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dc.contributor.authorDavidson, Patricia
dc.contributor.authorMacdonald, P.
dc.contributor.authorNewton, Phillip
dc.contributor.authorCurrow, D.
dc.date.accessioned2017-01-30T13:01:16Z
dc.date.available2017-01-30T13:01:16Z
dc.date.created2011-02-21T20:01:18Z
dc.date.issued2010
dc.identifier.citationDavidson, Patricia m. and Macdonald, Peter S. and Newton, Phillip J. and Currow, David C. 2010. End stage heart failure patients: Palliative care in general practice. Australian Family Physician. 39 (12): pp. 916-920.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/27802
dc.description.abstract

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.

dc.publisherThe Royal Australian College of General Practitioners
dc.relation.urihttp://www.racgp.org.au/afp/201012/201012davidson.pdf
dc.subjectheart failure
dc.subjectgeneral practice
dc.subjectpalliative care
dc.titleEnd stage heart failure patients: Palliative care in general practice
dc.typeJournal Article
dcterms.source.volume39
dcterms.source.number12
dcterms.source.startPage2
dcterms.source.endPage6
dcterms.source.issn0300-8495
dcterms.source.titleAustralian Family Physician
curtin.note

Copyright to Australian Family Physician. Reproduced with permission.

curtin.departmentCentre for Cardiovascular and Chronic Care
curtin.accessStatusOpen access


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