Non-pharmacological Management in Palliative Care for Patients With Advanced COPD

Pyszora, Anna; Lewko, Agnieszka

doi:10.3389/fcvm.2022.907664

Cited by 9 publications

(8 citation statements)

References 120 publications

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“…In this complex clinical scenario, non-invasive ventilation (NIV) can be implemented to provide respiratory support without the need for invasive interventions including intubation and invasive mechanical ventilation [ 6 ]. Therefore, NIV can be employed for specialized palliative care for facing respiratory symptoms and optimizing the patient’s quality of life [ 7 , 8 ]. This therapeutic approach can foster improved sleep, alleviate anxiety, and enhance comfort, empowering patients to engage more fully in meaningful activities and interactions with their loved ones [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Bridging knowledge gaps: a bibliometric analysis of non-invasive ventilation in palliative care studies

Cascella,

Monaco,

Vittori

et al. 2024

J Anesth Analg Crit Care

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Background Despite being a useful strategy for providing respiratory support to patients with advanced or terminal illnesses, non-invasive ventilation (NIV) requires in-depth investigation in several key aspects. Objectives This bibliometric analysis seeks to comprehensively examine the existing research on the subject. Its goal is to uncover valuable insights that can inform the prediction trajectory of studies, guide the implementation of corrective measures, and contribute to the improvement of research networks. Methods A comprehensive review of literature on NIV in the context of palliative care was conducted using the Web of Science core collection online database. The search utilized the key terms “non-invasive ventilation” and “palliative care” to identify the most relevant articles. All data were gathered on November 7, 2023. Relevant information from documents meeting the specified criteria was extracted, and Journal Citation Reports™ 2022 (Clarivate Analytics) served as the data source. The analysis employed literature analysis and knowledge visualization tools, specifically CiteScope (version 6.2.R4) and VOSviewer (version 1.6.20). Results A dataset with bibliometric findings from 192 items was analyzed. We found a consistent upward of the scientific output trend over time. Guidelines on amyotrophic lateral sclerosis management received the highest number of citations. Most documents were published in top-ranked journals. Less than one-third of the documents pertain to clinical studies, especially retrospective analyses (25%). Key topics such as “decision making”, and “communication” were less addressed. Conclusions Given the substantial clinical implications, further high-quality studies on this subject are recommended. Encouraging international collaborations is needed. Despite the growing volume of documents in the field, this bibliometric analysis indicates a decline in collaborative networks.

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Section: Introductionmentioning

confidence: 99%

Bridging knowledge gaps: a bibliometric analysis of non-invasive ventilation in palliative care studies

Cascella,

Monaco,

Vittori

et al. 2024

J Anesth Analg Crit Care

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“…While non-pharmacological techniques are low risk and low cost, they are underutilised 4 and may not be effective for all patients with breathlessness. 5 The need for novel, evidence-based, non-pharmacological approaches to managing breathlessness is urgent.…”

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confidence: 99%

“…Individualized approaches to managing breathlessness may include pharmacological agents and non‐pharmacological techniques, such as the use of hand‐held fans, breathing exercises or postures to ease breathlessness. While non‐pharmacological techniques are low risk and low cost, they are underutilised 4 and may not be effective for all patients with breathlessness 5 . The need for novel, evidence‐based, non‐pharmacological approaches to managing breathlessness is urgent.…”

mentioning

confidence: 99%

Breaking the spiral: How negative mood can fuel exertional breathlessness in people with chronic obstructive pulmonary disease

Pascoe,

Smallwood

2024

Respirology

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“…The initiation of palliative respiratory care should be based on the severity of patient's symptoms and unmet needs [31]. In the late stage of COPD, respiratory symptoms (shortness of breath, cough, fatigue) heavily influence the physical and psychological functioning of a person, accelerate the progression of chronic respiratory failure and reduce the quality of life, that results in disability [27].…”

mentioning

confidence: 99%

“…Evaluating an interdisciplinary approach to the management of patients with progressive COPD at the palliative stage, A. Pyszora et al [27] have shown positive effects of such methods of physical therapy as pulmonary rehabilitation, physical activity, neuromuscular electrical stimulation and methods for cleaning the respiratory tract.…”

mentioning

confidence: 99%

Peculiarities of pulmonary rehabilitation in patients with chronic respiratory diseases in palliative and hospice care (review)

Raznatovska

Петренко

2023

ТБ

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Pulmonary rehabilitation is an interdisciplinary program of care for patients with chronic respiratory disorders, created individually and aimed at physical and social indicators and autonomy optimizing. Physical therapists in an interdisciplinary palliative care team are key to the success of pulmonary rehabilitation for palliative patients, focusing on the physical functioning.Objective — to review the data from literature references regarding the characteristics and usage frequency of pulmonary rehabilitation for patients with respiratory diseases who require palliative and hospice care, and to specify respiratory diseases in palliative care patients for which pulmonary rehabilitation is currently used. As a result of the literature review, it was established that pulmonary rehabilitation in patients with chronic respiratory diseases who require palliative and hospice care is aimed at improving pulmonary symptoms (shortness of breaths) and functional status, reducing the intensity of accompanying symptoms, even in the late stages of the disease, which ultimately contributes improving the quality of life and survival of patients, reducing the burden on those who care for them. But access to physical (pulmonary) rehabilitation for patients with chronic respiratory diseases who need palliative and hospice care, is currently not routine in practice and not used enough around the world, unfortunately. It was found that today pulmonary rehabilitation in palliative patients is used only for chronic obstructive pulmonary diseases, interstitial lung diseases, cystic fibrosis, sarcoidosis, idiopathic pulmonary fibrosis and bronchiectasis. At the same time, the literature does not describe the use of physical therapy methods, including pulmonary rehabilitation, in patients with bronchial asthma who require palliative treatment. Pulmonary rehabilitation in patients with chronic respiratory diseases who require palliative and hospice care is a relevant and effective method of treatment, but needs wider implementation in the modern health care system.

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Non-pharmacological Management in Palliative Care for Patients With Advanced COPD

Cited by 9 publications

References 120 publications

Bridging knowledge gaps: a bibliometric analysis of non-invasive ventilation in palliative care studies

Bridging knowledge gaps: a bibliometric analysis of non-invasive ventilation in palliative care studies

Breaking the spiral: How negative mood can fuel exertional breathlessness in people with chronic obstructive pulmonary disease

Peculiarities of pulmonary rehabilitation in patients with chronic respiratory diseases in palliative and hospice care (review)

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