This chapter is concerned predominantly with the respiratory and non-respiratory complications of chronic obstructive pulmonary disease (COPD). It reviews the effectiveness of interventions such as oxygen therapy, drug treatment of breathlessness, and ‘pulmonary rehabilitation’. It suggests that the un-met needs of people with COPD are becoming more apparent and that emphasis needs to shift from management of acute exacerbations towards a more palliative approach to care, focusing on the health and social care interface.
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