Managing Severe Chronic Breathlessness in Chronic Obstructive Pulmonary Disease Is Challenging for General Practitioners.
John PolitisPeter EastmanBrian LeJohn FurlerLouis IrvingNatasha SmallwoodPublished in: The American journal of hospice & palliative care (2020)
Most GPs recognized and were willing to add specific treatments for severe chronic breathlessness. However, experience prescribing opioids for severe chronic breathlessness was low, with many practitioners holding significant concerns regarding adverse effects. Many GPs are uncomfortable offering a palliative approach to their COPD patients, yet these patients are not routinely referred to specialist palliative care services despite their immense needs. GPs therefore desire education and support to overcome these barriers.
Keyphrases
- palliative care
- end stage renal disease
- primary care
- ejection fraction
- healthcare
- newly diagnosed
- chronic kidney disease
- early onset
- prognostic factors
- chronic obstructive pulmonary disease
- drug induced
- chronic pain
- mental health
- advanced cancer
- patient reported outcomes
- air pollution
- patient reported
- health insurance