Embedding the Mental Capacity Act into clinical practice in England and Wales.
نویسندگان
چکیده
acute exacerbations of COPD: bringing pressure to bear. Age Ageing 2006; 35: 1–2. 3. Balami JS, Packham SM, Gosney MA. Non-invasive ventilation (NIV) for respiratory failure due to acute exacerbations of chronic obstructive pulmonary disease (COPD) in older patients. Age Ageing 2006; 35: 75–8. 4. National Collaborating Centre for Chronic Conditions. Chronic obstructive pulmonary disease in adults in primary and secondary care. Thorax 2004; 59(Suppl. 1):1–232. 5. National Clinical Guideline Centre. (2010) Chronic Obstructive Pulmonary Disease: Management of Chronic Obstructive Pulmonary Disease in Adults in Primary and Secondary Care. London: National Clinical Guideline Centre. Available at: http://guidance.nice.org.uk/CG101/Guidance/ pdf/English 6. Plant PK, Owen JL, Elliott MW. Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet 2000; 355: 1931–35. 7. Connolly MJ, Lowe D, Anstey K et al. On Behalf of the British Thoracic Society and the Royal College of Physicians Clinical Ethics Evaluation Unit (CEEu). An audit of process and outcomes of care following admission to hospital for acute exacerbation of chronic obstructive pulmonary disease: the effect of age-related factors and service organization. Thorax 2006; 61: 843–8. 8. Almagro P, Salvado M, Garcia-Vidal C et al. A recent improvement in long-term survival after a COPD hospitalisation. Thorax 2010; 65: 298–302. 9. McGarvey LP, John M, Anderson JA, Zvarich M, Wise RA. Ascertainment of cause—specific mortality in COPD: Operations of the Torch Clinical End Point Committee. Thorax 2007; 62: 411–5. 10. Wildman MJ, Sanderson CFB, Groves J et al. Survival and quality of life for patients with COPD or asthma admitted to intensive care in a UK Multicentre Cohort: the COPD and Asthma Outcome Study (CAOS). Thorax 2009; 64: 128–32. 11. Roberts CM, Stone RA, Buckingham RJ, Pursey NA, Lowe D. On Behalf of the National Chronic Obstructive Pulmonary Disease Resources and Outcomes Project (NCROP) Implementation Group. Acidosis, non-invasive ventilation and mortality in hospitalised COPD exacerbations. Thorax 2011; 66: 43–8. 12. Oeppen J, Vaupel JW. Broken limits to life expectancy. Science 2002; 296: 1029–31.
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ورودعنوان ژورنال:
- Age and ageing
دوره 40 4 شماره
صفحات -
تاریخ انتشار 2011