Dayeong Kim, Young-Rim Choi, Ye-Na Lee, Sung Ok Chang
Nurses' Shared Subjectivity on Person-Centered Care for Behavioral and Psychological Symptoms of Dementia in Nursing Homes
The journal of nursing research : JNR
natural history chronic obstructive pulmonary disease copd still well understood traditionally believed selfinflicted disease smoking know smokers develop copd inhaled pollutants different cigarette smoke also cause abnormal lung development also lead copd adulthood likewise inflammatory response characterizes copd varies significantly patients perceive symptoms mostly breathlessness similarly investigate variability determinants different individual natural histories copd developed theoretical multistage computational model copd easi integrates dynamically represents graphically relationships exposure e inhaled particles gases smoking biological activity inflammatory response disease severity airflow limitation fev1 impact disease breathlessness different clinical scenarios easi shows relationships e vary markedly within individuals life individuals age also helps delineate potentially relevant often overlooked concepts disease progression susceptibility copd issues related symptom perception conclusion easi initial conceptual model interpret longitudinal crosssectional relationships e different clinical scenarios currently direct clinical application thus requires experimental validation mathematical development however potential open novel research teaching alternatives