Figures
- Figure 1
The value of a medical intervention (x-axis) in relation to the diminishing potential for benefit from a “curative” medical intervention that is offered during the last days/weeks/months of life. Note the unchanging probability and magnitude of harm. First created by Avedis Donabedian (1919–2000). Reproduced from [38] with permission.
Tables
- Table 1
Items for inclusion in an advance care plan
Preferred place of death Appointment of health/welfare power of attorney Care arrangements if/when dependent Will and funeral arrangements Future crisis management: treatment escalation/limitation boundaries in the event of acute deterioration Do not resuscitate preference Information about how and when to use palliative treatments (e.g. opioids, benzodiazepines, “Just in case” prescribing) End-of-life goals: spiritual, relational (“What matters to me?”; the bucket list) - Table 2
Triggers for initiating an ACP for patients with COPD or ILD
Has had 1 or more admission with acute respiratory failure Has reached a significant milestone (e.g. commenced long-term oxygen therapy, moved to a care home) Is initiating health/welfare power of attorney Is exhibiting rapidly progressive function decline [33]
Vol 13 Issue 4
Table of Contents
Progressive respiratory disease: the importance of prognostic conversations and advance care planning
