Cystic Fibrosis
Fig. 10.1 Age distribution of deaths from cystic fibrosis in the UK 2009. Nowadays very few deaths occur in childhood, the majority occur in early adulthood, and an increasing number…
Pleural Effusions and Mesothelioma
Fig. 7.1 Chest radiograph showing a trapped and partly deflated left lung following aspiration of pleural fluid with a small bore chest drain. Small right-sided pleural effusion Video-Assisted Pleural Biopsy…
End of Life Care
Fig. 13.1 Comprehensive end of life care Crucial to delivering good end of life care is the recognition that palliative care often runs in parallel with disease-modifying treatment and emergency…
Palliative Care in the Intensive Care Unit
Fig. 12.1 ICU care involves invasive technologies such as mechanical ventilation and multi-organ support, with intensive physiological monitoring, to sustain life. These critically ill patients are at high risk of…
Chronic Obstructive Pulmonary Disease
3. Lanken PN, Terry PB, DeLisser HM, et al. An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses. Am J Respir…
Breathlessness
Respiratory Chronic COPD/asthma Sepsis Bronchiectasis Cystic fibrosis Cancer Lung cancer Mesothelioma Intrathoracic metastases Fibrosis Respiratory muscle weakness due to cachexia Neuromuscular Motor neurone disease Muscular dystrophies Skeletal Chest wall abnormalities…
Palliative Care of Respiratory Disease
Fig. 1.1 Trajectories of dying from lung disease. The rate at which lung diseases progress is highly variable. Sudden death is a feature of catastrophic illnesses such as severe pneumonia….
Hemoptysis
Fig. 3.1 Bronchial artery embolization. Bronchial arteriography showing an abnormal dilated bronchial artery (a) which was the source of massive hemoptysis. The bleeding was stopped by bronchial artery embolization which…
Cough and Respiratory Secretions
Airway clearance techniques Forced expiratory technique (“huffing”) Autogenic drainage Active cycle of breathing Postural drainage Positive expiratory pressure devices Chest wall oscillation devices Cough assistance techniques Glossopharyngeal (“frog”)…
