End stage heart failure patients: Palliative care in general practice
MetadataShow full item record
Background. Chronic heart failure is common, particularly in older individuals, and comorbidities are frequent. Patients with end stage heart failure can be highly symptomatic and require careful monitoring and treatment adjustment to improve symptoms. Objective. This article summarises the fundamentals of implementing palliative care in general practice and provides guidelines on caring patients with chronic heart failure at the end of life. Discussion. The high mortality in chronic heart failure underscores the importance of effective communication, symptom management and advance care planning. The unpredictability and uncertainty around the timing of death mean that individuals, and their families, may be less likely to have an understanding of their prognosis or have access to supportive and palliative care. Ideally, patients with symptomatic chronic heart failure should be managed in collaboration with a multidisciplinary heart failure program. Symptom management can be achieved by additive therapies and access to specialist palliative care services should be considered when the symptom burden is high.
Copyright to Australian Family Physician. Reproduced with permission.
Showing items related by title, author, creator and subject.
An integrated approach to outcome evaluation : incorporating patient reported outcomes in heart failureChang, Sungwon (2012)Globally individuals and health care systems are facing the burden of chronic illness. The impact of the increasing burden of non-communicable diseases is experienced by individuals and health care systems. Across the ...
A retrospective population based cohort study of access to specialist palliative care in the last year of life: who is still missing out a decade on?Rosenwax, Lorna; Spilsbury, Katrina; McNamara, Beverley; Semmens, James (2016)Background: Historically, specialist palliative care has been accessed by a greater proportion of people dying with cancer compared to people with other life-limiting conditions. More recently, a variety of measures to ...
Driscoll, A.; Davidson, Patricia; Clark, R.; Huang, N.; Aho, Z. (2009)Summary. Background: Chronic heart failure (CHF) is associated with high hospitalisation and mortality rates and debilitating symptoms. In an effort to reduce hospitalisations and improve symptoms individuals must be ...