Continue with Stable COPD Management.
Opioids (e.g, morphine 2.5 - 5 mg elixir or tablet prn)
Note: Significant adverse effects may occur, e.g., worsening ventilatory impairment, confusion, delirium. A small initial dose trial is recommended. Advise patients not to drive.
Anxiolytics (e.g, alprazolam 0.25 mg tablet tds prn, clonazepam drops 2 - 4 drops prn)
Note: Significant adverse effects may occur, e.g., worsening ventilatory impairment, confusion, delirium. A controlled /supervised trial of the initial dose is recommended. Advised patients not to drive.
3. Discussing patient, family, and carer concerns and supports.
4. Discussing home or residential care.
5. Referral to a Hospice or community palliative care service.
11. Explore end of life funding options.
12.Advance care Planning
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