End of life care
Nurses have an important role in ensuring advance care planning is past of the care plan for every appropriate patient with COPD. The need for possible supportive and palliative care should be assessed regularly for all COPD patients, particularly after hospital admission as a result of an exacerbations. Advance care planning allows patients to have a say in their current and future treatment and is supported by the End of Life Care Strategy and NICE, and is part of the NHS Improving Quality programed(www.en doflifecare.nhs.uk/about-us.aspx).Advance are planning improves end of life care as well a patients and family satisfaction, and reduces relative’ anxiety, depression and stress.