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People living with COPD, as well as the people who care for them, frequently have severe and unmet physical and psychosocial needs, including breathlessness, fatigue, cough, anxiety and depression. Early proactive palliative care is well placed to address these needs, yet it is frequently under-utilised in this group. This narrative review aimed to identify core components of palliative care and examine how existing models of care are implemented to better understand which models can best serve the needs of people with COPD. Symptom palliation, advance care planning, and support for caregivers emerged as the common components underpinning both generalist and specialist models of palliative care. Models of proactive palliative care were diverse in terms of where and how care was delivered as well as which health professionals were involved. Five key models of palliative care were identified: (1) multi-disciplinary integrated services, (2) nurse-led care, (3) hospice and residential aged care, (4) home-based care, and (5) telemonitoring and telehealth. Each model describes a diverse set of interventions and many of these share common elements, including the normalisation of palliative principles within routine care and the provision of diverse delivery settings to accommodate individual preferences and needs. Successful palliative care models must be practical, accessible and innovative to respond to individuals\u2019 complex and evolving needs, foster multi-disciplinary collaboration and input and optimally utilise local healthcare resources.<\/jats:p>","DOI":"10.1177\/17534666241310987","type":"journal-article","created":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T06:16:21Z","timestamp":1738995381000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["A narrative review of proactive palliative care models for people with COPD"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3555-6856","authenticated-orcid":false,"given":"Amy","family":"Pascoe","sequence":"first","affiliation":[{"name":"Respiratory Research @ Alfred, School of Translational Medicine, Monash University, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5412-9403","authenticated-orcid":false,"given":"Xinye","family":"Chen","sequence":"additional","affiliation":[{"name":"Respiratory Research @ Alfred, School of Translational Medicine, Monash University, Melbourne, VIC, Australia"},{"name":"Department of General Medicine, The Alfred Hospital, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Smallwood","sequence":"additional","affiliation":[{"name":"Respiratory Research @ Alfred, School of Translational Medicine, Monash University, East Block level 2, 55 Commercial Rd, Melbourne, VIC 3004, Australia"},{"name":"Respiratory and Sleep Medicine, The Alfred Hospital, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"key":"bibr1-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00239-2023"},{"key":"bibr2-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(21)00511-7"},{"key":"bibr3-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.46598"},{"key":"bibr4-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0339"},{"key":"bibr5-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm928oa"},{"key":"bibr6-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0431"},{"key":"bibr7-17534666241310987","volume":"58","author":"Young J","year":"2012","journal-title":"Can Fam Physician"},{"key":"bibr8-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.07.006"},{"key":"bibr9-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2013.06.003"},{"key":"bibr10-17534666241310987","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S210916"},{"key":"bibr11-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01879-2017"},{"key":"bibr12-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211018192"},{"key":"bibr13-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02014-2022"},{"key":"bibr14-17534666241310987","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202207-1262ST"},{"key":"bibr15-17534666241310987","doi-asserted-by":"crossref","unstructured":"Holland AE, Spathis A, Marsaa K, et al. 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