action Research Study.
Fusi-Schmidhauser, Tanja.

Palliative Care Integration for Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD): An Action Research Study. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 256 p.

Source: Dissertations Abstracts International, Volume: 82-05, Section: B.

Thesis (Ph.D.)--Lancaster University (United Kingdom), 2020.

This item must not be sold to any third party vendors.

Background: Chronic obstructive pulmonary disease (COPD) is a life-limiting condition where patients have palliative care needs. Despite increasing awareness about the role palliative care could play in care provision for patients with advanced COPD, integration in standard care remains underdeveloped. The disease unpredictability and misconceptions about palliative care being only relevant for patients in oncological settings and being equivalent to end-of-life care prevent a timely integrated approach in advanced COPD. Aim: To understand how to integrate palliative care provision for patients with advanced COPD in a respiratory care service in Southern Switzerland. Methods: A participatory action research approach was conducted in two sequential phases. Phase I explored the experiences and perceptions of five advanced COPD patients and five informal carers during the illness trajectory. Phase II focused on developing knowledge on palliative care integration in advanced COPD through six action research cycles with healthcare professionals working in both palliative (three healthcare professionals) and respiratory care settings (four healthcare professionals). Results: Living day to day with COPD, psychosocial dimension of the disease and management of complex care were the main themes identified in the first phase of the study. During the second phase key elements of integrated palliative care in advanced COPD such as multidimensional assessment, healthcare professionals' education, interdisciplinary team meetings and knowledge dissemination were identified. These elements converged in a new integrated palliative care model for patients with advanced COPD. Conclusion: The new integrated palliative care model in advanced COPD includes essential elements with a focus on patients, healthcare professionals and care delivery. Further research on model testing in clinical practice, service development, implementation processes and possible outcomes, including evaluation of the financial impact of integrated palliative care provision is necessary to foster this care approach across all possible settings.

ISBN: 9798691269011Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

palliative care

Palliative Care Integration for Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD): An Action Research Study.
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