Palliative care and hospice in advanced heart failure.

Abstract:

:This paper provides an evidence-based review of the principles underlying palliative care for heart failure (HF), including its pathogenesis, staging, assessment, prognosis, and treatment. Approaches to advanced care planning, symptom management, hospice eligibility, home inotropic infusions, device management and improving the continuum of care in HF are discussed. The reader will be able to recognize advanced HF, use important elements of physical assessment, utilize Web-based prognostic and risk-stratification models, facilitate advance care planning, ensure optimal treatment, manage common symptoms and comorbid conditions, determine hospice eligibility, and consider issues related to withholding or withdrawal of inotropic infusions and devices used in HF refractory to standard treatment. The ultimate goal of palliative care for heart failure is to integrate knowledge of treatment advances and comfort measures and to provide them concurrently in a seamless continuum to patients with late-stage disease.

journal_name

J Palliat Med

authors

Stuart B

doi

10.1089/jpm.2006.9988

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

210-28

issue

1

eissn

1096-6218

issn

1557-7740

journal_volume

10

pub_type

杂志文章,评审
  • Stakeholder Perspectives on the Use of Community Health Workers To Improve Palliative Care Use by African Americans with Cancer.

    abstract:BACKGROUND:African Americans in the United States have worse end-of-life care and cancer outcomes than whites. Palliative care may improve this disparity. Community Health Workers may provide a means to improve palliative care disparities. METHODS:Semistructured in-depth interviews (five) and stakeholder focus groups ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0366

    authors: Johnston FM,Neiman JH,Parmley LE,Conca-Cheng A,Freund KM,Concannon TW,Smith TJ,Cooper LA

    更新日期:2019-03-01 00:00:00

  • Charity for the dying: who receives unreimbursed hospice care?

    abstract:OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662103768253696

    authors: Lorenz KA,Rosenfeld KE,Asch SM,Ettner SL

    更新日期:2003-08-01 00:00:00

  • A comparison of sennosides-based bowel protocols with and without docusate in hospitalized patients with cancer.

    abstract:BACKGROUND:Constipation is a common and distressing condition in patients with cancer, especially those taking opioid analgesics. Many institutions prevent and treat constipation with titrated laxatives, which is known as a bowel protocol. An effective and well-tolerated bowel protocol is a very important component of ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2007.0178

    authors: Hawley PH,Byeon JJ

    更新日期:2008-05-01 00:00:00

  • Supporting In-Home Caregivers in Symptom Assessment of Frail Older Adults with Serious Illness: A Pilot Study.

    abstract:: Background: Many older adults with serious illness who depend on others for care have symptoms that are difficult to manage. Supporting caregivers in symptom assessment (SA) may reduce suffering. Objective: Pilot an SA-Toolkit ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0103

    authors: Nouri S,Ritchie C,Chen P,Volow A,Li B,Tellez I,Sudore RL

    更新日期:2020-12-01 00:00:00

  • Work Experiences of Patients Receiving Palliative Care at a Comprehensive Cancer Center: Exploratory Analysis.

    abstract:BACKGROUND:Employment-related issues have been largely overlooked in cancer patients needing palliative care. These issues may become more relevant as cancer evolves into more of a chronic illness and palliative care is provided independent of stage or prognosis. OBJECTIVE:To characterize the employment situations of ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2016.0478

    authors: Glare PA,Nikolova T,Alickaj A,Patil S,Blinder V

    更新日期:2017-07-01 00:00:00

  • "It's not all doom and gloom": perceptions of medical students talking to hospice patients.

    abstract:BACKGROUND:End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfa...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0036

    authors: Gadoud A,Adcock Y,Jones L,Koon S,Johnson M

    更新日期:2013-09-01 00:00:00

  • A Descriptive Analysis of an Ambulatory Kidney Palliative Care Program.

    abstract:: Background: Many patients with serious kidney disease have an elevated symptom burden, high mortality, and poor quality of life. Palliative care has the potential to address these problems, yet nephrology patients frequently lack access to this specialty. ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0647

    authors: Scherer JS,Harwood K,Frydman JL,Moriyama D,Brody AA,Modersitzki F,Blaum CS,Chodosh J

    更新日期:2020-02-01 00:00:00

  • Assessing End-of-Life Care across Settings in an Integrated Health Care Delivery System.

    abstract:: Objective: To systematically capture patient- and family-centered data to understand variability and opportunities in end-of-life care delivery across settings in an integrated health care delivery system. Background: Improving...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0265

    authors: Wang MC,Johnson D,Glass D,Martel H,Mularski RA,Bellows J

    更新日期:2020-06-01 00:00:00

  • Interprofessional communication skills training for serious illness: evaluation of a small-group, simulated patient intervention.

    abstract:BACKGROUND:Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. OBJECTIVE:The objective...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0318

    authors: Bays AM,Engelberg RA,Back AL,Ford DW,Downey L,Shannon SE,Doorenbos AZ,Edlund B,Christianson P,Arnold RW,O'Connor K,Kross EK,Reinke LF,Cecere Feemster L,Fryer-Edwards K,Alexander SC,Tulsky JA,Curtis JR

    更新日期:2014-02-01 00:00:00

  • A faculty development course for end-of-life care.

    abstract::A faculty development course was offered at the Medical College of Wisconsin to bolster existing medical student and housestaff training opportunities in palliative medicine. An 8- week, 12 contact-hour course was designed to provide up to 15 faculty members training in the practice and teaching of end-of-life care. F...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.1998.1.35

    authors: Weissman DE

    更新日期:1998-04-01 00:00:00

  • Suffering in Advanced Cancer: A Randomized Control Trial of a Narrative Intervention.

    abstract:BACKGROUND:Advanced cancer can erode patients' wellbeing. Narrative interventions have improved patients' wellbeing, but might not be feasible for widespread implementation. OBJECTIVES:(1) Test the effects of miLivingStory, a telephone-based life review and illness narrative intervention with online resources and soci...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2017.0007

    authors: Wise M,Marchand LR,Roberts LJ,Chih MY

    更新日期:2018-02-01 00:00:00

  • Clinicians' Perceptions of Futile or Potentially Inappropriate Care and Associations with Avoidant Behaviors and Burnout.

    abstract:: Background: Futile or potentially inappropriate care (futile/PIC) for dying inpatients leads to negative outcomes for patients and clinicians. In the setting of rising end-of-life health care costs and increasing physician burnout, it is important to understand the causes ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0385

    authors: Chamberlin P,Lambden J,Kozlov E,Maciejewski R,Lief L,Berlin DA,Pelissier L,Yushuvayev E,Pan CX,Prigerson HG

    更新日期:2019-09-01 00:00:00

  • A Comparative Study of Opioid Switching to Methadone for Cancer Pain Control in Successful and Unsuccessful Cases.

    abstract:: Background: Methadone may play a role in the control of refractory cancer pain in opioid switching, although some cases fail to switch to methadone. Objective: To evaluate the differences in the clinical aspects in switching to...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0490

    authors: Okayama S,Matsuda Y,Yoshikawa Y

    更新日期:2019-07-01 00:00:00

  • The role of fentanyl in cancer-related pain.

    abstract::Fentanyl is a lipophilic, short-acting, synthetic opioid with a piperidine chemical structure. Fentanyl is an effective analgesic for cancer pain, and newer formulations such as the transmucosal and buccal forms have shown efficacy for the management of cancer-related breakthrough pain. This article reviews the pharma...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2009.0051

    authors: Prommer E

    更新日期:2009-10-01 00:00:00

  • Regional Variation in Palliative Care Receipt in Ontario, Canada.

    abstract:: Background: Delivery of health services in the province of Ontario is organized into 14 Local Health Integration Networks (LHINs), and further into 76 LHIN subregions, making these a natural unit of comparing the regional differences in palliative care receipt among decede...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0573

    authors: Panarella M,Saarela O,Esensoy AV,Jakda A,Liu ZA

    更新日期:2019-11-01 00:00:00

  • How do we talk to the children? Child life consultation to support the children of seriously ill adult inpatients.

    abstract:BACKGROUND:Families with young children often struggle to talk about and cope with a parent's life-threatening illness and potential death. Adult interdisciplinary palliative medicine teams often feel unprepared to facilitate the open communication with these children that has been shown to reduce anxiety, depression, ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0019

    authors: Sutter C,Reid T

    更新日期:2012-12-01 00:00:00

  • Sedation for terminally ill patients with cancer with uncontrollable physical distress.

    abstract:BACKGROUND:Relief of distressful symptoms in terminally ill patients with cancer is of prime importance. Use of sedation to accomplish this has been the focus of recent medical studies in countries other than Japan. We investigated the influence on consciousness of sedative drugs in a Japanese hospice. DESIGN AND SUBJ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.20

    authors: Kohara H,Ueoka H,Takeyama H,Murakami T,Morita T

    更新日期:2005-02-01 00:00:00

  • Factors associated with falls in patients with cancer hospitalized for palliative care.

    abstract:INTRODUCTION:In geriatrics, most risk factors associated with falls have been identified and management strategies developed accordingly. This is not the case in palliative care. The incidence rate of falls, the consequences related to falls, and other related factors were determined in elderly cancer patients hospital...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2007.0241

    authors: Pautex S,Herrmann FR,Zulian GB

    更新日期:2008-07-01 00:00:00

  • A health economics response to the review of the Liverpool Care Pathway.

    abstract:BACKGROUND:In 2011 the Palliative Care Funding Review highlighted concerns about the funding, provision, and quality of care at the end of life. Two years on, an independent review of the Liverpool Care Pathway--prompted by a storm of negative media coverage--has raised concerns around a lack of funding, availability o...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0464

    authors: Kinghorn P,Coast J

    更新日期:2013-12-01 00:00:00

  • Who enrolls in observational end of life research? Report from the cultural variations in approaches to end of life study.

    abstract:BACKGROUND:Response bias in end of life research is important though not well understood. OBJECTIVES:To compare consenting advanced cancer patient participants and refusers in observational end of life research. We hypothesized that, compared with refusers, consenters would: 1) have a stronger belief in personal gain ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.115

    authors: Phipps E,Harris D,Braitman LE,Tester W,Madison-Thompson N,True G

    更新日期:2005-02-01 00:00:00

  • A Linguistic Model of Communication Types in Palliative Medicine: Effects of Multidrug-Resistant Organisms Colonization or Infection and Isolation Measures in End of Life on Family Caregivers' Knowledge, Attitude, and Practices.

    abstract:: Background: This study examines communication profiles and associated attitudes toward health care professionals in interviews with family caregivers of hospitalized patients with confirmed multidrug-resistant organisms (e.g., methicillin-resistant Staphylococcus aureus or...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0027

    authors: Peters J,Dykes N,Heckel M,Ostgathe C

    更新日期:2019-12-01 00:00:00

  • How Can Activity Monitors Be Used in Palliative Care Patients?

    abstract:: Background: Physical activity in palliative care patients is closely linked to independence, function, carer burden, prognosis, and quality of life. Changes in physical activity can also be related to service provision needs, including requirements for support and prognosi...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0414

    authors: To THM,Currow DC,Swetenham K,Morgan DD,Tieman J

    更新日期:2019-07-01 00:00:00

  • The impact of loneliness on the relationship between depression and pain of Hong Kong Chinese terminally ill patients.

    abstract:BACKGROUND:Depression and pain often coexist in terminally ill patients, but few studies have examined their relationship among larger samples. Other psychosocial factors experienced by patients may become barriers to pain management and affect the relationship between depression and pain. OBJECTIVE:This study aims to...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0555

    authors: Chan WC,Kwan CW,Chi I,Chong AM

    更新日期:2014-05-01 00:00:00

  • Goal-Concordant Care in the Era of Advanced Stroke Therapies.

    abstract::Stroke is a leading cause of disability and mortality worldwide. Recent advances in stroke care now enable patients with severe ischemic stroke owing to large vessel occlusion to safely undergo endovascular thrombectomy (EVT) up to 24 hours since their time of last known well, with the goal of improving functional out...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0667

    authors: Sokol LL,Hauser JM,Lum HD,Forlizzi J,Cerf M,Caprio FZ,Young MJ

    更新日期:2020-05-14 00:00:00

  • Rehospitalization of older adults discharged to home hospice care.

    abstract:BACKGROUND:Acute hospital readmission of older adults receiving hospice care is not aligned with hospice goals. OBJECTIVE:To identify factors associated with 30-day readmission among older adults newly discharged to hospice. DESIGN/SUBJECTS:Medical record review of 59 patients, 19 readmitted within 30 days and 40 ran...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0224

    authors: Goldenheim A,Oates D,Parker V,Russell M,Winter M,Silliman RA

    更新日期:2014-07-01 00:00:00

  • Identifying Connectional Silence in Palliative Care Consultations: A Tandem Machine-Learning and Human Coding Method.

    abstract:: Background: Systematic measurement of conversational features in the natural clinical setting is essential to better understand, disseminate, and incentivize high quality serious illness communication. Advances in machine-learning (ML) classification of human speech offer ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0270

    authors: Durieux BN,Gramling CJ,Manukyan V,Eppstein MJ,Rizzo DM,Ross LM,Ryan AG,Niland MA,Clarfeld LA,Alexander SC,Gramling R

    更新日期:2018-12-01 00:00:00

  • Repeat dose opioids may be effective for breathlessness in chronic heart failure if given for long enough.

    abstract:BACKGROUND:The longer-term effects of opioids for breathlessness are not known in people with chronic heart failure (CHF). OBJECTIVE:Our aim was to assess the longer-term effect of oral opioids on breathlessness due to CHF. METHODS:We conducted a 3-month open-label extension to a crossover randomized controlled trial...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2012.0270

    authors: Oxberry SG,Bland JM,Clark AL,Cleland JG,Johnson MJ

    更新日期:2013-03-01 00:00:00

  • The palliative care advanced practice nurse.

    abstract::The emerging role of the advanced practice nurse (APN) as a palliative care provider is gaining increased recognition in the United States. The APN's ability to perform comprehensive physical evaluations, order and interpret diagnostics, and prescribe appropriate medications while receiving reimbursement allow this pr...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662103322515211

    authors: Kuebler KK

    更新日期:2003-10-01 00:00:00

  • A demographic and prognostic approach to defining the end of life.

    abstract::Studies examining individuals' preferences reflect a broad consensus that the end of life is a period during which medical care should be different from that in other periods in patients' lives. More specifically, patients, families, and health care providers believe that medical care during this unique period should ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2005.8.s-12

    authors: Lamont EB

    更新日期:2005-01-01 00:00:00

  • Resources for Educating, Training, and Mentoring Nurses and Unregulated Nursing Care Providers in Palliative Care: A Review and Expert Consultation.

    abstract:BACKGROUND:Nurses and nursing care providers provide the most direct care to patients at end of life. Yet, evidence indicates that many feel ill-prepared for the complexity of palliative care. OBJECTIVE:To review the resources required to ensure adequate education, training, and mentorship for nurses and nursing care ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0395

    authors: Pesut B,Greig M

    更新日期:2018-01-01 00:00:00