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

Fusi-Schmidhauser, Tanja and Riglietti, Alessia and Froggatt, Katherine and Preston, Nancy (2019) Palliative Care Provision for Patients with Advanced Chronic Obstructive Pulmonary Disease:A Systematic Integrative Literature Review. COPD, 15 (6). pp. 600-611. ISSN 1541-2563

[img] PDF (COPD_2018_CL_0226_PURE_)
COPD_2018_CL_0226_PURE_.pdf - Accepted Version
Restricted to Repository staff only until 4 February 2020.
Available under License Creative Commons Attribution-NonCommercial.

Download (564kB)

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.

Item Type: Journal Article
Journal or Publication Title: COPD
Additional Information: 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
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700/2740
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 131800
Deposited By: ep_importer_pure
Deposited On: 20 May 2019 09:25
Refereed?: Yes
Published?: Published
Last Modified: 07 Dec 2019 05:05
URI: https://eprints.lancs.ac.uk/id/eprint/131800

Actions (login required)

View Item View Item