Article Text

other Versions

PDF
Future care planning: a first step to palliative care for all patients with advanced heart disease
  1. M A Denvir1,
  2. S A Murray2,
  3. K J Boyd2
  1. 1Edinburgh Heart Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
  2. 2Primary Palliative Care Research Group, Medical School, University of Edinburgh, Edinburgh, UK
  1. Correspondence to Dr M A Denvir, Edinburgh Heart Centre, Royal Infirmary of Edinburgh, Edinburgh EH4 2XU, UK; mdenvir{at}staffmail.ed.ac.uk

Abstract

Palliative care is recommended for patients with end-stage heart failure with several recent, randomised trials showing improvements in symptoms and quality of life and more studies underway. Future care planning provides a framework for discussing a range of palliative care problems with patients and their families. This approach can be introduced at any time during the patient's journey of care and ideally well in advance of end-of-life care. Future care planning is applicable to a wide range of patients with advanced heart disease and could be delivered systematically by cardiology teams at the time of an unplanned hospital admission, akin to cardiac rehabilitation for myocardial infarction. Integrating cardiology care and palliative care can benefit many patients with advanced heart disease at increased risk of death or hospitalisation. Larger, randomised trials are needed to assess the impact on patient outcomes and experiences.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.