There are several direct and indirect consequences
of advanced lung disease which influence
treatment of these patients; and there is an increasing
request for specialised centres treating
such patients. One of the major goals of caring for
advanced lung disease patients is to optimise
health related quality of life (HRQL) in every
stage of the disease process. Moreover, quality of
life is not only influenced by respiratory impairment
with respiratory symptoms such as dyspnoea
or cough, but by pulmonary complications
and other co-morbidities. One of the most important
factors influencing HRQL is the psychosocial
functioning in daily life. Advanced lung disease
patients are influenced by several psychosocial
issues which are related to HRQL. Particularly,
the inability to participate in normal daily
activity influence HRQL. A dramatic change in
relations and partnership and familial functioning
with increasing dependency on other people is
common. The goal of the multidisciplinary team
approach in these patients is to deal with all this
issues (figure 2). Not only chest physicians and
respiratory nurses are needed to care for these patients;
dieticians, physiotherapists, gastroenterologists
and other specialists are equally important
to deal with co-morbidities. Last but not least,
with the increasing psychosocial issues psychiatrists
and social workers play an important role in
this multidisciplinary team.
There are several direct and indirect consequences
of advanced lung disease which influence
treatment of these patients; and there is an increasing
request for specialised centres treating
such patients. One of the major goals of caring for
advanced lung disease patients is to optimise
health related quality of life (HRQL) in every
stage of the disease process. Moreover, quality of
life is not only influenced by respiratory impairment
with respiratory symptoms such as dyspnoea
or cough, but by pulmonary complications
and other co-morbidities. One of the most important
factors influencing HRQL is the psychosocial
functioning in daily life. Advanced lung disease
patients are influenced by several psychosocial
issues which are related to HRQL. Particularly,
the inability to participate in normal daily
activity influence HRQL. A dramatic change in
relations and partnership and familial functioning
with increasing dependency on other people is
common. The goal of the multidisciplinary team
approach in these patients is to deal with all this
issues (figure 2). Not only chest physicians and
respiratory nurses are needed to care for these patients;
dieticians, physiotherapists, gastroenterologists
and other specialists are equally important
to deal with co-morbidities. Last but not least,
with the increasing psychosocial issues psychiatrists
and social workers play an important role in
this multidisciplinary team.
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