AI Article Synopsis
- Chronic obstructive pulmonary disease (COPD) significantly affects rural populations in the U.S., impacting nearly double the number of individuals compared to urban areas.
- As the disease worsens, the needs of patients and caregivers increase, highlighting the gaps in access to critical services like hospice and palliative care.
- The article emphasizes the role of marginalization—due to social determinants of health in Appalachia—in worsening health outcomes, and advocates for hospice and palliative care nurses to lead initiatives for systemic change in partnership with policymakers.
Article Abstract
Chronic obstructive pulmonary disease remains a challenging epidemic across the United States. This serious illness impacts nearly twice as many individuals in the rural area compared with urban counterparts. As the disease progresses, the symptom burden and needs of the patient and caregivers escalate. Access gaps to services, such as hospice and palliative care, and the social determinants of health found in Appalachia may lead to marginalization and social injustice. Defined as the condition of being peripheralized based upon one's social margins of identity, associations, and/or environment, marginalization impacts health outcomes and quality of life. This article explores the triple threat of marginalization for patients with chronic obstructive pulmonary disease living in rural Appalachia. By recognizing marginalization and designing initiatives to reduce the impact, hospice and palliative care nurses serve as advocates and leaders to influence systemic change through partnerships with key policymakers and legislators.
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| http://dx.doi.org/10.1097/NJH.0000000000000885 | DOI Listing |
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