Palliative Care in Acute Heart Failure.
James M BeattieIrene J HigginsonTheresa A McDonaghPublished in: Current heart failure reports (2020)
The commonest reason for hospitalization in those > 65 years, acute heart failure admissions delineate crisis points on the unpredictable disease trajectory. Palliative care is underutilized, often perceived as limited to end-of-life care rather than determined by regular systematic needs assessment. No dominant paradigm of palliative care provision has emerged from the nascent evidence base related to this clinical cohort, underscoring the need for further research. Embedding palliative support as mainstream to heart failure care from the point of diagnosis may better ensure treatment strategies for those admitted with acute heart failure remain consistent with patients' preferences and values.
Keyphrases
- acute heart failure
- palliative care
- heart failure
- advanced cancer
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- ejection fraction
- public health
- depressive symptoms
- peritoneal dialysis
- mental health
- social support
- physical activity
- left ventricular
- healthcare
- atrial fibrillation
- decision making
- quality improvement