Indian J Palliat Care Close
 

Figure 1: When to introduce palliative care services to a patient with chronic respiratory disease. *General indicators of decline: ↓ Functional performance status, ↑ bed or chair (50% of day) and dependence in most activities of daily living, advanced unstable, deteriorating symptom burden, ↓ response to treatments and reversibility, absence of further active treatment, progressive weight loss (>10%) in the past 6 months, repeated emergency admission and low serum albumin (<2.5 mg/dl). #Specific predictors (at least two of the below): severe disease (FEV1 < 30%); recurrent hospital admission due to chronic obstructive pulmonary disease (>3 in the last 12 months); cor pulmonale; requirement of oxygen therapy; Medical Research Council Dyspnea Scale 4 or 5; previous admission to Intensive Care Unit for noninvasive ventilation; depression; systemic steroids given for more than 6 weeks in the preceding 12 months

Figure 1: When to introduce palliative care services to a patient with chronic respiratory disease. *General indicators of decline: ↓ Functional performance status, ↑ bed or chair (50% of day) and dependence in most activities of daily living, advanced unstable, deteriorating symptom burden, ↓ response to treatments and reversibility, absence of further active treatment, progressive weight loss (>10%) in the past 6 months, repeated emergency admission and low serum albumin (<2.5 mg/dl). #Specific predictors (at least two of the below): severe disease (FEV1 < 30%); recurrent hospital admission due to chronic obstructive pulmonary disease (>3 in the last 12 months); cor pulmonale; requirement of oxygen therapy; Medical Research Council Dyspnea Scale 4 or 5; previous admission to Intensive Care Unit for noninvasive ventilation; depression; systemic steroids given for more than 6 weeks in the preceding 12 months