End-of-life care in a COPD patient awaiting lung transplantation: a case report
نویسندگان
چکیده
COPD is nowadays the main indication for lung transplantation. In appropriately selected patients with end stage COPD, lung transplantation may improve quality of life and prognosis of survival. However, patients with end stage COPD may die while waiting for lung transplantation. Palliative care is important to address the needs of patients with end stage COPD. This case report shows that in a patient with end stage COPD listed for lung transplantation offering palliative care and curative-restorative care concurrently may be problematic. If the requirements to remain a transplantation candidate need to be met, the possibilities for palliative care may be limited. Discussing the possibilities of palliative care and the patient's treatment preferences is necessary to prevent that end-of-life care needs of COPD patients dying while listed for lung transplantation are not optimally addressed. The patient's end-of-life care preferences may ask for a clear distinction between the period in which palliative and curative-restorative care are offered concurrently and the end-of-life care period. This may be necessary to allow a patient to spend the last stage of life according to his or her wishes, even when this implicates that lung transplantation is not possible anymore and the patient will die because of end stage COPD.
منابع مشابه
Author ' s response to reviews Title : End - of - life care in a COPD patient awaiting lung transplantation : a case report
متن کامل
Outcomes of Chinese Patients with End-stage Pulmonary Disease while Awaiting Lung Transplantation: A Single-center Study
BACKGROUND The factors affecting the outcome of patients referred for lung transplantation (LTx) still have not been investigated extensively. The aim of this study was to characterize the patient outcomes and identify the prognostic factors for death while awaiting the LTx. METHODS From January 2003 to November 2013, the clinical data of 103 patients with end-stage lung disease that had been...
متن کاملDo religion and spirituality influence coping in end-stage emphysema patients?
COPD is a chronic and progressive disease associated with poor quality of life and an increased risk of psychological distress.1 While the physical and psychosocial impact of end-stage lung disease has been evaluated, few studies have explored the influence of religious and spiritual coping on these domains, or how they affect outcomes. Most of the research on end-stage lung disease and religio...
متن کاملگزارش اولین مورد پیوند قلب انجام شده در بیمارستان افشار یزد با پیگیری یک ساله
Cardiac transplantation is life saving in patients suffering from end stage cardiac diseases. In recent years , advancement in cardiac surgery has contributed to increasing number of patients who require cardiac transplantation. This report is the first case of heart transplantation in Yazd. Recipient was a 53 years old man with dilated cardiomyopathy and candidate for cardiac transplant. The d...
متن کاملپیوند همزمان کبد و کلیه در بیمار مبتلا به نارسایی کبدی و کلیوی در یک بیمار 18 ساله
Introduction: Over the years, renal insufficiency caused by liver disorders was an obstacle to liver transplantation in these patients. After presenting a system for the evaluation of various stages of liver disease, simultaneous transplantation of the liver and kidney is considered an appropriate therapeutic treatment in patients who are at the end stage of the liver disease and have secondary...
متن کامل