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  • COPD_2018_CL_0226_PURE_

    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in COPD on 04/02/2019, available online: https://www.tandfonline.com/doi/full/10.1080/15412555.2019.1566893

    Accepted author manuscript, 551 KB, PDF-document

    Embargo ends: 4/02/20

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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Palliative Care Provision for Patients with Advanced Chronic Obstructive Pulmonary Disease: A Systematic Integrative Literature Review

Research output: Contribution to journalJournal article

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<mark>Journal publication date</mark>4/02/2019
<mark>Journal</mark>COPD
Issue number6
Volume15
Number of pages12
Pages (from-to)600-611
Publication statusPublished
Early online date4/02/19
Original languageEnglish

Abstract

Although chronic obstructive pulmonary disease (COPD) is recognized as being a life-limiting condition with palliative care needs, palliative care provision is seldom implemented. The disease unpredictability, the misconceptions about palliative care being only for people with cancer, and only relevant in the last days of life, prevent a timely integrated care plan. This systematic review aimed to explore how palliative care is provided in advanced COPD and to identify elements defining integrated palliative care. Eight databases, including MEDLINE, EMBASE and CINAHL, were searched using a comprehensive search strategy to identify studies on palliative care provision in advanced COPD, published from January 1, 1960 to November 30, 2017. Citation tracking and evaluation of trial registers were also performed. Study quality was assessed with a critical appraisal tool for both qualitative and quantitative data. Of the 458 titles, 24 were eligible for inclusion. Experiences about advanced COPD, palliative care timing, service delivery and palliative care integration emerged as main themes, defining a developing taxonomy for palliative care provision in advanced COPD. This taxonomy involves different levels of care provision and integrated care is the last step of this dynamic process. Furthermore, palliative care involvement, holistic needs' assessment and management and advance care planning have been identified as elements of integrated care. This literature review identified elements that could be used to develop a taxonomy of palliative care delivery in advanced COPD. Further research is needed to improve our understanding on palliative care provision in advanced COPD.

Bibliographic note

This is an Accepted Manuscript of an article published by Taylor & Francis in COPD on 04/02/2019, available online: https://www.tandfonline.com/doi/full/10.1080/15412555.2019.1566893