TY - JOUR T1 - A multi-disciplinary integrated palliative care approach for patients with advanced COPD - A review of the breathing space clinic JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P1905 AU - Matthew Hodson AU - Jonathan Martin AU - Rebecca Jennings AU - Eleanor Hitchman AU - Angshu Bhowmik Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P1905.abstract N2 - COPD is a leading cause of morbidity and mortality worldwide. There is strong evidence demonstrating the impact of disease and the unmet needs of these patients.AimDevelop a hospice-based clinic for patients with advanced COPD. This multi-disciplinary assessment, facilitation and treatment clinic brings together expertise in a range of respiratory management and palliative care approaches to provide holistic care; improve self-management; integrate services; and to maximise the quality of life for patients who may be towards the end of life.MethodPatients with advanced COPD are invited with their carers to attend the Clinic at the local hospice with a COPD nurse, a palliative medicine consultant and physiotherapist to identify their physical, psychological, social, spiritual and functional needs and engage them with a range of services. Informational needs are also addressed, including advance care planning. For those unable to attend, services are replicated in patients' homes. Metrics are undertaken at each clinic to evaluate symptoms and patient reported outcomes.ResultsOver a 9-month pilot 16 patients were referred (mean age 69). Mean FEV1 24% (N=14). For 6 patients there is incomplete data.View this table:Table of pre and post clinic attendance metrics (N = 10) [Table 1]ConclusionThe outcome demonstrates a trend towards improvement in all domains. It is not possible to conclude that the clinic intervention is solely responsible for these changes, these early data and patient feedback supports the effectiveness of this model. ER -