When should you refer patients with COPD to palliative care?

When should you refer patients with COPD to palliative care? 
Physician's Weekly; by Jennifer Philip; 9/17/24 
Researchers identified 17 major and 30 minor criteria to guide physicians in referring their patients with COPD to specialty palliative care. ...

• The steering committee grouped the criteria into eight categories: Hospital utilization. Respiratory therapies. Distressing symptoms. Exacerbation. Prognosis. Functional impairment. Comorbidities and complications. Psychosocial factors. ...
• Seventeen major criteria emerged, which fell into three categories: health services, presence of symptoms or psychosocial needs, and withdrawal of life-prolonging interventions. The seventeen major criteria were: [Click on the title's link for the list.] ...
• The group reached consensus on 30 minor criteria. When two or more minor criteria are present, a physician should refer a patient with COPD to palliative care. The 30 minor criteria were: [Click on the title's link for the list.] ...