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Unfortunately, many of these diseases are progressive and some are poorly responsive to available therapies. Despite the varied nature of\n                    <jats:styled-content style=\"fixed-case\">IIPs<\/jats:styled-content>\n                    , patients experience common symptoms related to their chronic lung disease. Dyspnoea, cough, fatigue and depression contribute substantially to morbidity and are often difficult to manage. The psychological stress of having a chronic and often life\u2010limiting disease further complicates symptom control. Effective symptom\u2010management requires a multidisciplinary approach that incorporates patient education and self\u2010management to formulate goals of care and treatment plans. In this context, palliative care is incorporated from the time of diagnosis of an\n                    <jats:styled-content style=\"fixed-case\">IIP<\/jats:styled-content>\n                    and is not restricted to the end stages of the disease. Pulmonary rehabilitation plays a central role in symptom\u2010management and has beneficial effects across multiple domains. In patients who do not respond to disease\u2010specific treatments and are not candidates for lung transplant, early referral to hospice may improve quality of life for both patients and their families near the end of life.\n                  <\/jats:p>","DOI":"10.1111\/resp.12649","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T05:12:45Z","timestamp":1444367565000},"page":"1357-1365","source":"Crossref","is-referenced-by-count":29,"title":["Symptom\u2010based management of the idiopathic interstitial pneumonia"],"prefix":"10.1111","volume":"21","author":[{"given":"Brian T.","family":"Garibaldi","sequence":"first","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonye K.","family":"Danoff","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201308-1483ST"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e328349721b"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1402582"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e328363f4cb"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-3-61"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/msj.20091"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-77"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200605-587ST"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/09059180.00001614"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-4710-0.00028-6"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.1.ats898"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-011-9355-7"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.157.1.9704130"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0b013e3282ff6336"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.01.17509540"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2004.09.005"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.11.008"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200211-1311OC"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0b013e3283392b51"},{"key":"e_1_2_7_21_1","first-page":"45","article-title":"Standardized respiratory questionnaires: comparison of the old with the new","volume":"110","author":"Comstock G","year":"1979","journal-title":"Am. 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