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This document discusses palliative care for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema. It outlines search strategies used to find information on palliative care and each condition. Specifically, it was interested in information from searches on "palliative care" AND "chronic obstructive pulmonary disease" and "palliative care" AND "pulmonary emphysema". It identifies two full text articles and provides references for five additional sources on palliative care for COPD patients.
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Tarea seminario 3
This document summarizes several research articles about palliative care for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema. It provides the search strategy used to find articles on "Palliative Care" and terms related to pulmonary diseases. It then lists 5 research articles found that discuss topics like using gait speed to measure COPD patient functional status, cognitive impairment in COPD patients, end-of-life care recommendations for advanced COPD, predicting outcomes after COPD exacerbation hospitalization, and early identification of palliative care needs in COPD patients in general practice.
Tarea seminario 3
The document provides instructions for a seminar assignment on palliative care for patients with chronic obstructive pulmonary disease. It instructs the student to search for review articles on palliative care and chronic obstructive pulmonary disease, bronchitis, or emphysema from the last 5 years. The student should search DeCS and PubMed databases using provided search terms and select 5 articles to save in Mendeley. The document provides 5 sample references as examples of suitable articles.
Búsqueda de artículos en base de datos PubMed
This document summarizes a search of the PubMed database on palliative care for chronic obstructive pulmonary disease (COPD). Five relevant articles were found using the search strategy "palliative care" OR "paliative therapy" AND (COPD OR "chronic obstructive pulmonary disease" OR "chronic bronchitis" OR "pulmonary emphysema"). The articles are summarized and referenced in Vancouver style. Screenshots of the first pages of two selected articles are also provided.
Tarea del seminario 3
This document summarizes a literature review on palliative care services for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema. It includes a search strategy using terms like "palliative care" and names of lung diseases. It then lists 7 references for research articles on interventions and management of end-stage lung disease, barriers to advance care planning for COPD patients, and the need to integrate rehabilitation and palliative care for severe COPD patients.
Dr. Lisa Marie Cannon
This article summarizes a study on the challenges faced by patients with idiopathic pulmonary fibrosis (IPF) and how it affects their quality of life. The study found that patients struggle to get an accurate diagnosis, experience a loss of independence and functionality as the disease progresses rapidly, and have difficulty learning to live with the limited treatment options for the life-limiting disease. Understanding the patient experience could help healthcare providers improve support for IPF patients and their quality of life.
Tarea 3 estadística
This document provides references for research on palliative care for patients with chronic obstructive pulmonary disease (COPD), including bronchitis and emphysema. It lists 5 references from medical journals published between 2014 and 2015. The references discuss outpatient palliative care for COPD patients, end-of-life care for COPD, and challenges of integrating palliation into daily clinical practice for COPD patients.
Tarea seminario 3
This document provides a literature review on palliative care services for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema. It lists key terms related to palliative care and pulmonary diseases. It also provides references to several research articles about palliative care for COPD patients, predicting outcomes after hospitalization for COPD exacerbations, and lung volume reduction surgery for COPD.
Tarea seminario 3
1) The document outlines steps to follow which include reviewing articles on palliative care for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema.
2) It identifies key concepts to search for in the literature review, such as palliative care, COPD, chronic bronchitis, and pulmonary emphysema.
3) Search terms are provided to focus the literature review on articles discussing palliative care and its relation to COPD, chronic bronchitis, or pulmonary emphysema.
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Tarea seminario 3
This document summarizes several research articles about palliative care for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema. It provides the search strategy used to find articles on "Palliative Care" and terms related to pulmonary diseases. It then lists 5 research articles found that discuss topics like using gait speed to measure COPD patient functional status, cognitive impairment in COPD patients, end-of-life care recommendations for advanced COPD, predicting outcomes after COPD exacerbation hospitalization, and early identification of palliative care needs in COPD patients in general practice.
Tarea seminario 3
The document provides instructions for a seminar assignment on palliative care for patients with chronic obstructive pulmonary disease. It instructs the student to search for review articles on palliative care and chronic obstructive pulmonary disease, bronchitis, or emphysema from the last 5 years. The student should search DeCS and PubMed databases using provided search terms and select 5 articles to save in Mendeley. The document provides 5 sample references as examples of suitable articles.
Búsqueda de artículos en base de datos PubMed
This document summarizes a search of the PubMed database on palliative care for chronic obstructive pulmonary disease (COPD). Five relevant articles were found using the search strategy "palliative care" OR "paliative therapy" AND (COPD OR "chronic obstructive pulmonary disease" OR "chronic bronchitis" OR "pulmonary emphysema"). The articles are summarized and referenced in Vancouver style. Screenshots of the first pages of two selected articles are also provided.
Tarea del seminario 3
This document summarizes a literature review on palliative care services for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema. It includes a search strategy using terms like "palliative care" and names of lung diseases. It then lists 7 references for research articles on interventions and management of end-stage lung disease, barriers to advance care planning for COPD patients, and the need to integrate rehabilitation and palliative care for severe COPD patients.
Dr. Lisa Marie Cannon
This article summarizes a study on the challenges faced by patients with idiopathic pulmonary fibrosis (IPF) and how it affects their quality of life. The study found that patients struggle to get an accurate diagnosis, experience a loss of independence and functionality as the disease progresses rapidly, and have difficulty learning to live with the limited treatment options for the life-limiting disease. Understanding the patient experience could help healthcare providers improve support for IPF patients and their quality of life.
Tarea 3 estadística
This document provides references for research on palliative care for patients with chronic obstructive pulmonary disease (COPD), including bronchitis and emphysema. It lists 5 references from medical journals published between 2014 and 2015. The references discuss outpatient palliative care for COPD patients, end-of-life care for COPD, and challenges of integrating palliation into daily clinical practice for COPD patients.
Tarea seminario 3
This document provides a literature review on palliative care services for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema. It lists key terms related to palliative care and pulmonary diseases. It also provides references to several research articles about palliative care for COPD patients, predicting outcomes after hospitalization for COPD exacerbations, and lung volume reduction surgery for COPD.
Tarea seminario 3
1) The document outlines steps to follow which include reviewing articles on palliative care for patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis, and pulmonary emphysema.
2) It identifies key concepts to search for in the literature review, such as palliative care, COPD, chronic bronchitis, and pulmonary emphysema.
3) Search terms are provided to focus the literature review on articles discussing palliative care and its relation to COPD, chronic bronchitis, or pulmonary emphysema.
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Severe asthma is heterogeneous, with phenotypes including eosinophilic asthma. Recommendations include using sputum eosinophil counts and exhaled nitric oxide to guide therapy, as well as treating with anti-IgE antibody, methotrexate, macrolide antibiotics, antifungal agents and
Asthma Management guidlines.
The ERS/ATS Task Force guidelines provide an updated definition of severe asthma, discuss severe asthma phenotypes, and make recommendations for evaluating and treating severe asthma.
When asthma diagnosis is confirmed and comorbidities addressed, severe asthma is defined as requiring high-dose inhaled corticosteroids plus a second controller and/or systemic corticosteroids to control asthma or asthma that remains uncontrolled despite this therapy.
Severe asthma is heterogeneous, with phenotypes including eosinophilic asthma. Recommendations include using sputum eosinophil counts and exhaled nitric oxide to guide therapy, as well as treating with anti-IgE antibody, methotrexate, macrolide antibiotics, antifungal agents and
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The document describes a literature search on palliative care for patients with chronic pulmonary diseases. It lists 5 results from searching for articles within the past 5 years on "palliative care" AND "patients" AND terms for chronic pulmonary diseases. It then selects the first two articles from the search results for further review. These include an article on palliative needs for heart failure or chronic obstructive pulmonary disease from a multicenter registry, and an article on patient-clinician communication about end-of-life care in patients with advanced chronic organ failure over one year.
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The document discusses searching the PubMed database using DeCS thesaurus terms to translate search terms from Spanish to English. It provides the search terms "Palliative care AND (Pulmonary Disease Chronic Obstructive OR Bronchitis Chronic OR Pulmonary Emphysema)" which returned 5 relevant results on topics like improving end-of-life care for COPD, the burden of idiopathic pulmonary fibrosis, integrating palliative care into pulmonary rehabilitation, and primary palliative care in outpatient settings.
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This document outlines a task to search PubMed for articles from the last five years about palliative care for patients with chronic obstructive pulmonary disease, chronic bronchitis, and pulmonary emphysema. It provides key concepts and a search strategy using the terms "palliative care" AND ("chronic obstructive pulmonary disease" OR "chronic bronchitis" OR "pulmonary emphysema"). It lists five relevant research articles found through the search on topics related to diagnosis, treatment guidelines, home environments, and palliation of chronic obstructive pulmonary disease.
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Reproduced with permission of the copyright owner. Further re.docx
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
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Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
CLINICAL SCHOLARSHIP
The Lived Experiences of People With Chronic Obstructive
Pulmonary Disease: A Phenomenological Study
Yi-Ya Chang, MSc, RN1,2, Yu-Tzu Dai, PhD, RN3, Nai-Hui Chien, MSN, RN4,5, & Hui-Ya Chan, MSN, RN6,7
1 Lecturer, Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan
2Doctoral Candidate, School of Nursing, College of Medicine, National Taiwan University, Taipei City, Taiwan
3 Professor, School of Nursing, College of Medicine, National Taiwan University, Taipei City, Taiwan
4 Lecturer, Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan
5Doctoral Candidate, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
6 Registered Nurse, Department of Nursing, National Taiwan University Hospital, Taipei City, Taiwan
7Doctoral Candidate, School of Nursing, College of Medicine, National Taiwan University, Taipei City, Taiwan
Key words
Chronic disease, long-term care,
phenomenology, qualitative research,
respiratory
Correspondence
Yi-Ya Chang, Department of Nursing, Chang
Gung University of Science and Technology,
No.261, Wenhua 1st Rd., Guishan Dist. 33303,
Taoyuan City, Taiwan.
E-mail: [email protected]
Accepted May 7, 2016
doi: 10.1111/jnu.12230
Abstract
Purpose: This study explored the lived experiences of people with chronic
obstructive pulmonary disease (COPD) following hospitalization for acute ex-
acerbation or pneumonia.
Design and Method: A phenomenological approach was adopted to collect
data through semistructured interviews. Fourteen participants were recruited
from a medical center in northern Taiwan. Data were collected from January
2013 to January 2014. Giorgi’s phenomenological methodology was adopted
to analyze the interview content.
Findings: Three phenomenological themes emerged: trapped in an invisible
cage, torments in the winter, and striving for wellness.
Conclusions: This study sought to elucidate the lived experiences of peo-
ple with COPD, who perceive.
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Abstract Background: Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease (COPD), but no well-recognized method can provide effective relief. Liuzijue Qigong (LQG) is a traditional Chinese fitness method, based on breath pronunciation. This study aimed to examine the efficacy of LQG to relieve anxiety in COPD patients and to explore the factors that influence anxiety, including whether LQG is effective during the coronavirus disease 2019 (COVID-19) outbreak. Methods: We conducted an open-label, randomized, controlled, clinical trial. A total of 60 patients with stable COPD were randomly assigned to two groups. Both groups were given routine medical treatment, and the patients in the pulmonary rehabilitation (PR) group were given an extra intervention in the form of LQG, performed for 30 minutes each day for 12 weeks. Data collection was performed at baseline and 12 weeks (during the COVID-19 epidemic). The primary outcomes were the self-rating anxiety scale (SAS) scores, and the secondary outcomes were relevant information during the epidemic and analyses of the related factors that influenced SAS scores during the COVID-19 outbreak. Results: Compared with baseline, patients in both groups demonstrated varying degrees of improvements in their SAS scores (all P < 0.01). An analysis of covariance, adjusted for baseline scores, indicated that the SAS scores improved more dramatically in the PR group than in the control group (F = 9.539, P = 0.004). During the outbreak, the SAS scores for sleep disorder were higher than all other factors, reaching 1.38 ± 0.67, and the scores for “I can breathe in and out easily” for the PR group were lower than the scores for the control group (Z = −2.108, P = 0.035). Significant differences were identified between the two groups for the categories “How much has the outbreak affected your life”, “Do you practice LQG during the epidemic” and “Do you practice other exercises during the epidemic” (all P < 0.05). Compared with current reports, LQG had a relatively high adherence rate (80.95%). A multiple linear regression analysis revealed multiple predictors for SAS scores during the outbreak: group (b = −3.907, t = −3.824, P < 0.001), COPD assessment test score (b = 0.309, t = 2.876, P = 0.006), SAS score at baseline (b = 0.189, t = 3.074, P = 0.004), and living in a village (b = 4.886, t = 2.085, P = 0.043). Conclusion: LQG could effectively reduce the risks of anxiety among COPD patients, even during the COVID-19 outbreak. For those COPD patients with high COPD assessment test and high baseline SAS scores or who live in villages, we should reinforce the management and intervention of psychological factors during the epidemic.
A Study to Evaluate the Effectiveness of Planned Teaching Programme on Manage...
Introduction Interstitial lung diseases ILDs are a diverse group of lung diseases that are characterized by chronic inflammation and progressive fibrosis of the pulmonary interstitium. The interstitium is defined as the alveolar walls including epithelial cells and capillaries , septae, and the perivascular, perilymphatic, and peribroncheolar connective tissues. 1. Objectives To develop planned teaching program on management of Interstitial Lung Disease ILD . 2. To assess and evaluate the quality of life among newly diagnosed ILD patients before and after the administration of planned teaching program on management of Interstitial Lung Disease ILD . 3. To assess and evaluate the functional capacity in terms of 6MWD, protein value and Fat Free Mass Index FFMI among newly diagnosed Interstitial Lung Disease ILD patients before and after the administration of planned teaching program on management of Interstitial Lung Disease ILD . 4. To determine relationship between quality of life and functional capacity after administration of planned teaching on management of interstitial lung disease ILD . 5. To seek association between quality of life among newly diagnosed Interstitial Lung Disease ILD patients after administration of planned teaching program on management of Interstitial Lung Disease ILD with selected variables like A. Age B. Sex C. Education D. Medical illness E. Occupation F. Socio economic status 6. To seek association between functional capacity among newly diagnosed Interstitial Lung Disease ILD patients after administration of planned teaching program on management of Interstitial Lung Disease ILD with selected variables like A. Age B. Sex C. Education D. Medical illness E. Occupation’ F. Socio economic status Methods The research adopted a quasi experimental design with pre and post test of the intervention of the patients availing the planned teaching management programme of ILD. Exit interviews of ILD patients were conducted to 60 randomly selected patients among those who avail the facility in the hospital. International standardized questionnaire based on the St. George Respiratory Questionnaire SGRQ and Six Minute Walk Distance 6MWD , protein and fat free mass index FFMI by Bio Impedance Non Invasive are the tools used in this study. Further, a structure questionnaire to assess demographic data and a follow up pro forma for weekly telephone call, and planned teaching program on management of ILD were developed. Result The data was analyzed with descriptive and inferential statistics. The analysis of the newly diagnosed ILD patients showed that 45 was from 40 59 years of age 53 from the experimental group and 37 from the control group . In both experimental and control group majorities 63 of newly diagnosed interstitial lung disease patients were females from both the groups.It has 35 that has below 10 standard levels 40 in control group and 30 in experimental group and 29 had a family income range from 0 10,000 30 from control gr
Pulmonary overlaps in icu
1) The document discusses several respiratory overlap syndromes that are relevant in the ICU setting, including COPD/OSA, asthma/OSA, COPD/asthma (ACOS), and bronchiectasis/COPD (BCOS).
2) Patients with overlap syndromes are at higher risk for poor outcomes like mortality and exacerbations. Effective treatments like CPAP can help reduce risks.
3) Comorbidities commonly associated with respiratory overlap syndromes include obesity, which paradoxically seems to have a protective effect on mortality in critical illness.
1es factor de riesgo para exacerbaciones
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This study evaluated agreement between multidisciplinary teams (MDTs) from seven countries on diagnoses of diffuse parenchymal lung disease. 70 patients were evaluated independently by clinicians, radiologists, pathologists and each MDT. Inter-MDT agreement on first choice diagnoses was moderate. Agreement was good for idiopathic pulmonary fibrosis (IPF) and connective tissue disease, moderate for non-specific interstitial pneumonia, and fair for hypersensitivity pneumonitis. MDTs diagnosed IPF with higher confidence and frequency than individual clinicians or radiologists. Inter-MDT agreement for hypersensitivity pneumonitis was low, highlighting the need for standardized diagnostic guidelines.
Aspergillosis 2008 guideline
This document provides guidelines for the treatment of aspergillosis from the Infectious Diseases Society of America. It finds that voriconazole is recommended as primary treatment for most cases of invasive aspergillosis. Liposomal amphotericin B is considered an alternative. For salvage therapy, options include various antifungal drugs. The guidelines also make recommendations for antifungal prophylaxis and management of chronic and allergic forms of aspergillosis.
Pneumonia .
In this presentation, an overview regarding the causes, risk factors, complications and symptoms related to cellular as well as physiological changes seen in pneumonia is to be discussed.
thoraxjnl-2013-205048
This study analyzed data from over 5,000 individuals to investigate exacerbation-like events in those without chronic obstructive pulmonary disease (COPD). The key findings were:
1) Exacerbation-like events occurred in 3.9% of individuals without COPD or asthma in the past year, about half as frequently as in those with COPD (8.2%).
2) In those without COPD, female sex, presence of wheezing, use of respiratory medications, and poor self-perceived health were independent risk factors for exacerbation-like events.
3) Those without COPD but with exacerbation-like events were more likely to report poorer quality of life, missed
Reducing bcc in ed through an enp 8 dec 2016 final
This study aimed to reduce blood culture contamination rates in an emergency department through an educational nursing program. The baseline contamination rate was 4.8%, above the standard of less than 3%. A quantitative quasi-experimental design was used to examine the relationship between an educational intervention and contamination rates. Nurses were provided additional training on proper blood culture collection techniques. The study hypothesized that this education would decrease contamination rates. Contamination can increase costs and unnecessary treatment, so reducing it through effective training could improve patient outcomes and experience of care.
Aspergillosis
This document provides guidelines for the treatment of aspergillosis from the Infectious Diseases Society of America. It finds that voriconazole is recommended as primary treatment for invasive aspergillosis. Liposomal amphotericin B is considered an alternative primary therapy. Salvage therapies include various lipid formulations of amphotericin, posaconazole, itraconazole, caspofungin, or micafungin. Management of chronic or allergic forms depends on the specific condition. The guidelines provide recommendations for treating different forms of aspergillosis based on the available evidence.
Respiratory system disorders and therapy
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Copd 9-837
This document summarizes evidence on the use of noninvasive ventilation (NIV) in acute respiratory failure. It finds that NIV is an effective first-line treatment for moderate-to-severe exacerbations of chronic obstructive pulmonary disease (COPD) and acute cardiogenic pulmonary edema, reducing the need for invasive mechanical ventilation and improving outcomes. It also discusses how NIV is used in other clinical settings such as postoperative care, pneumonia, asthma, and palliative care. The document concludes that appropriate patient selection and technique are important for the successful use of NIV.
MPOC i broncodilatació dual: tiotropium /olodaterol
This document discusses dual bronchodilation with tiotropium/olodaterol for the treatment of COPD. It begins with an overview of the prevalence and magnitude of COPD globally and in Spain. It then discusses the 2017 Spanish COPD treatment guidelines and algorithms. It aims to dispel myths around the use of inhaled corticosteroids (ICS) for COPD, looking at risks of pneumonia, exacerbations, withdrawal effects, and mitigating factors. Tiotropium is identified as the most studied bronchodilator. Results are presented showing that combining tiotropium with olodaterol provides superior bronchodilation to either agent alone. The document concludes by discussing the Respimat inhal
Pericarditis
This randomized controlled trial evaluated the effects of adjunctive prednisolone and Mycobacterium indicus pranii immunotherapy in 1400 adults with definite or probable tuberculous pericarditis in Africa. Patients were assigned to receive either prednisolone or placebo for 6 weeks, and M. indicus pranii or placebo in 5 injections over 3 months, in addition to antituberculosis therapy. The primary outcome was a composite of death, cardiac tamponade requiring pericardiocentesis, or constrictive pericarditis. The trial found that neither prednisolone nor M. indicus pranii had a significant effect on the primary outcome. However, predn
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James Fingleton PhD thesis amended FINAL version 14th November
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Mira Klein: Lung Transplantation after ex vivo lung perfusion
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- 2. Cuidados paliativos en pacientes con enfermedad pulmonar obstructiva crónica (EPOC), bronquitis crónica y enfisema pulmonar. Estrategias de búsqueda: “palliative care” AND “chronic obstructive pulmonary disease” “palliative care” AND “chronic bronchitis” (con esta estrategia, en la búsqueda no se ha encontrado ningún resultado) “palliative care” AND “pulmonary emphysema” Información que nos interesa:
- 3. “palliative care” AND “chronic obstructive pulmonary disease”
- 4. “palliative care” AND “pulmonary emphysema”
- 7. REFERENCIAS BIBLIOGRÁFICAS Chou, W.-C., Lai, Y.-T., & Hung, Y.-S. (2013). Comparing end-of-life care in hospitalized patients with chronic obstructive pulmonary disease with and without palliative care in Taiwan. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 18(7), 594–600. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3897028&tool=pmcentrez&rendertype =abstract Gai, X., & He, B. (2014). [Palliative care, end-of-life care, and hospice care for patients with severe chronic obstructive pulmonary disease]. Zhonghua Jie He He Hu Xi Za Zhi = Zhonghua Jiehe He Huxi Zazhi = Chinese Journal of Tuberculosis and Respiratory Diseases, 37(4), 287–9. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24969719 Gavazzi, A., De Maria, R., Manzoli, L., Bocconcelli, P., Di Leonardo, A., Frigerio, M., … Deales, A. (2015). Palliative needs for heart failure or chronic obstructive pulmonary disease: Results of a multicenter observational registry. International Journal of Cardiology, 184, 552–558. http://doi.org/10.1016/j.ijcard.2015.03.056 Hynes, G., Kavanagh, F., Hogan, C., Ryan, K., Rogers, L., Brosnan, J., & Coghlan, D. (2014). Understanding the challenges of palliative care in everyday clinical practice: an example from a COPD action research project. Nursing Inquiry. http://doi.org/10.1111/nin.12089 Philip, J., Lowe, A., Gold, M., Brand, C., Miller, B., Douglass, J., & Sundararajan, V. (2012). Palliative care for patients with chronic obstructive pulmonary disease: exploring the landscape. Internal Medicine Journal, 42(9), 1053–7. http://doi.org/10.1111/j.1445-5994.2012.02830.x