Prevalence of Advanced Heart Failure Utilizing the Latest Published Definitions Yields Higher Than Previously Published Data

Creamer, Andrea; Homer, Sarah; Pudlo, Michael; Daniel, Carl; Bionat, Susan; Bhimaraj, Arvind

doi:10.1016/j.cardfail.2015.06.216

Cited by 2 publications

(1 citation statement)

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“…1 At least 5% of this group suffers from symptoms at minimal exercise or at rest [Class III or IV of HF according to New York Heart Association (NYHA) classification] despite optimal cardiologic management. [2][3][4] People with advanced HF have a risk of premature death (80% of people with advanced HF die within 5 years) and report physical symptoms, psychosocial burdens, and spiritual needs similar to those reported by people with other advanced diseases, including cancer. [5][6][7] Scientific societies representing palliative care (PC), including the European Association for Palliative Care (EAPC), and cardiology, including the European Society of Cardiology recommend PC for people with advanced HF in order to improve their quality of life (QoL) and dying.…”

Section: Introductionmentioning

confidence: 97%

Palliative care for people living with heart failure: European Association for Palliative Care Task Force expert position statement

Sobański

Alt-Epping

Currow

et al. 2019

Cardiovascular Research

137

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Contrary to common perception, modern palliative care (PC) is applicable to all people with an incurable disease, not only cancer. PC is appropriate at every stage of disease progression, when PC needs emerge. These needs can be of physical, emotional, social, or spiritual nature. This document encourages the use of validated assessment tools to recognize such needs and ascertain efficacy of management. PC interventions should be provided alongside cardiologic management. Treating breathlessness is more effective, when cardiologic management is supported by PC interventions. Treating other symptoms like pain or depression requires predominantly PC interventions. Advance Care Planning aims to ensure that the future treatment and care the person receives is concordant with their personal values and goals, even after losing decision-making capacity. It should include also disease specific aspects, such as modification of implantable device activity at the end of life. The Whole Person Care concept describes the inseparability of the physical, emotional, and spiritual dimensions of the human being. Addressing psychological and spiritual needs, together with medical treatment, maintains personal integrity and promotes emotional healing. Most PC concerns can be addressed by the usual care team, supported by a PC specialist if needed. During dying, the persons’ needs may change dynamically and intensive PC is often required. Following the death of a person, bereavement services benefit loved ones. The authors conclude that the inclusion of PC within the regular clinical framework for people with heart failure results in a substantial improvement in quality of life as well as comfort and dignity whilst dying.

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