TY - JOUR
T1 - Complex Care Options for Patients With Advanced Heart Failure Approaching End of Life
AU - Wordingham, Sara E.
AU - McIlvennan, Colleen K.
AU - Dionne-Odom, J. Nicholas
AU - Swetz, Keith M.
N1 - Funding Information:
J. Nicholas Dionne-Odom is a postdoctoral fellow supported by a National Palliative Care Research Center Career Development Award.
Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Care for patients with advanced cardiac disease continues to evolve in a complex milieu of therapeutic options, advanced technological interventions, and efforts at improving patient-centered care and shared decision-making. Despite improvements in quality of life and survival with these interventions, optimal supportive care across the advanced illness trajectory remains diverse and heterogeneous. Herein, we outline challenges in prognostication, communication, and caregiving in advanced heart failure and review the unique needs of patients who experience frequent hospitalizations, require chronic home inotropic support, and who have implantable cardioverter-defibrillators and mechanical circulatory support in situ, to name a few.
AB - Care for patients with advanced cardiac disease continues to evolve in a complex milieu of therapeutic options, advanced technological interventions, and efforts at improving patient-centered care and shared decision-making. Despite improvements in quality of life and survival with these interventions, optimal supportive care across the advanced illness trajectory remains diverse and heterogeneous. Herein, we outline challenges in prognostication, communication, and caregiving in advanced heart failure and review the unique needs of patients who experience frequent hospitalizations, require chronic home inotropic support, and who have implantable cardioverter-defibrillators and mechanical circulatory support in situ, to name a few.
KW - Advance care planning
KW - Caregiver
KW - End of life
KW - Heart failure
KW - Inotropes
KW - Mechanical circulatory support
KW - Palliative care
KW - Ventricular assist device
UR - http://www.scopus.com/inward/record.url?scp=84958049777&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84958049777&partnerID=8YFLogxK
U2 - 10.1007/s11897-016-0282-z
DO - 10.1007/s11897-016-0282-z
M3 - Review article
AN - SCOPUS:84958049777
SN - 1546-9530
VL - 13
SP - 20
EP - 29
JO - Current Heart Failure Reports
JF - Current Heart Failure Reports
IS - 1
ER -