Enlighten
Research publications by members of the University of Glasgow
home > services > Enlighten

Palliative care in chronic obstructive airways disease: a needs assessment

Skilbeck, J., Mott, L., Page, H., Smith, D., Hjelmeland-Ahmedzai, S., and Clark, D. (1998) Palliative care in chronic obstructive airways disease: a needs assessment. Palliative Medicine, 12 (4). pp. 245-254. ISSN 0269-2163 (doi:10.1191/026921698677124622 )

Full text not currently available from Enlighten.

Abstract

The view that palliative care should move beyond cancer is widely endorsed, however, there remains a lack of clarity about the level at which this should occur. In order to target the palliative approach effectively, the value of more detailed and localized needs assessment becomes apparent. This paper provides evidence from a study commissioned by a department of public health, where the focus was the palliative care needs of an individual with chronic obstructive airways disease (COAD). Over a six-month period, 63 individuals in the district were interviewed about their experiences of living with COAD and the services utilized, using a combination of qualitative and quantitative research methods. The findings revealed a poor quality of life, relating to a high degree of social isolation and emotional distress, associated with low physical functioning and disability, and physical symptoms. Current service provision focused on acute exacerbations. Consequently, there is a need to manage the health and social care interface more effectively, with a shift in emphasis from reactive ad hoc provision, which is where the palliative approach to care could be best suited to meet the needs identified.

Item Type:Article
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Clark, Prof David
Authors: Skilbeck, J., Mott, L., Page, H., Smith, D., Hjelmeland-Ahmedzai, S., and Clark, D.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Journal Name:Palliative Medicine
Publisher:Sage Publications Ltd.
ISSN:0269-2163
ISSN (Online):1477-030X

University Staff: Request a correction | Enlighten Editors: Update this record