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

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(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 4th 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•