A palliative approach for heart failure end-of-life care

作者：Maciver Jane^*; Ross Heather J.

来源：Current Opinion in Cardiology, 2018, 33(2): 202-207.

DOI：10.1097/HCO.0000000000000484

• advance care planning
• heart failure
• palliative care
• shared decision-making

Purpose of review
The current review discusses the integration of guideline and evidence-based palliative care into heart failure end-of-life (EOL) care.
Recent findings
North American and European heart failure societies recommend the integration of palliative care into heart failure programs. Advance care planning, shared decision-making, routine measurement of symptoms and quality of life and specialist palliative care at heart failure EOL are identified as key components to an effective heart failure palliative care program. There is limited evidence to support the effectiveness of the individual elements. However, results from the palliative care in heart failure trial suggest an integrated heart failure palliative care program can significantly improve quality of life for heart failure patients at EOL.
Summary
Integration of a palliative approach to heart failure EOL care helps to ensure patients receive the care that is congruent with their values, wishes and preferences. Specialist palliative care referrals are limited to those who are truly at heart failure EOL.

• 出版日期2018-3