Specialist palliative care, psychology, interstitial lung disease (ILD) multidisciplinary team meeting: a novel model to address palliative care needs.

Introduction: Patients with progressive idiopathic fibrotic interstitial lung disease (ILD), such as those with idiopathic pulmonary fibrosis (IPF), can have an aggressive disease course, with a median survival of only 3-5 years from diagnosis. The palliative care needs of these patients are often unmet. There are calls for new models of care, whereby the patient's usual respiratory clinician remains central to the integration of palliative care principles and practices into their patient's management, but the optimal model of service delivery has yet to be determined.

Development of tools to facilitate palliative and supportive care referral for patients with idiopathic pulmonary fibrosis.

Objectives: Palliative care is underused in non-malignant respiratory diseases, including interstitial lung diseases (ILDs). We investigated current practices around palliative and supportive care and explored the impact of a supportive care decision aid tool.

Methods: This was a single centre study in a UK ILD centre.

Comparison of short-term psychological outcomes of respiratory failure treated by either invasive or non-invasive ventilation.

Background: There is now widespread recognition of the development of symptoms of posttraumatic stress disorder (PTSD) in individuals subjected to treatment in the hospital intensive care unit (ICU).

Objective: The authors sought to investigate traumatic aspects of the ICU hospitalization experience.

Method: A group of 20 adult pulmonary patients requiring ventilation in the ICU were compared with 20 patients treated without ventilation.