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EAPC - ipac

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436 <strong>EAPC</strong> Abstracts<br />

biographical continuity” to a similar extent as do patients. In addition, they<br />

note unmet needs in the categories “Family/ friends” and “Managing everyday<br />

life” in a larger degree than do patients. In contrast to patients, health<br />

professionals, especially physicians, focus more on unmet needs in the category<br />

“Health care system”. Problems in the domains of everyday life and<br />

biography are mentioned to a lesser extent. Conclusions: Maintaining continuity,<br />

including coping with change and losses, is central to patients.<br />

Because the professionals´ perspective differs from patients´ it is necessary<br />

for every neurologist to focus more on needs in the domains of everyday life,<br />

biography and family. The perspective of palliative medicine can contribute<br />

to meet unmet needs of severely affected MS patients. To reach this aim a<br />

close cooperation of general and specialized palliative services is necessary.<br />

123 Oral Presentation<br />

Non Cancer<br />

Is dignity compromised in the care of patients with advanced<br />

COPD<br />

Authors: Cathy Shipman Department of Palliative Care & Policy King’s<br />

College London UNITED KINGDOM<br />

Suzanne White King’s College London London UNITED KINGDOM<br />

Patrick White King’s College London London UNITED KINGDOM<br />

Background: Most threats to dignity have focused on loss of social dignity<br />

related to the views and actions of others. A model has been developed<br />

for patients with advanced cancer. The aim of this presentation is to explore<br />

whether dignity is compromised in the care of patients with advanced<br />

COPD. Methods: A prospective cross-sectional study of patients with<br />

advanced COPD living at home. Patients were recruited through family<br />

doctors according to two of: FEV1 predicted

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