Failing the Failing Heart: A Review of Palliative Care in Heart Failure
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Key result
Palliative care remains underutilized in heart failure despite evidence that it improves symptom management, communication, and patient satisfaction when integrated early in the disease course.
Population
Patients with heart failure
Design
Review
Authors
Discussion
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Implication
Palliative care integration in heart failure may improve outcomes; leaves open prospective trials on implementation barriers and timing.
Structured PICO
P
Population
Patients with heart failure
I
Intervention
Palliative care consultation and multidisciplinary symptom management
Early integration of palliative care in heart failure management is recommended to improve symptom control and facilitate end-of-life discussions, including device deactivation.
Limitations
- Inability to reliably predict prognosis at the individual level
- Clinicians fear destroying hope and are unsure how to discuss end-of-life issues
- Palliative care is underutilized and often initiated too late in the disease course
Cite This Study
Shah et al. (2013) conducted a review in Heart failure. Palliative care was evaluated. Palliative care remains underutilized in heart failure despite evidence that it improves symptom management, communication, and patient satisfaction when integrated early in the disease course.
Topics
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