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Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer pat...

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Detalles Bibliográficos
Autor principal: Romano’, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735532/
https://www.ncbi.nlm.nih.gov/pubmed/36498508
http://dx.doi.org/10.3390/jcm11236933
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author Romano’, Massimo
author_facet Romano’, Massimo
author_sort Romano’, Massimo
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description Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer patients, but which are often unmet. This paper analyzes the main unresolved issues regarding the relationship between HF patients and the referral to an early PC program. These issues are presented as ten questions related to which patients should be admitted to PC and at what stage of their disease. Furthermore, the barriers opposing to referral to PC, the role of cardiologists and PC physicians within the care team, the gap between the scientific societies’ suggestions and the real world, the right time to promote patients’ awareness and shared decision making, regarding prognosis, end of life wishes and choices, with reference also to cardiac implantable devices’ deactivation, are discussed. These unresolved questions support the need to reevaluate programs and specific models in achieving equal access to palliative care interventions for HF patients, which is still mainly offered to patients with cancer.
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spelling pubmed-97355322022-12-11 Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients Romano’, Massimo J Clin Med Review Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer patients, but which are often unmet. This paper analyzes the main unresolved issues regarding the relationship between HF patients and the referral to an early PC program. These issues are presented as ten questions related to which patients should be admitted to PC and at what stage of their disease. Furthermore, the barriers opposing to referral to PC, the role of cardiologists and PC physicians within the care team, the gap between the scientific societies’ suggestions and the real world, the right time to promote patients’ awareness and shared decision making, regarding prognosis, end of life wishes and choices, with reference also to cardiac implantable devices’ deactivation, are discussed. These unresolved questions support the need to reevaluate programs and specific models in achieving equal access to palliative care interventions for HF patients, which is still mainly offered to patients with cancer. MDPI 2022-11-24 /pmc/articles/PMC9735532/ /pubmed/36498508 http://dx.doi.org/10.3390/jcm11236933 Text en © 2022 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Romano’, Massimo
Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title_full Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title_fullStr Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title_full_unstemmed Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title_short Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients
title_sort ten questions and some reflections about palliative care in advanced heart failure patients
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735532/
https://www.ncbi.nlm.nih.gov/pubmed/36498508
http://dx.doi.org/10.3390/jcm11236933
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