Caregiver Guide for COPD &
Lung Diseases
Tony Chen, MD, PhD
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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 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)
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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)
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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
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
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 LifeSustaining Treatment
• Hospice Benefits
• Palliative Care
(8) 問題和回答
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