2021
DOI: 10.1177/10499091211040232
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Palliative Care for the Interstitial Lung Disease Patient a Must and Not Just a Need

Abstract: Patients with interstitial lung disease (ILD) have many unmet palliative care needs. The majority of patients with chronic ILD have poor access to a specialist in palliative medicine and that is due to several barriers. The mortality for the ILD patient is high and reaches up to 80% if admitted to the ICU with respiratory failure. Palliative care addresses symptoms in diseases where cure is unlikely or impossible. Palliative care consultation also ensures communication among patients, caregivers and providers … Show more

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Cited by 5 publications
(11 citation statements)
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References 37 publications
(96 reference statements)
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“…Since the course of IPF is unpredictable early palliative care interventions can be beneficial in a multiplicity of ways including symptom management, (16, 79) emotional support and in the initiation of advance care planning conversations. (53)…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Since the course of IPF is unpredictable early palliative care interventions can be beneficial in a multiplicity of ways including symptom management, (16, 79) emotional support and in the initiation of advance care planning conversations. (53)…”
Section: Resultsmentioning
confidence: 99%
“…(55, 76) Startingly, despite these recommendations, patients with IPF do not receive optimal palliative care over the course of their disease resulting in high symptom burden and decreased quality of life for patients with ILD. (60, 79) There is increasing evidence that patients with IPF do not always have access to palliative care input and when it is introduced the timeline is rarely optimal. (17, 28)There continues to be poor referral and access to palliative care specialists with some healthcare professionals reporting a lack of training in palliative care, (53) insufficient communication training in facilitating these conversations, variations in the disease trajectory (54) and patients preferences to have these conversations.…”
Section: Resultsmentioning
confidence: 99%
“… 16 17 Many patients also require complex respiratory care toward the latter part of the disease course, leading to an increased burden on patients, their families and the healthcare system. 17 …”
Section: Introductionmentioning
confidence: 99%
“…Patients diagnosed with IPF have an uncertain prognosis, high symptom burden and may experience significant physical and emotional impacts related to potential comorbidities, including other pulmonary conditions, culminating in significant deterioration in quality of life 16 17. Many patients also require complex respiratory care toward the latter part of the disease course, leading to an increased burden on patients, their families and the healthcare system 17…”
Section: Introductionmentioning
confidence: 99%
“…Patients diagnosed with IPF, have an uncertain prognosis, high symptom burden and may suffer from complications related to multiple potential comorbidities including other pulmonary conditions resulting in impaired quality of life 21 22 . In many cases, patients also require complex respiratory care particularly at the end of life 23 .…”
Section: Introductionmentioning
confidence: 99%