End-of-life care is a poorly understood and often neglected aspect of the management of patients with chronic obstructive pulmonary disease (COPD). Knowing what to say to patients and when to say it allows physicians to help patients and their families cope with COPD. Younger patients with mild or preclinical COPD Lung Disease should be counseled to stop smoking. For them, diseases other than COPD pose the greatest risk. Older patients with more severe COPD Lung Disease are more likely to die of a COPD-related illness, and need counseling more specific to COPD Lung Disease. Almost all COPD patients who require some form of mechanical ventilation can be successfully weaned from ventilation, but most have a poor post-ICU prognosis.

However, half do survive for longer than 1 year after ventilation is in­troduced. All patients with COPD Lung Disease require reassurance that they will receive competent and compassionate care throughout their illness.Patients with chronic ob­struc­tive pulmonary disease (COPD) face many hurdles during their illness. Having the diagnosis made in the first place can be a challenge because access to spirometry may be difficult. Once diagnosed, access to medication, rehabilitation, and community support is often limited.The day-to-day struggle of coping with advanced COPD makes planning for end-of-life care a low priority.

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