Complex Care Options for Patients With Advanced Heart Failure Approaching End of Life

Sara E. Wordingham; Colleen K. McIlvennan; J. Nicholas Dionne-Odom; Keith M. Swetz

doi:10.1007/s11897-016-0282-z

Complex Care Options for Patients With Advanced Heart Failure Approaching End of Life

Sara E. Wordingham, Colleen K. McIlvennan, J. Nicholas Dionne-Odom, Keith M. Swetz

General Internal Medicine

Research output: Contribution to journal › Review article › peer-review

9 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	20-29
Number of pages	10
Journal	Current heart failure reports
Volume	13
Issue number	1
DOIs	https://doi.org/10.1007/s11897-016-0282-z
State	Published - Feb 1 2016

Keywords

Advance care planning
Caregiver
End of life
Heart failure
Inotropes
Mechanical circulatory support
Palliative care
Ventricular assist device

ASJC Scopus subject areas

Emergency Medicine
Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1007/s11897-016-0282-z

Cite this

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abstract = "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.",

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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.

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Complex Care Options for Patients With Advanced Heart Failure Approaching End of Life

Abstract

Keywords

ASJC Scopus subject areas

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