Special Article
COPD. A Model for Using Advance Directives and Care Planning
La EPOC: un paradigma para el uso de directivas previas y la planificación anticipada de decisiones
Azucena Couceiro Vidal
, Andrés Pandiella
Corresponding author
Unidad Docente de Humanidades Médicas, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain
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A Model for Using Advance Directives and Care Planning" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "325" "paginaFinal" => "331" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Azucena Couceiro Vidal, Andrés Pandiella" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Azucena" "apellidos" => "Couceiro Vidal" "email" => array:1 [ 0 => "acouceiro@arrakis.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Andrés" "apellidos" => "Pandiella" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad Docente de Humanidades Médicas, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain" "identificador" => "aff010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La EPOC: un paradigma para el uso de directivas previas y la planificación anticipada de decisiones" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-11-08" "fechaAceptado" => "2009-12-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec257364" "palabras" => array:6 [ 0 => "Chronic obstructive pulmonary disease" 1 => "Advance directives" 2 => "Rejection of treatment" 3 => "Quality of life related to health" 4 => "Advance care planning" 5 => "Bioethic" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec257363" "palabras" => array:6 [ 0 => "Enfermedad pulmonar obstructiva crónica" 1 => "Directivas previas" 2 => "Rechazo de tratamiento" 3 => "Calidad de vida relacionada con la salud" 4 => "Planificación anticipada de decisiones" 5 => "Bioética" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Decision-making in COPD is complicated by the lack of clear prognostic factors. In this clinical situation it is also necessary to include the desires, values and choices of patients. The problem is more complex in the critical episodes, where the patients are incapable to make decisions. The instruments that allow incapable patients to represent themselves, the kind of patients who could benefit from its use, and the Spanish legislation on the matter, are presented in the first part of the work. The paper goes on to explain how to apply advance directives to the case of COPD. The article concludes that the appropriate use of advance directives and advanced care planning increases the quality of decisions at the end of the life of the patients with COPD.”</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La toma de decisiones en la EPOC es compleja por la ausencia de indicadores pronósticos claros. En estas situaciones clínicas es aún más necesaria la introducción de los deseos, valores y elecciones de los pacientes. El problema es aún más complejo en los episodios críticos intercurrentes, en los que el paciente no suele ser capaz de hecho. En la primera parte del artículo se definen los instrumentos que permiten que un paciente incapaz se represente a sí mismo, el tipo de pacientes que más se pueden beneficiar de su uso, y la legislación española al respecto. En la segunda se aplica al caso de la EPOC. El artículo concluye que el uso adecuado de las directivas previas y la planificación anticipada de decisiones incrementa la calidad y el fundamento en la toma de decisiones al final de la vida de los pacientes con EPOC.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:39 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 5 | 9 |
| 2024 October | 32 | 13 | 45 |
| 2024 September | 30 | 11 | 41 |
| 2024 August | 53 | 39 | 92 |
| 2024 July | 28 | 21 | 49 |
| 2024 June | 23 | 26 | 49 |
| 2024 May | 40 | 26 | 66 |
| 2024 April | 21 | 27 | 48 |
| 2024 March | 21 | 14 | 35 |
| 2024 February | 20 | 17 | 37 |
| 2023 March | 4 | 2 | 6 |
| 2023 February | 13 | 16 | 29 |
| 2023 January | 18 | 22 | 40 |
| 2022 December | 20 | 25 | 45 |
| 2022 November | 15 | 19 | 34 |
| 2022 October | 26 | 36 | 62 |
| 2022 September | 19 | 24 | 43 |
| 2022 August | 17 | 27 | 44 |
| 2022 July | 24 | 38 | 62 |
| 2022 June | 14 | 30 | 44 |
| 2022 May | 23 | 36 | 59 |
| 2022 April | 21 | 44 | 65 |
| 2022 March | 21 | 42 | 63 |
| 2022 February | 18 | 29 | 47 |
| 2022 January | 20 | 36 | 56 |
| 2021 December | 14 | 54 | 68 |
| 2021 November | 20 | 53 | 73 |
| 2021 October | 23 | 55 | 78 |
| 2021 September | 16 | 59 | 75 |
| 2021 August | 16 | 33 | 49 |
| 2021 July | 14 | 24 | 38 |
| 2021 June | 20 | 35 | 55 |
| 2021 May | 20 | 28 | 48 |
| 2021 April | 36 | 65 | 101 |
| 2021 March | 34 | 13 | 47 |
| 2021 February | 19 | 22 | 41 |
| 2021 January | 9 | 10 | 19 |
| 2020 December | 13 | 21 | 34 |
| 2020 November | 13 | 20 | 33 |
| 2020 October | 8 | 11 | 19 |
| 2020 September | 9 | 3 | 12 |
| 2020 August | 11 | 9 | 20 |
| 2020 July | 13 | 16 | 29 |
| 2020 June | 10 | 6 | 16 |
| 2020 May | 33 | 22 | 55 |
| 2020 April | 21 | 11 | 32 |
| 2020 March | 37 | 14 | 51 |
| 2020 February | 76 | 21 | 97 |
| 2020 January | 58 | 16 | 74 |
| 2019 December | 13 | 24 | 37 |
| 2019 November | 18 | 13 | 31 |
| 2019 October | 12 | 7 | 19 |
| 2019 September | 13 | 16 | 29 |
| 2019 August | 21 | 8 | 29 |
| 2019 July | 8 | 11 | 19 |
| 2019 June | 7 | 5 | 12 |
| 2019 May | 17 | 13 | 30 |
| 2019 April | 24 | 18 | 42 |
| 2019 March | 18 | 11 | 29 |
| 2019 February | 15 | 12 | 27 |
| 2019 January | 8 | 10 | 18 |
| 2018 December | 11 | 5 | 16 |
| 2018 November | 11 | 9 | 20 |
| 2018 October | 24 | 19 | 43 |
| 2018 September | 13 | 9 | 22 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 10 | 5 | 15 |
| 2018 March | 5 | 3 | 8 |
| 2018 February | 13 | 9 | 22 |
| 2018 January | 5 | 7 | 12 |
| 2017 December | 6 | 10 | 16 |
| 2017 November | 7 | 11 | 18 |
| 2017 October | 6 | 9 | 15 |
| 2017 September | 7 | 14 | 21 |
| 2017 August | 7 | 12 | 19 |
| 2017 July | 15 | 25 | 40 |
| 2017 June | 8 | 15 | 23 |
| 2017 May | 3 | 13 | 16 |
| 2017 April | 5 | 5 | 10 |
| 2017 March | 2 | 5 | 7 |
| 2017 February | 3 | 4 | 7 |
| 2017 January | 2 | 3 | 5 |
| 2016 December | 8 | 7 | 15 |
| 2016 November | 13 | 7 | 20 |
| 2016 October | 16 | 14 | 30 |
| 2016 September | 9 | 7 | 16 |
| 2016 August | 13 | 4 | 17 |
| 2016 July | 7 | 2 | 9 |
| 2016 May | 1 | 0 | 1 |
| 2016 March | 8 | 0 | 8 |
| 2016 February | 5 | 0 | 5 |
| 2016 January | 6 | 0 | 6 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 49 | 22 | 71 |
| 2015 September | 24 | 24 | 48 |
| 2015 August | 28 | 16 | 44 |
| 2015 July | 33 | 13 | 46 |
| 2015 June | 24 | 14 | 38 |
| 2015 May | 45 | 43 | 88 |
| 2015 April | 28 | 30 | 58 |
| 2015 March | 42 | 17 | 59 |
| 2015 February | 49 | 18 | 67 |
| 2015 January | 38 | 11 | 49 |
| 2014 December | 25 | 12 | 37 |
| 2014 November | 26 | 11 | 37 |
| 2014 October | 58 | 14 | 72 |
| 2014 September | 43 | 17 | 60 |
| 2014 August | 27 | 14 | 41 |
| 2014 July | 36 | 15 | 51 |
| 2014 June | 60 | 16 | 76 |
| 2014 May | 59 | 35 | 94 |
| 2014 April | 63 | 18 | 81 |
| 2014 March | 74 | 13 | 87 |
| 2014 February | 60 | 10 | 70 |
| 2014 January | 53 | 12 | 65 |
| 2013 December | 52 | 8 | 60 |
| 2013 November | 39 | 7 | 46 |
| 2013 October | 43 | 9 | 52 |
| 2013 September | 51 | 33 | 84 |
| 2013 August | 43 | 12 | 55 |
| 2013 July | 54 | 10 | 64 |
| 2013 June | 41 | 8 | 49 |
| 2013 May | 44 | 10 | 54 |
| 2013 April | 26 | 6 | 32 |
| 2013 March | 7 | 4 | 11 |
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