Abstract：
INTRODUCTION:End-of-life (EoL) care is a major component in the management of patients with advanced COPD. Patient-physician communication is essential in this process. AIM:To evaluate the practice of Portuguese Pulmonologists in EoL communication and palliative care in COPD. METHODS:An on-line survey was sent to physicians affiliated to the Portuguese Pneumology Society. RESULTS:We obtained 136 answers from 464 eligible participants (29.3%). About half of the physicians reported that they have rarely introduced EoL discussions with their COPD patients (48.5%). Most had never/rarely suggested decision-making on the use of invasive mechanical ventilation (68.4%). Discussions were described as occurring mostly during/after a major exacerbation (53.7%). Only 37.5% of participants reported treating dyspnoea with opioids frequently/always. Only 9.6% stated that they never/rarely treated anxiety/depression. Most participants perceive the discussion of EoL issues as being difficult/very difficult (89.0%). The reasons most frequently given were feeling that patients were not prepared for this discussion (70.0%), fear of taking away a patient's hope (58.0%) and lack of training (51.0%). CONCLUSION:Patient and medical staff EoL communication in COPD is still not good enough. Training in this area and the creation of formal protocols to initiate EoL have been identified as major factors for improvement.
journal_name
Rev Port Pneumoljournal_title
Revista portuguesa de pneumologiaauthors
Gaspar C,Alfarroba S,Telo L,Gomes C,Bárbara Cdoi
10.1016/j.rppneu.2014.01.008subject
Has Abstractpub_date
2014-05-01 00:00:00pages
123-30issue
3eissn
0873-2159issn
2172-6825pii
S0873-2159(14)00012-9journal_volume
20pub_type
杂志文章abstract：:The differential diagnosis of Mycobacterium bovis is important in the control of transmission to the human population and also for treatment since M. bovis is naturally resistant to pyrazinamide. Eleven clinical isolates from the Fernando Fonseca Hospital with Spoligotypes indicative of M. bovis, through the absence o...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30528-6
更新日期：2005-11-01 00:00:00
abstract：:Immigrants are a tuberculosis risk group. In Portugal, in 2000, they had an incidence rate 3.6 times higher than the global incidence, and were native, predominantly, from Angola and Cabo Verde. Being the Chest Disease Center of Venda Nova located in a residential area with a great number of immigrants, most of them l...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30677-2
更新日期：2003-05-01 00:00:00
abstract：:Clinical suspicion is the bedrock of a thorough clinical work-up, and a review of the clinical files with no definitive diagnosis is a must. Such a review can uncover rare diagnoses, such as Waldenstrom's macroglobulinaemia, a proliferative B-cell disease characterised by medular infiltration and monoclonocal IgM prod...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30292-0
更新日期：2008-11-01 00:00:00
abstract：:The author proposes a comparison of tuberculids and extrapulmonary tuberculosis, highlighting the differences in definition, pathogenesis, clinical manifestations, diagnosis and treatment, proving that they are different expressions of Mycobacterium tuberculosis. The article further discusses updated information on tu...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：
更新日期：2008-05-01 00:00:00
abstract：:The secondary hypertrophic osteoarthropathy is a systemic change that affects the bones, joints and soft tissues and is secondary to any intrathoracic pathology. It is a syndrome of chronic proliferative periostitis of the long bones, clubbing of the fingers of the hands, feet or both, and olyarthritis or polyarthriti...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：INTRODUCTION:Tuberculosis is a leading cause of world -wide mortality and morbidity. A reduced rate of tuberculosis in people aged less than 15 years has been seen in Portugal over the last decade of the twentieth century. MATERIAL AND METHODS:Retrospective analysis of tuberculosis cases in children admitted to the Ce...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：:Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic diseases and a major cause of morbility and mortality. An imbalance between oxidants and antioxidants (oxidative stress) has been proposed as a critical event in the pathogenesis of COPD. The increased oxidative stress in patients with COPD...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2012.09.002
更新日期：2013-03-01 00:00:00
abstract：:The doctor-patient relationship should be established in ethical principles. The codes of conduct that guide the relation between the doctor and the patient are addressed to the physician (principle of beneficence and non-maleficence) or oriented to the patient (principle of autonomy). As such, in certain circumstance...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30151-3
更新日期：2009-05-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2013.04.002
更新日期：2014-01-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/S0873-2159(15)30324-X
更新日期：2008-10-01 00:00:00
abstract：INTRODUCTION:Tuberculosis (TB) is considered an occupational disease in health care workers (HCW) and its transmission in health care facilities is an important concern. Some hospital departments are at higher risk of infection. OBJECTIVE:To describe TB cases detected after TB screening in HCW from a hospital departme...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30032-5
更新日期：2010-03-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：
更新日期：2007-09-01 00:00:00
abstract：INTRODUCTION:Tobacco smoke is a risk factor for Chronic Obstructive Pulmonary Disease and a major public health problem. Prenatal maternal smoking and post-natal environmental tobacco smoke (ETS) lead to dose-dependent decrease in lung function and respiratory morbidity. Influence of different socioeconomic indicators ...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2006-05-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：
更新日期：2008-07-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s2173-5115(09)70119-8
更新日期：2009-05-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30578-x
更新日期：2004-05-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s2173-5115(06)70428-6
更新日期：2006-11-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,多中心研究
doi：10.1016/j.rppneu.2014.03.001
更新日期：2014-07-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2014.03.007
更新日期：2014-11-01 00:00:00
abstract：:Pulmonary hypertension is a rare but devastating disease, with poor prognosis and high mortality. The disease may present as Primary Pulmonary Hypertension where no clear aetiology can be identified, or be related to a variety of underlying conditions. This is a rare disease in paediatric age. The authors present the ...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30505-5
更新日期：2005-05-01 00:00:00
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journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Congenital lobar emphysema (CLE) is a rare anomaly of lung development that presents in the neonatal period in about 50% of the cases. The authors report four clinical cases of congenital lobar emphysema in the newborn. CLINICAL CASES:Four term newborns, 3M/ 1F, were admitted for respiratory distress star...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30077-5
更新日期：2010-09-01 00:00:00
abstract：:Benign metastasizing leiomyomas of the lung are rare smooth muscle cells tumours. We report the case of a 48 year-old female who was evaluated due to persistent cough, progressive dyspnoea and constitutional symptoms. Chest computed tomography revealed a left endobronchial mass, multiple parenchyma nodules and a pleur...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：:Spontaneous hemothorax is a rare and potentially lethal neurofibromatosis' complication. Several pathological mechanisms may explain the associated vasculopathy: a) direct vascular invasion from adjacent tumors such as Shwannoma, neurofibroma or neurofibrosarcoma; b) vascular dysplasia with stenotic or aneurysm format...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30188-4
更新日期：2009-09-01 00:00:00
abstract：UNLABELLED:Asthma is a chronic illness of the airways that can reduce respiratory muscle strength due to the resulting hyperinflation or treatment with corticosteroids. One of the ways to evaluate this respiratory muscular weakness is the Maximal Inspiratory Pressure (PImax). METHODS:A systematic review of the databas...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：
更新日期：2010-05-01 00:00:00
abstract：INTRODUCTION:Bronchoalveolar lavage (BAL) with quantitative cultures has been used in order to increase ventilator associated pneumonia (VAP) diagnosis specificity, although the accurate technique for this entity diagnosis remains controversial. OBJECTIVES:To evaluate the influence of using positive BAL and quantitati...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2011.03.002
更新日期：2011-05-01 00:00:00
