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COPD multidisciplinary team meetings. Neil Lonie Respiratory Specialist Nurse. Palliative support for respiratory patients. ACPs. When to start?. Conversations about palliative care?. Who should provide?. Patient knowledge. Case study. 80 year old woman COPD, MI, anxiety BMI 13.5
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COPD multidisciplinary team meetings Neil Lonie Respiratory Specialist Nurse
Palliative support for respiratory patients ACPs When to start? Conversations about palliative care? Who should provide? Patient knowledge
Case study • 80 year old woman • COPD, MI, anxiety • BMI 13.5 • Lives alone, community alarm and good family support • Frequent admissions to Ninewells – admissions during OOH for increasing symptoms- anxiety potential contributing factor
Case study • MDT involving Respiratory Consultant, RLN, Community dietician, Community Resp Nurse and Occupational Therapist • Able to review and optimise treatment • Opportunity for communication between community and acute.
Outcomes from MDT • Arranged period of respite • OOH plan for community alarm staff • Further anxiety management and sessions • Restarting of care support • Ongoing support from Community Respiratory Nurse and Dietician