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Diffuse Lung Disease: Care of the Patient with IPF |

Early Integrated Palliative Care in a Multidisciplinary Interstitial Lung Disease (ILD) Collaborative Reduces Hospitalizations for Idiopathic Pulmonary Fibrosis (IPF)

Meena Kalluri, MD; Francisca Claveria, BS; Maged Haggag, MD; Janice Richman-Eisenstat, MD
Author and Funding Information

Univeristy of Alberta, Edmonton, AB, Canada


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):472A. doi:10.1016/j.chest.2016.08.486
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SESSION TITLE: Care of the Patient with IPF

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Wednesday, October 26, 2016 at 08:45 AM - 10:00 AM

PURPOSE: IPF is a progressive, fatal, fibrotic lung disease with high utilization of acute care resources. Most patients die in hospital despite their preference to die at home, and >80% do not receive palliative care. In 2012, our ILD clinic became multidisciplinary and collaborative (MDC) by including a Pulmonary Rehabilitation/Palliative Respiratory Care Specialist and collaborating with the patient’s Primary Care Provider (MD or NP) and their Provincial Home Care team, including a Respiratory Therapist, to achieve a Patient Medical Home. Our Collaborative emphasizes patient-centred assessments, symptom management to maximize quality of life and early frequent discussions of advanced care planning. Patients and their caregivers actively participate in self-management plans to ensure their needs are met. Objective: To determine the impact of our MDC ILD Clinic on acute care utilization (frequency of ER visits for dyspnea and hospitalizations) and place of death of IPF patients

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