Long term oxygen therapy adherence and COPD: what we don't know

Cullen, Deborah

doi:10.1177/1479972306070506

Cited by 43 publications

(35 citation statements)

References 31 publications

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“…19,20 In addition, LTOT is an expensive therapy associated with psychosocial side effects such as depression, fear of dependence, lack of self-confidence, and social isolation. [21][22][23][24] Therefore, overprescription of this treatment should be strictly avoided. Taken together, there is now increasing evidence to suggest that assessing the requirement for LTOT should never be based on CBG measurements alone.…”

mentioning

confidence: 99%

Capillary PO2 does not adequately reflect arterial PO2 in hypoxemic COPD patients

Magnet

Majorski

Callegari

et al. 2017

Clinical Respiratory Physiology, Exercise and Functional Imaging

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mentioning

confidence: 99%

Capillary PO2 does not adequately reflect arterial PO2 in hypoxemic COPD patients

Magnet

Majorski

Callegari

et al. 2017

Clinical Respiratory Physiology, Exercise and Functional Imaging

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“…The relatives' quality of life is strongly influenced by how patients master their daily life (Myaskovsky et al, 2005). Patients must spend considerable time at the hospital during this waiting period as they require different forms of healthcare interventions (Sadala and Stolf, 2008), such as oxygen therapy (Cullen, 2006) or mechanical cardiac assist devices (Liden et al, 2007). As a consequence, many relatives act as informal caregivers to these patients both in hospital and at home (Kurz, 2002, Akbarin and Aarts, 2013, Rodrigue and Baz, 2007 with the risk of experiencesof stress and burden as a result (Goetzinger et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Waiting for a heart or lung transplant: Relatives’ experience of information and support

Ivarsson¹,

Ekmehag²,

Sjöberg³

2014

Intensive and Critical Care Nursing

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Waiting for a heart or lung transplant: Relatives' experience of information and support.Ivarsson, Bodil; Ekmehag, Björn; Sjöberg, Trygve Link to publication Citation for published version (APA): Ivarsson, B., Ekmehag, B., & Sjöberg, T. (2014). Waiting for a heart or lung transplant: Relatives' experience of information and support. Intensive & Critical Care Nursing, 30(4), 188-195. DOI: 10.1016/j.iccn.2014 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal 1 WAITING FOR A HEART OR LUNG TRANSPLANT: RELATIVES' EXPERIENCE OF INFORMATION AND SUPPORT Abstract ObjectivesTo describe the relatives' experiences of information and support while the heart or lung transplant candidates were waiting for a heart or lung transplantation. Methodology/designThe critical incident technique was used. Incidents were collected via interviews with 18 relatives (28-73 years old) of heart or lung transplant patients within four weeks of the patients being accepted onto the transplant waiting list. FindingssA total of 286 important events, both positive and negative, were identified and divided into two main areas: "Experiencing information and support" and "Reflecting upon information and support." "Experiencing information and support" was associated with "dissatisfaction with the health-care system", "being relatively satisfied", "supporting patients" and "the role of social networks." "Reflecting upon information and support" was associated with "finding strength" and "uncomfortable with emotions". Relatives experiences suggest that needs can be met through specific targeted information and support for them as well as mediating contact to previously transplanted persons. ConclusionThe findingss indicate a gap between the information and support that relatives need and receive, and that more attention should be paid to information and support for this group. By increasing awareness among healthcare professionals and the community, interventions can be developed that benefit relatives.

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“…tioning [8][9][10] . Therefore, it is fundamentally important not to oversupply patients with LTOT and to guarantee that only patients with severe hypoxaemia receive LTOT.…”

Section: Major Areas Of Consensusmentioning

confidence: 99%

“…Furthermore, LTOT can promote psychosocial side effects, such as stigma, social isolation, lack of self-confidence, depression and fear of dependence [8][9][10] . Therefore, a set of comprehensive guidelines with clear indication criteria for LTOT are urgently needed.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Oxygen Therapy: Comparison of the German and British Guidelines

et al. 2017

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Background: The German guideline on long-term oxygen therapy (LTOT) was published in 2008 by the German Respiratory Society (DGP), while the British Thoracic Society (BTS) published their most recent guideline in 2015. Objectives: The aim of the present article was to highlight the major areas of consensus and disagreement in the recently published BTS and DGP guidelines on LTOT. Methods: The BTS and DGP guidelines were directly compared in terms of congruencies and differences. A critical appraisal was then performed and authors' suggestions were provided. Results: The 2 guidelines are almost congruent in 2 major areas, namely, (1) the indication criteria for LTOT in chronic obstructive pulmonary disease (COPD) patients at rest and (2) the recommended duration of LTOT over a 24-h period. However, 8 major areas in which the guidelines differ considerably were identified: (1) techniques for blood gas analysis; (2) timing of LTOT in stable patients; (3) LTOT in post-exacerbation COPD patients; (4) ambulatory oxygen therapy; (5) nocturnal oxygen therapy; (6) titration of oxygen flow rates; (7) follow-up visits; and (8) LTOT for patients who still smoke. Furthermore, the BTS guideline is much more detailed, includes more references (161 vs. 71) and is more up to date than the DGP guideline. Conclusion: There are major differences between the 2 guidelines. Many of the aspects raised by the BTS guideline appear to be reasonable with regard to the current literature, clinical experience and prescription practices. However, an international consensus on LTOT is lacking.

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Long term oxygen therapy adherence and COPD: what we don't know

Cited by 43 publications

References 31 publications

Capillary PO2 does not adequately reflect arterial PO2 in hypoxemic COPD patients

Capillary PO2 does not adequately reflect arterial PO2 in hypoxemic COPD patients

Waiting for a heart or lung transplant: Relatives’ experience of information and support

Long-Term Oxygen Therapy: Comparison of the German and British Guidelines

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