Version May 2024
| Begin discussion when patient is feeling relatively well |
| This is a discussion that I have with all my patients who have this type of lung disease and I'm not raising it because I am particularly worried about you. Have you thought about the type of care you would want if you were to get sicker? |
| Focus on a recent hospitalization or emergency department visit |
| I understand that you were in the hospital recently; how did that go? It makes me wonder whether you would always want to go to the hospital when your breathing is worse. Have you thought about staying at home instead and how your shortness of breath might be managed? |
| I notice that you have been to the emergency room three times in the past year. This is sometimes a sign that your lung disease is getting more serious. I'd like to spend some time talking about where your disease is headed and make sure I know what types of care you would like to have or avoid in the future. |
| Focus on uncontrolled symptoms such as dyspnea |
| It seems your shortness of breath is getting worse. Feeling short of breath can be frightening. How are you feeling about this? Do you have any questions or concerns that you would like to talk about? |
| I notice that you were breathing heavily when you walked in. How has your breathing been feeling lately? Have you thought about the care you would want if your breathing gets worse suddenly? |
| Focus on a change in oxygen requirement or pulmonary function tests |
| Your pulmonary function tests show that your lung disease is gradually getting worse. As we have talked about in the past, this is a feature of "X" disease. Would you like to take a few minutes to talk about how this decline may impact your future? |
| I see that you are requiring more oxygen to feel comfortable and maintain your blood oxygen levels. I suspect you may be wondering what will happen as you need more and more oxygen. |
| Focus on independence/dependence on others |
| I wonder, with your shortness of breath, whether you are able to take care of things at home or do you need help? Do you have someone who can help you with shopping and making meals? |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
