The silent struggles of survivorship in cancer
No abstract available (Source: Current Opinion in Supportive and Palliative Care)
Source: Current Opinion in Supportive and Palliative Care - February 2, 2018 Category: Palliative Care Tags: PSYCHOSOCIAL AND SUPPORTIVE CARE CONSIDERATIONS IN CANCER SURVIVORSHIP: EXISTENTIAL, EMOTIONAL, PHYSICAL, AND PRACTICAL CONCERNS: Edited by Janet Ellis and Elie Isenberg-Grzeda Source Type: research

Challenges in clarifying goals of care in patients with advanced heart failure
Purpose of review Patients with advanced heart failure require communication about goals of care, yet many challenges exist, leaving it suboptimal. High mortality rates and advances in the use of life-sustaining technology further complicate communication and underscore the urgency to understand and address these challenges. This review highlights current research with a view to informing future research and practice to improve goals of care communication. Recent findings Clinicians view patient and family barriers as more impactful than clinician and system factors in impeding goals of care discussions. Knowledge gap...
Source: Current Opinion in Supportive and Palliative Care - February 2, 2018 Category: Palliative Care Tags: CARDIAC AND CIRCULATORY PROBLEMS: Edited by James M. Beattie Source Type: research

Palliative care needs assessment in chronic heart failure
Purpose of review The unmet palliative care needs of patients with chronic heart failure (CHF) are well known. Palliative care needs assessment is paramount for timely provision of palliative care. The present review provides an overview of palliative care needs assessment in patients with CHF: the role of prognostic tools, the role of the surprise question, and the role of palliative care needs assessment tools. Recent findings Multiple prognostic tools are available, but offer little guidance for individual patients. The surprise question is a simple tool to create awareness about a limited prognosis, but the reliab...
Source: Current Opinion in Supportive and Palliative Care - February 2, 2018 Category: Palliative Care Tags: CARDIAC AND CIRCULATORY PROBLEMS: Edited by James M. Beattie Source Type: research

Symptom cluster among patients with advanced heart failure: a review of its manifestations and impacts on health outcomes
Purpose of review Assessment of symptom clustering is effective in enhancing care planning for symptom palliation in life-limiting disease. This review was aimed at identifying symptom cluster manifestation among advanced heart failure patients and to investigate the prognostic impact of the identified symptom clusters. Recent findings A systematic search of the literature identified 10 relevant articles. Two approaches were undertaken based on: correlations between symptoms and shared characteristics of patients’ symptom profiles, to identify the symptom clusters. By comparing the findings for heart failure patient...
Source: Current Opinion in Supportive and Palliative Care - February 2, 2018 Category: Palliative Care Tags: CARDIAC AND CIRCULATORY PROBLEMS: Edited by James M. Beattie Source Type: research

Palliative care needs of heart failure patients in China: putting people first
Purpose of review Recognizing the rising prevalence of heart failure in China, patients with heart failure have substantial palliative needs. This review highlights recent evidence on the epidemic of heart failure, identifies needs and potential benefit of palliative care in heart failure, and sets future strategic policy and research directions in China. Recent findings Epidemiological studies demonstrate the prevalence of heart failure among women is higher than men in China and increases substantially with age. However, few studies have addressed the palliative needs of Chinese heart failure patients. The main them...
Source: Current Opinion in Supportive and Palliative Care - February 2, 2018 Category: Palliative Care Tags: CARDIAC AND CIRCULATORY PROBLEMS: Edited by James M. Beattie Source Type: research