Palliative Care in Patients with Advanced Heart Failure

被引:21
作者
Kida, Keisuke [1 ]
Doi, Shunichi [2 ]
Suzuki, Norio [3 ]
机构
[1] St Marianna Univ, Dept Nursing, Sch Med, 2-16-1 Sugao Miyamae, Kawasaki, Kanagawa 2168511, Japan
[2] St Marianna Univ, Dept Internal Med, Div Cardiol, Sch Med, 2-16-1 Sugao Miyamae, Kawasaki, Kanagawa 2168511, Japan
[3] St Marianna Univ, Dept Internal Med, Div Cardiol, Sch Med,Yokohama City Seibu Hosp,Asahi Ku, 1197-1 Yasachi Chou, Yokohama, Kanagawa 2410811, Japan
关键词
Advance care planning; Shared decision making; End-of-life; Opioid; Palliative inotrope; Hospice; INDUCED RESPIRATORY DEPRESSION; DECISION-MAKING; RISK INDEX; HOSPITALIZATION; PREVALENCE; EXERCISE; OVERDOSE; MORPHINE; DISEASE; SAFETY;
D O I
10.1016/j.hfc.2019.12.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The heart failure (HF) guidelines recommend palliative care; however, it can often be difficult to determine the timing of palliative care referral. Because HF with fluid retention and low-cardiac output may trigger several unpleasant symptoms, continuous HF treatment is required to alleviate these symptoms in advanced HF. The patients with HF often suffer from total pain; therefore, the support from a multidisciplinary team plays a crucial role to improve quality of life of the patients and their families not only in the terminal phase but also from the early stage.
引用
收藏
页码:243 / +
页数:13
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