Document Detail


End-of-life care in heart failure.
MedLine Citation:
PMID:  19379638     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical syndrome of heart failure is increasing in prevalence, as is the number of elderly persons with heart failure. Increasing frailty and progression of heart failure in large numbers of patients means clinicians are increasingly challenged to provide end-of-life care for heart failure patients. End-of-life care has been little studied, but management can be understood from early clinical trials of advanced heart failure. Evidence-based heart failure medications, including angiotensin-converting enzyme inhibitors and beta blockers, improve symptoms in patients with advanced heart failure and depressed ejection fraction and should usually be continued in end-stage disease. Patients also should have ongoing meticulous management of fluid status to maximize quality of life. End-of-life care should be planned with the patient and family and should incorporate comprehensive symptom management, bereavement support, and spiritual support. Ongoing communication with patients and families about prognosis can ease the planning of care when the end of life nears.
Authors:
Sarah J Goodlin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  11     ISSN:  1534-3170     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-21     Completed Date:  2009-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  184-91     Citation Subset:  IM    
Affiliation:
Patient-centered Education and Research, 681 East 17th Avenue, Salt Lake City, UT 84103, USA. sjg-pcer@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Advance Directives*
Aged
Aged, 80 and over
Attitude to Death*
Communication
Evidence-Based Medicine
Female
Heart Failure / diagnosis,  mortality*,  therapy*
Hospice Care / standards,  trends
Humans
Life Support Care / standards*,  trends
Male
Patient Rights
Physician-Patient Relations
Quality of Health Care
Randomized Controlled Trials as Topic
Right to Die
Sensitivity and Specificity
Spiritual Therapies
Terminal Care / methods
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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