A Description of Inpatient Palliative Care Actions for Patients With Acute Heart Failure
| Autor: | Justin Kirven, Ann Jorgenson, Abbey C. Sidebottom, Hallie Richards |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Palliative care 030204 cardiovascular system & hematology Patient Care Planning law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial Standard care law medicine Humans Pain Management 030212 general & internal medicine Intensive care medicine Depression (differential diagnoses) Curative care Aged Retrospective Studies Aged 80 and over Heart Failure Patient Care Team Inpatients business.industry Palliative Care Symptom burden General Medicine Middle Aged medicine.disease Heart failure Quality of Life business |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 33:863-870 |
| ISSN: | 1938-2715 1049-9091 |
| DOI: | 10.1177/1049909115593064 |
| Popis: | In a recent randomized trial, inpatient palliative care (PC) visits were associated with improved quality of life and symptom burden for patients with heart failure. To better understand what actions by PC providers may have led to those outcomes, we conducted chart reviews of 101 patients in the intervention group (who received PC). Palliative care actions are described for all patients and for those with higher symptoms. Orders were written for 24% of patients, most frequently for pain. Recommendations to change current care were made for 40% of patients. At least 1 element of future care planning was documented for 99% of patients. Palliative care for inpatients with HF led to additive actions beyond standard care, especially for pain, and promoted HF-specific goals of care discussions. |
| Databáze: | OpenAIRE |
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