Heart Failure and Palliative Care

Heart Failure and Palliative Care

Heart failure is a very common terminal condition but few patients receive proper palliative care. This text is full of practical, evidence based advice, and encourages a multidisciplinary team based approrach.

Author: Miriam Johnson

Publisher: Radcliffe Publishing

ISBN: 1857756436

Category: Medical

Page: 150

View: 754

Heart failure is a very common terminal condition but few patients receive proper palliative care. This text is full of practical, evidence based advice, and encourages a multidisciplinary team based approrach.
Categories: Medical

Heart Failure

Heart Failure

In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management.

Author: Miriam Johnson

Publisher: Oxford University Press

ISBN: 9780199299300

Category: Medical

Page: 216

View: 946

Excellent end of life care for people with heart failure is challenging but possible. In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management.
Categories: Medical

Palliative Care Issues in Heart Transplant Candidates

Palliative Care Issues in Heart Transplant Candidates

Limited data are available of using palliative care in heart transplant candidates prior to transplant surgery. Summary: Diminishing quality of life prevails throughout the course of chronic heart failure.

Author:

Publisher:

ISBN: OCLC:1051415873

Category:

Page:

View: 446

Abstract : Purpose of review: Heart failure is a serious condition and equivalent to malignant disease in terms of symptoms burden and mortality. Presently, only a comparatively small number of heart failure patients receive specialized palliative care. A literature search was conducted with the terms, palliative care and heart failure, using the electronic databases of PubMed and MEDLINE. Recent findings: Nine-hundred and five articles were reviewed and of those, 78 articles discussed clinical trials in palliative care and heart failure. A complex set of management tools and strategies were used and recommended, including but not limited to lifestyle modification, exercise programs, pain and sleep disorder management, and support in end-of-life care. Limited data are available of using palliative care in heart transplant candidates prior to transplant surgery. Summary: Diminishing quality of life prevails throughout the course of chronic heart failure. Therefore, palliative care should be integrated into heart failure management. Heart transplant candidates may benefit from early palliative care involvement independent of the clinical course and outcome. Because of gaps in current scientific literature on palliative care, end-of-life care, and hospice care and the services rendered, further research is necessary to encourage healthcare professionals to introduce palliative care as an early resource in chronic disease progression.
Categories:

Heart Failure Second Edition

Heart Failure  Second Edition

Heart. failure. and. palliative. care. Joshua M. Hauser and Robert O. Bonow
INTRODUCTION Palliative Care and Hospice Palliative care is care that aims to
treat suffering and to improve the quality of life of patients and their families with ...

Author: Marc Semigran

Publisher: CRC Press

ISBN: 9781420077018

Category: Medical

Page: 500

View: 870

Heart Failure, Second Edition has been updated to provide the latest advancements in heart failure research. Supplemented by more than 200 high-quality figures and illustrations, the book helps cardiologists and emergency care physicians quickly and accurately identify the cause and severity of a patient’s cardiac impairment. New topics in this edition include: Developments in mechanical and pharmacologic treatments Discoveries in developmental biology Up-and-coming imaging modalities Surgical options for mechanical circulatory support and cardiac transplantation Pharmacogenomics and gene-based and cell-based therapies Gene expression/recurrence in heart failure Changes in metabolic substrate utilization and pathways
Categories: Medical

Palliative Care E Book

Palliative Care E Book

physicians' understanding of the roles of different specialists and disciplines
caring for patients. It is likely that each of these may be a barrier for the optimum
delivery of palliative care to patients with heart failure. The authors interpreted
their ...

Author: Linda L. Emanuel

Publisher: Elsevier Health Sciences

ISBN: 9781437735970

Category: Medical

Page: 640

View: 877

Find out all you need to know about providing high-quality care to patients with serious illnesses from the 2nd edition of Palliative Care: Core Skills and Clinical Competencies. Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the field, address the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. They give you a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control, ethical issues, and more. Clearly written in a user-friendly, high-yield format, this resource is your ultimate guidebook to the burgeoning practice of palliative medicine. Improve your pain management and symptom management skills with a better understanding of best practices in palliative care. Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease. Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings, such as the ICU, hospice, and the home; and to diverse populations, such as children, elders, and vulnerable members of society. Expand your knowledge of palliative care issues with new chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship. Find the information you need quickly and easily with a templated, high-yield format.
Categories: Medical

Team Based Care for Heart Failure An Issue of Heart Failure Clinics

Team Based Care for Heart Failure  An Issue of Heart Failure Clinics

However, a national shortage of palliative care specialists exists along with the
proliferation of heart failure in older patients with multimorbidity.31 Therefore, a
shared-care approach is crucial. By improving clinician skills and allaying fears ...

Author: Gregg C. Fonarow

Publisher: Elsevier Health Sciences

ISBN: 9780323391016

Category: Medical

Page: 177

View: 464

This issue of Heart Failure Clinics examines the critical role of team-based care in the management of patients with heart failure. Articles address Team-Based Care for Prevention, Patients Hospitalized with Heart Failure, Transitions of Care, Outpatients, Managing Cardiac Comorbidities, Managing Non-cardiac Conditions, Cardiac Rehabilitation and Exercise Training, External Telemonitoring, Ambulatory Hemodynamic Cardiac Device Monitoring, Advanced Heart Failure, and Palliative and End-of-Life Care.
Categories: Medical

Heart Failure An Issue of Critical Nursing Clinics E Book

Heart Failure  An Issue of Critical Nursing Clinics  E Book

“Principles for Palliative Care”10; Goodlin's “Palliative Care in Congestive Heart
Failure”41; the International Association for Hospice and Palliative Care (OAHPC
), “IAHPC List of Essential Practice in Palliative Care”43; and Pastor and Moore's
 ...

Author: Jennifer Kitchens

Publisher: Elsevier Health Sciences

ISBN: 9780323402439

Category: Medical

Page: 12

View: 122

Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems. The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients’ finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.
Categories: Medical

Adult Palliative Care for Nursing Health and Social Care

Adult Palliative Care for Nursing  Health and Social Care

Moreover, the chapter will look at the situation whereby, as a result of disease
and often many years of malfunction, the person's heart failure becomes
advanced or end stage and palliative care is required. The chapter will discuss
therapeutic ...

Author: John Costello

Publisher: SAGE

ISBN: 9781526465610

Category: Medical

Page: 248

View: 545

Discussing palliative and end of life care across a range of diseases and illnesses, each chapter includes real-life case studies that focus on both the patient experience and the experiences of the family members of service users. Original in its approach to palliative and end of life care, Adult Palliative Care focuses on a range of non-cancer conditions. Thoughtfully balancing theory with practice, and interprofessional in its scope, Adult Palliative Care would benefit any health professional dealing with or working in the field of palliative and end of life care.
Categories: Medical

Braunwald s Heart Disease E Book

Braunwald s Heart Disease E Book

Hanratty B, Hibbert D, Mair F, et al: Doctor's perceptions of palliative care for
heart failure: Focus group study. BMJ 325:581, 2002. Easson AM, Crosby JA,
Librach SL: Discussion of death and dying in surgical textbooks. Am J Surg 182:
34, ...

Author: Robert O. Bonow

Publisher: Elsevier Health Sciences

ISBN: 9781437727708

Category: Medical

Page: 2048

View: 966

Braunwald’s Heart Disease remains your indispensable source for definitive, state-of-the-art answers on every aspect of contemporary cardiology. Edited by Drs. Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, and Peter Libby, this dynamic, multimedia reference helps you apply the most recent knowledge in molecular biology and genetics, imaging, pharmacology, interventional cardiology, electrophysiology, and much more. Weekly updates online, personally selected by Dr. Braunwald, continuously keep you current on the most important new developments affecting your practice. Enhanced premium online content includes new dynamic cardiac imaging videos, heart sound recordings, and podcasts. With sweeping updates throughout, and contributions from a "who’s who" of global cardiology, Braunwald’s is the cornerstone of effective practice. Continuously access the most important new developments affecting your practice with weekly updates personally selected by Dr. Braunwald, including focused reviews, "hot off the press" commentaries, and late-breaking clinical trials. Practice with confidence and overcome your toughest challenges with advice from the top minds in cardiology today, who synthesize the entire state of current knowledge and summarize all of the most recent ACC/AHA practice guidelines. Locate the answers you need fast thanks to a user-friendly, full-color design with more than 1,200 color illustrations. Search the complete contents online at www.expertconsult.com. Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart disease, ethics in cardiovascular medicine, the design and conduct of clinical trials, and many other timely topics. Hone your clinical skills with new dynamic cardiac imaging videos, heart sound recordings, and podcasts at www.expertconsult.com.
Categories: Medical

Palliative Care

Palliative Care

Symptom management for pain, dyspnea, and depression is the primary goal of
palliativetreatment. Device technology has improved survival for patients but
has become a potential source • of suffering as well. “Palliative” treatments for
CHF ...

Author: Jane E. Loitman

Publisher: Springer Science & Business Media

ISBN: 9781607615903

Category: Medical

Page: 83

View: 585

A clinical case-based handbook has a role in general clinicians’ practice of caring for patients with serious or life-limiting illness. The explosion of the field of Hospice and Palliative Medicine impacts all physicians and healthcare providers. Fellowship trained s- cialists graduate in greater numbers annually. These and more seasoned specialists are now certified by the American Board of Medical Specialties as subspecialists. Research in this field is expanding in scope and quantity, and peer reviewed journals devoted to this work are multiplying. Moreover, peer reviewed journals in primary care and other subspecialties of medicine regularly include papers that focus on end-of-life care, quality of life issues, and symptom management. Overall then, access to clinical information necessary to care for patients with life-limiting illness is not only essential, but also increasingly available. This case-based clinical book aims to help with the actual practice of caring for patients with life-limiting illness. Numerous texts and journals exist to provide the data to inform care, yet there remains a need to find practical points and information about the practical application of the principles of palliative care. Thus, we hope that the cases, key points, and practical tips will help health care providers who are not experts already in palliative care in the care of patients with serious illness and challenging problems. Some chapters follow one patient through the course of an illness to highlight the applicability of palliative care throughout the disease process.
Categories: Medical

Handbook of Palliative Care

Handbook of Palliative Care

... to refuse treatment AD advance directive ADA After Death Analysis AND allow
natural death ALS amyotrophic lateral sclerosis BPI Brief Pain Inventory CPR
cardiopulmonary resuscitation CVD cardiovascular disease CP care professional
 ...

Author: Christina Faull

Publisher: John Wiley & Sons

ISBN: 9781118426814

Category: Medical

Page: 392

View: 658

This handbook offers a practical, thorough approach to the clinical practice of palliative care. Adding North American authors to its roster of UK contributors, the third edition of this award-winning book addresses important changes in the evidence base of palliative care, as well as an emphasis on end-of-life community-based care. It features new chapters on dementia and advance care planning, a simplified lymphoedema discussion, and an ongoing commitment to providing essential guidance for physicians, nurses, and all primary care providers involved in palliative care in hospital, hospice, and community settings.
Categories: Medical

Choices in Palliative Care

Choices in Palliative Care

8 Palliative Care and Chronic Heart Failure Vikas Bhatara MD, Edmund H.
Sonnenblick MD, Thierry H. Le Jemtel MD, and Vladimir Kvetan MD 1.
Introduction Congestive heart failure is a serious and ultimately fatal illness, and
there is ...

Author: Arthur Blank

Publisher: Springer Science & Business Media

ISBN: 9780387708751

Category: Medical

Page: 234

View: 292

Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients’ evolving needs. Those teaching health service delivery courses will find this material especially useful.
Categories: Medical

End of Life Care in Cardiovascular Disease

End of Life Care in Cardiovascular Disease

This book provides guidance to clinicians working across the breadth of care settings, in chronic progressive disease as well as sudden arrhythmic death andwith advanced technologies.

Author: Sarah J. Goodlin

Publisher: Springer

ISBN: 9781447165217

Category: Medical

Page: 240

View: 531

End-of-life issues in cardiology are becoming increasingly important in the management of patients in the cardiac unit, but there is frequently a lack of understanding regarding their impact on cardiology practice. The cardiac unit is increasingly becoming the location whereby a number of key clinical decisions relating to end-of-life care are being made, such as the decision to remove medications, the appropriate removal of cardiac devices, the management of do not resuscitate orders and the requirement for other cardiac procedures in light of the management of the terminally ill cardiac patients. Those working in palliative care need input from the cardiovascular team as the cardiologist is frequently still managing these patients until they are moved to the hospice. That this move into a hospice is often delayed until the very last moment, there is considerable onus on the cardiovascular management of these patients to be much broader in scope and take account of some of the more palliative medical decisions needed in this group of patients. This concise reference will detail the practical issues open to cardiovascular physicians and those medical professionals who manage patients reaching the end of their life from a cardiology perspective. It will detail the full management options open to them to ensure that their practice is in line with the requirements of the patient nearing the end of their life whether the cause be cardiovascular in origin or who need appropriate management of secondary cardiovascular symptoms. It will also include the various ethical, cultural and geographical issues that need to be considered when managing these patients.
Categories: Medical

Heart Failure A Companion to Braunwald s Heart Disease E book

Heart Failure  A Companion to Braunwald s Heart Disease E book

Underpinnings of a palliative care model in late-stage heart failure. ICD,
implantable cardioverter-defibrillator. 883 CH 61 884 CH 61 PAIN SYNDROMES
Identify cause (angina, claudication, gout,. to relieve congestion.57 Willingness to
trade ...

Author: Douglas L. Mann

Publisher: Elsevier Health Sciences

ISBN: 9781437703634

Category: Medical

Page: 928

View: 526

Dr. Douglas L. Mann, one of the foremost experts in the field, presents the 2nd Edition of Heart Failure: A Companion to Braunwald’s Heart Disease. This completely reworked edition covers the scientific and clinical guidance you need to effectively manage your patients and captures the dramatic advances made in the field over the last five years. Now in full color, this edition features eleven new chapters, including advanced cardiac imaging techniques, use of biomarkers, cell-based therapies and tissue engineering, device therapies, and much more. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Use this Braunwald’s companion as the definitive source to prepare for the ABIM’s new Heart Failure board exam. Access the fully searchable contents of the book online at Expert Consult. This edition includes 67 new authors, who are experts in the field of heart failure Stay on the cutting edge with new chapters on: The latest practice guidelines for medical and device therapy Hemodynamic assessment of heart failure Contemporary medical therapy for heart failure patients with reduced and preserved ejection fraction Biomarkers in heart failure Pulmonary hypertension Management of co-morbidities in heart failure Mechanical cardiac support devices Get up to speed with the latest clinical trials, as well as how they have influenced current practice guidelines Explore what’s changing in key areas such as basic mechanisms of heart failure, genetic screening, cell and gene therapies, pulmonary hypertension, heart failure prevention, co-morbid conditions, telemedicine/remote monitoring, and palliative care
Categories: Medical

Examining the Relationships Between Ethnicity Palliative Care and Readmissions in the Heart Failure Population

Examining the Relationships Between Ethnicity  Palliative Care and Readmissions in the Heart Failure Population

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population.

Author: Deanna Johnston

Publisher:

ISBN: OCLC:1187155002

Category: Community health services

Page: 93

View: 473

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population. Background: Hospitals struggle with preventing readmissions. There are many interventions that can be implemented to help prevent readmissions, and Palliative Care (PC) is one of those interventions. PC has many benefits including symptom management, improved communication through the healthcare continuum, understanding of illness and treatment options, and can be provided in conjunction with curative treatments. Heart failure is one of the most common readmission diagnoses. It is estimated that over 8 million people will be diagnosed with heart failure by 2030. Improving readmission rates among the heart failure population is a priority for all hospitals and palliative care may help improve readmission rates. Scant existing research suggests that readmissions and use of PC varies among different ethnic groups. Methods: Using a retrospective correlational design, patient demographic information, diagnosis and readmission data was gathered from the hospital's electronic health record (EHR) for all patients admitted with a primary or secondary diagnosis of heart failure, between January 2016 and June 2016, and analyzed for relationships between the receipt of PC, ethnicity and all cause readmission within the time frame examined. Results: The researcher analyzed 330 for relationships between receipt of a PC consultation, ethnicity, and readmissions. No statistically significant relationships were found between the primary variables of ethnicity, PC consult, and readmissions, however the relationship between age and readmission was statistically significant. Conclusion: This dissertation increases knowledge related to the background; use and definition of PC; relationships between PC, ethnicity, and readmissions; and adds to the available published literature. The lack of strength of associations suggests the need for future research to identify additional variables and their possible relationships between PC and readmissions, ethnicity and readmissions, and PC and ethnicity in the HF population. The significance of age and readmissions should be further analyzed.
Categories: Community health services

Heart Failure An Issue of Cardiology Clinics

Heart Failure  An Issue of Cardiology Clinics

Patients with refractory heart failure should be referred to a cardiologist with
advanced heart failure training to evaluate these options. PALLIATIVE CARE IN
HEART FAILURE Sadly, despite our best medical therapies and treatment
options, ...

Author: Howard J Eisen

Publisher: Elsevier Health Sciences

ISBN: 9780323277839

Category: Medical

Page: 610

View: 564

Over 5.7 million people in America carry a diagnosis of heart failure, the incidence of which approaches 1 in 100 people over the age of 65. The cost to society is estimated at $29 billion annually and over 1.1 million hospital admissions. For hospitalized heart failure patients, the 30-day readmission rate approaches 25%. As our population ages these numbers are expected to grow. This issue of Cardiology Clinics helps practitioners to manage patients at all ACC/AHA stages of heart failure and addresses key issues that include sudden cardiac death, arrhythmias, acute decompensated heart failure, and heart failure with preserved ejection fraction.
Categories: Medical

Essentials of Palliative Care

Essentials of Palliative Care

Essentials of Palliative Care is a to-the-point, clinically oriented resource for all members of the multidisciplinary palliative care team and trainees.

Author: Nalini Vadivelu

Publisher: Springer Science & Business Media

ISBN: 9781461451648

Category: Medical

Page: 518

View: 534

Essentials of Palliative Care is a to-the-point, clinically oriented resource for all members of the multidisciplinary palliative care team and trainees. It covers practical clinical topics, including assessment of the patient and pain and symptom management, and practical non-medical topics central to providing effective palliative care, including psychological management, guidance on how to help patients and their families through the many healthcare decision points they face, and sensitivity to the goals and culture of the patient. Review questions, with detailed answers, provide a convenient way for readers to test their knowledge. Features: · Concise, comprehensive, clinically focused · Multiple choice review questions, with detailed answers · Expert contributors from leading institutions · Coordination of care by palliative care team a major focus
Categories: Medical

Key Concepts in Palliative Care

Key Concepts in Palliative Care

Until fairly recently, palliative care was primarily geared towards patients with a
cancer diagnosis. However, the Coronary Heart Disease Collaborative (
Department of Health, 2004) acknowledges that 'heart failure produces greater
suffering ...

Author: Moyra A Baldwin

Publisher: SAGE

ISBN: 9781446248003

Category: Medical

Page: 256

View: 172

Do you need a succinct introduction to the key theories and principles of palliative care and their application to practice? Key Concepts in Palliative Care provides just this in a compact, fifty-concept guide to the field. Taking account of the government's "End of Life Care Strategy", contributors set out the key issues affecting practice across a range of health and social care contexts. The book covers topics ranging from dying and death to symptom management and spiritual care, backed up with practical examples. Each entry comprises: o a snapshot definition of the topic o key points o a discussion of the main debates o links to practice through thought-provoking case histories, and o suggestions for further reading. Key Concepts in Palliative Care is an ideal text and handy source of reference for health and social care professionals who are developing their knowledge and skills in palliative care.
Categories: Medical

Acute Heart Failure

Acute Heart Failure

Care near the end of life (EOL) for critically ill patients is emerging as an essential
task in cardiology and heart failure ... Then, three ways of optimizing EOL care in
the ICU are explored (incorporation of palliative care skills into critical care ...

Author: Alexandre Mebazaa

Publisher: Springer Science & Business Media

ISBN: 1846287820

Category: Medical

Page: 931

View: 730

For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.
Categories: Medical

Palliative Care Nursing Fourth Edition

Palliative Care Nursing  Fourth Edition

Print+CourseSmart

Author: Marianne Matzo

Publisher: Springer Publishing Company

ISBN: 9780826196354

Category: Medical

Page: 682

View: 144

This fourth edition of a comprehensive text/reference that has been valued by students, educators, and practicing nurses for many years, Palliative Care Nursing continues to reflect the fundamental basic and advanced hospice and palliative care nursing competencies that are required for effective and empathetic care of patients and families. This new edition focuses on palliative care that is responsive to the demand for health care reform in America and globally. It provides the knowledge, scientific evidence, and skills needed by nurses to address the complex physical, emotional, social, and spiritual needs of patients and families within the context of a changing health care delivery system. With a focus on interprofessional collaboration, the book emphasizes the value of complementary, holistic models in promoting health, wholeness, and wellness across the illness trajectory, even as death approaches.
Categories: Medical