RT Journal Article
T1 Spanish COPD Guideline (GesEPOC) Update: Comorbidities, Self-Management and Palliative Care.
T2 Actualización de la Guía Española de la EPOC (GesEPOC): comorbilidades, automanejo y cuidados paliativos.
A1 Lopez-Campos, José Luis
A1 Almagro, Pere
A1 Gómez, José Tomás
A1 Chiner, Eusebi
A1 Palacios, Leopoldo
A1 Hernández, Carme
A1 Navarro, M Dolores
A1 Molina, Jesús
A1 Rigau, David
A1 Soler-Cataluña, Juan José
A1 Calle, Myriam
A1 Cosío, Borja G
A1 Casanova, Ciro
A1 Miravitlles, Marc
A1 en nombre del equipo de trabajo de GesEPOC 2021, 
K1 Atención integrada
K1 Automanejo
K1 COPD
K1 Comorbidities
K1 Comorbilidades
K1 Cuidados paliativos
K1 EPOC
K1 GesEPOC
K1 Integrated care
K1 Opioids
K1 Opiáceos
K1 Palliative care
K1 Self-management
AB The current health care models described in GesEPOC indicate the best way to make a correct diagnosis, the categorization of patients, the appropriate selection of the therapeutic strategy and the management and prevention of exacerbations. In addition, COPD involves several aspects that are crucial in an integrated approach to the health care of these patients. The evaluation of comorbidities in COPD patients represents a healthcare challenge. As part of a comprehensive assessment, the presence of comorbidities related to the clinical presentation, to some diagnostic technique or to some COPD-related treatments should be studied. Likewise, interventions on healthy lifestyle habits, adherence to complex treatments, developing skills to recognize the signs and symptoms of exacerbation, knowing what to do to prevent them and treat them within the framework of a self-management plan are also necessary. Finally, palliative care is one of the pillars in the comprehensive treatment of the COPD patient, seeking to prevent or treat the symptoms of a disease, the side effects of treatment, and the physical, psychological and social problems of patients and their caregivers. Therefore, the main objective of this palliative care is not to prolong life expectancy, but to improve its quality. This chapter of GesEPOC 2021 presents an update on the most important comorbidities, self-management strategies, and palliative care in COPD, and includes a recommendation on the use of opioids for the treatment of refractory dyspnea in COPD.
YR 2021
FD 2021-09-04
LK http://hdl.handle.net/10668/21996
UL http://hdl.handle.net/10668/21996
LA en
LA es
DS RISalud
RD Apr 11, 2025