Primary Care Respiratory Society UK (PCRS-UK)

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COPD Resources Primary Care Respiratory Society UK

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End of Life Care
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Supporting Information - End of Life Care
  • Do you have a list of people with severe COPD who are included in your GOLD Standards Framework clinical discussions?
  • Do you have systems to notify out of hours, emergency services of the advanced care wishes of people with advanced COPD?
There is increased recognition that people with severe COPD have as many symptoms as those with cancer, yet often the severity of their condition is not recognised and they do not have the end of life discussions that people with cancer do.

It may be useful to consider which patients could be identified for end-of-life care.

There are several key contributing factors that can alert a clinician to a patient’s increased risk of mortality. These include: FEV1< 30% predicted, history of two exacerbations requiring hospital admission, MRC Score 5, low BMI, a history of established respiratory failure or prior non-invasive ventilation.

An end-of-life care DVD has been produced by IMPRESS (Primary Care Respiratory Society UK / BTS) which covers many of the important issues relating to end of life care.
This series of resources has been produced as a service to primary care by the Primary Care Respiratory Society UK (PCRS-UK) and has been supported by an educational grant from Allen & Hanburys, AstraZeneca UK Ltd and Boehringer Ingelheim Ltd/Pfizer Ltd. The views expressed in the materials are not necessarily those of either the sponsors or the Primary Care Respiratory Society UK (PCRS-UK). © PCRS-UK
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PCRS-UK: formerly the General Practice Airways Group (GPIAG)


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