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Volume 78
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10.5603/ARM.27740
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Review

Integrated Care for Patients with Advanced Chronic Obstructive Pulmonary Disease

by
Ewa Jassem
1,*,
Dorota Górecka
2,
Piotr Krakowiak
3,
Jerzy Kozielski
4,
J. Marek Słomiński
5,
Małgorzata Krajnik
6 and
Andrzej M. Fal
7
1
Klinika Alergologii Gdańskiego Uniwersytetu Medycznego, 80-211 Gdańsk, Poland
2
Klinika Chorób Płuc Instytutu Gruźlicy i Chorób Płuc Warszawie, Warszawa, Poland
3
Fundacja Hospicyjna w Gdańsku, 80-208 Gdańsk, Poland
4
Klinika Chorób Płuc Śląskiego Uniwersytetu Medycznego w Zabrzu, Zabrzu, Poland
5
Klinika Pneumonologii Gdańskiego Uniwersytetu Medycznego, 80-211 Gdańsk, Poland
6
Katedra i Zakład Opieki Paliatywnej Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, 87-100 Toruń, Poland
7
Katedra Zdrowia Publicznego Akademii Medycznej we Wrocławiu, Wrocław, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2010, 78(2), 126-132; https://doi.org/10.5603/ARM.27740
Submission received: 1 December 2009 / Revised: 19 March 2010 / Accepted: 19 March 2010 / Published: 19 March 2010

Abstract

Chronic obstructive pulmonary disease (COPD) is the third cause of mortality and disability (assed by DALY) among patients above 60 year old. Severe and very severe COPD (FEV1 = equal or less than 50% and 30% of expected value, respectively) is estimated at 20% of all COPD patients. Advanced COPD usually leads to physical and mental deterioration, the patients often manage with the problems caused by the disease and other comorbidities poorly. This leads to increased risk of COPD exacerbations and further deterioration of the patient’s status, increased costs of medical care and eventually increased risk of death. Current organization of medical care for those patients does not provide adequate health and social support for them. However, it seems that introducing an integrated approach proposed by World Health Organization, could improve the situation of advanced COPD patients. In Poland, this kind of care has been provided in advanced cancer patients throughout stationary palliative care units and hospices during the last several years. This experience should be helpful in integrating actions of general practitioners and specialized nurses, as well as providing access for the specialists’ consultations according to the individual needs of the patients. It should also allow for broad cooperation with auxiliary staff, such as social workers, medical assistants and volunteers, as well as psychologists and clergymen (especially in the terminal phase of the disease).
Keywords: chronic obstructive pulmonary disease (COPD); integrated treatment; coordinator; palliative care chronic obstructive pulmonary disease (COPD); integrated treatment; coordinator; palliative care

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MDPI and ACS Style

Jassem, E.; Górecka, D.; Krakowiak, P.; Kozielski, J.; Słomiński, J.M.; Krajnik, M.; Fal, A.M. Integrated Care for Patients with Advanced Chronic Obstructive Pulmonary Disease. Adv. Respir. Med. 2010, 78, 126-132. https://doi.org/10.5603/ARM.27740

AMA Style

Jassem E, Górecka D, Krakowiak P, Kozielski J, Słomiński JM, Krajnik M, Fal AM. Integrated Care for Patients with Advanced Chronic Obstructive Pulmonary Disease. Advances in Respiratory Medicine. 2010; 78(2):126-132. https://doi.org/10.5603/ARM.27740

Chicago/Turabian Style

Jassem, Ewa, Dorota Górecka, Piotr Krakowiak, Jerzy Kozielski, J. Marek Słomiński, Małgorzata Krajnik, and Andrzej M. Fal. 2010. "Integrated Care for Patients with Advanced Chronic Obstructive Pulmonary Disease" Advances in Respiratory Medicine 78, no. 2: 126-132. https://doi.org/10.5603/ARM.27740

APA Style

Jassem, E., Górecka, D., Krakowiak, P., Kozielski, J., Słomiński, J. M., Krajnik, M., & Fal, A. M. (2010). Integrated Care for Patients with Advanced Chronic Obstructive Pulmonary Disease. Advances in Respiratory Medicine, 78(2), 126-132. https://doi.org/10.5603/ARM.27740

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