Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Palliative care in non-malignant disease
AU - Gadoud, Amy C.
AU - Johnson, Miriam J.
PY - 2011/11
Y1 - 2011/11
N2 - A lack of access to specialist palliative care (SPC) has led to a lack of clinicians' skills, knowledge and attitudes pertinent to the management of patients with chronic conditions such as end-stage heart failure, chronic obstructive pulmonary disease (COPD) and renal failure. Recognition of the 'end-stage' remains a key challenge. This article discusses how a palliative care approach can be incorporated into standard active treatment, outlines the management of important symptoms and discusses the importance of advance care planning. The particular problems experienced by patients with chronic neurodegenerative disease are discussed, and swallowing and respiratory difficulties are explored in the context of potential loss of mental capacity and ability to communicate. The importance of excellent communication skills is highlighted in particular regard to advance planning for end-of-life issues.
AB - A lack of access to specialist palliative care (SPC) has led to a lack of clinicians' skills, knowledge and attitudes pertinent to the management of patients with chronic conditions such as end-stage heart failure, chronic obstructive pulmonary disease (COPD) and renal failure. Recognition of the 'end-stage' remains a key challenge. This article discusses how a palliative care approach can be incorporated into standard active treatment, outlines the management of important symptoms and discusses the importance of advance care planning. The particular problems experienced by patients with chronic neurodegenerative disease are discussed, and swallowing and respiratory difficulties are explored in the context of potential loss of mental capacity and ability to communicate. The importance of excellent communication skills is highlighted in particular regard to advance planning for end-of-life issues.
KW - advance care planning
KW - breathlessness
KW - heart failure
KW - neurodegenerative
KW - palliative care
KW - renal failure
U2 - 10.1016/j.mpmed.2011.08.007
DO - 10.1016/j.mpmed.2011.08.007
M3 - Journal article
AN - SCOPUS:80055061155
VL - 39
SP - 664
EP - 667
JO - Medicine (United Kingdom)
JF - Medicine (United Kingdom)
SN - 1357-3039
IS - 11
ER -