Caregiver Guide for COPD & Lung Diseases Tony Chen, MD, PhD

慢性或晚期肺病病人的照護 陳宗鋹胸腔專科醫師

(1) 肺部疾病的概述 ( Lung Diseases Overview ) Lung Diseases Affecting the Airways Lung Diseases Affecting the Air Sacs Lung Diseases Affecting the Interstitium

(2) 美國肺部疾病的普遍 ( Prevalence of Lung Diseases in America ) Death Rate for Men: 73.0/100,000 Death Rate for Women: 82.6/100,000 COPD is the 4 th Leading Cause of Death In USA

(3) 肺部疾病的警訊 ( Warning Signs of Lung Diseases, the Good, the Bad and the Ugly ) Chronic Cough Shortness of Breath Chronic Mucus Production Wheezing Coughing Up Blood Chronic Chest Pain

(4) 治療的選擇和臨床的價值 ( Treatment Options and Clinical Pearls of Care ) Symptoms Management Dyspnea Treatment Pain Management Management of Infection & Exacerbation Psychological Care

(5) 末期肺部疾病時考慮安寧照 顧 ( Consideration of Hospice Care for End Stage Lung Diseases ) Palliative Care Relief from Pain and Other Symptoms Affirms Life and Regards Dying as A Normal Process Intends Neither to Hasten nor Postpone Death

(6) 肺部疾病惡化病人參加安寧 療護聯邦醫療保險的資格標準 ( Medicare Criteria for Hospice Eligibility of Patients with Advanced Lung Diseases) Severe Chronic Lung Disease as Documented : Disabling Dyspnea at rest; Poor responsive to Treatment; Increasing ER visits; Hypoxemia at Rest; O2 Hypercapnia; Right Heart Failure; Unintentional Weight Loss; Resting Tachycardia

(7) 照護者和安寧療護指南 ( Caregiver and Hospice Care Guidelines ), 症狀 / 疼痛 / 呼吸困難 的處理 ( Symptoms/Pain/ Dyspnea management ), 心理 / 靈性悲痛 / 苦 痛和哀殤照顧 ( Psychological/ Spiritual distress/Suffering and Bereavement Care) POLST: Physician Orders for Life- Sustaining Treatment Hospice Benefits Palliative Care

(8) 問題和回答