Trends In Utilization of Palliative Care In Acute Heart Failure Admissions

Congestive heart failure is a leading cause of readmissions in the United States. Although treatment has come a long away, palliative care (PC) is often not appropriately offered in advanced heart failure. The purpose of this study was to use a large database of national in-patient sample to find out the penetrance of PC in acute heart failure admissions.
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: 140 Source Type: research

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Despite evidence supporting palliative care, access to advance care planning (ACP) remains limited for those with chronic kidney disease (CKD) and congestive heart failure (CHF).
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
The use of long-term, continuous intravenous inotropic support (CIIS) has increased over the past decade. (1) Published evidence indicates that CIIS improves New York Heart Association (NYHA) functional class but does not impact survival. (2) American College of Cardiology/American Heart Association (ACC/AHA) guidelines published in 2013 delineated indications for intravenous inotropic support. (3) Long-term CIIS as palliative therapy (i.e. aim is symptomatic improvement in patients who are not appropriate for surgical therapies) in patients with ACC/AHA Stage D congestive heart failure (CHF) despite optimal medical treatm...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Abstract Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease, end-stage kidney disease, and end-stage liver disease and how palliative principles can guide decision making and symptom management in these disease states. Special considerations in advance care planning, initiation and cessation of advanced therapies, and discussions on when to initiate ...
Source: Primary Care - Category: Primary Care Authors: Tags: Prim Care Source Type: research
Abstract In the geriatric age group, few studies demonstrate the efficacy of aggressive treatment. Often, a more palliative approach is wanted; such an approach can lead to better quality of life and even a longer life. The author discusses the limits of medical interventions in the elderly, the paucity of data, and the benefits of palliation in certain medical conditions, including dementia, Parkinson, depression, arthritis, congestive heart failure, and pneumonia. The role of frailty is addressed; specific goals of palliative care are delineated, such as reduction of polypharmacy, fall prevention, pain reduction...
Source: Pain Physician - Category: Anesthesiology Authors: Tags: Prim Care Source Type: research
Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease, end-stage kidney disease, and end-stage liver disease and how palliative principles can guide decision making and symptom management in these disease states. Special considerations in advanced care planning, initiation and cessation of advanced therapies, and discussions on when to initiate hospice are included in this article.
Source: Primary Care: Clinics in Office Practice - Category: Primary Care Authors: Source Type: research
In the geriatric age group, few studies demonstrate the efficacy of aggressive treatment. Often, a more palliative approach is wanted; such an approach can lead to better quality of life and even a longer life. The author discusses the limits of medical interventions in the elderly, the paucity of data, and the benefits of palliation in certain medical conditions, including dementia, Parkinson, depression, arthritis, congestive heart failure, and pneumonia. The role of frailty is addressed; specific goals of palliative care are delineated, such as reduction of polypharmacy, fall prevention, pain reduction, and the central ...
Source: Primary Care: Clinics in Office Practice - Category: Primary Care Authors: Source Type: research
CONCLUSION:: Health-care workers should be sensitive toward the cultural influence during advance care planning. Role of family for ethnic Chinese remains crucial and professionals should respect this family oriented decision-making. PMID: 30744386 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - Category: Palliative Care Authors: Tags: Am J Hosp Palliat Care Source Type: research
Conclusion: About half of patients hospitalized for class III/IV Heart Failure would have an indication of Palliative Care for the relief of suffering caused by the disease.RESUMEN Objetivo: Evaluar la necesidad de Cuidados Paliativos en pacientes con Insuficiencia Cardiaca Avanzada en estancia en una enfermer ía cardiológica. Método: Estudio transversal con la aplicación de la Escala Necesidades Paliativas de la Organización Mundial de la Salud al médico asistente y al paciente y/o responsable, a fin de evaluar la indicación de Cuidados Paliativos en pacientes con diagn&oac...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
Patients with advancing illness have one or more serious conditions (like cancer, congestive heart failure, or dementia, for example) and are experiencing symptoms that impact their quality of life and activities of daily living. In addition, they may be having side effects from treatments, problems eating, frequent emergency department visits, or hospitals readmissions. They may be in an end-of-life stage and could be receiving palliative or hospice care. They rely heavily on paid and unpaid caregivers.        
Source: The Commonwealth Fund: Publications - Category: International Medicine & Public Health Authors: Source Type: research
Dyspnea is distressing in palliative patients with end-stage heart failure and many are hospitalized to optimize this symptom. We hoped to conduct a pilot study to determine whether the administration of intranasal fentanyl would decrease activity-induced dyspnea in this patient population.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
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