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Conference Paper: Supportive cardiology: an innovative practice model to integrate palliative care into the management of advanced heart failure

TitleSupportive cardiology: an innovative practice model to integrate palliative care into the management of advanced heart failure
Authors
Issue Date2018
PublisherBMJ Group. The Journal's web site is located at http://heartasia.bmj.com/
Citation
1st Asia Pacific Advanced Heart Failure Forum (APAHFF), Hong Kong, 15 December 2017. APAHFF Abstracts 2017 in Heart Asia, 2018, v. 10 n. Suppl. 1, p. A7-A8 How to Cite?
AbstractDespite advances in evidence-based treatment to improve survivorship of patients with heart failure, the progressive deteriorating disease trajectory results in an expanding cohort of patients with advanced disease stage. Patients with advanced heart failure experience persistent physical and psychosocial symptoms despite optimal medical therapy. Frequent disease exacerbations require repeated hospitalisations, which heavily reduce the quality of life of patients and their families, and burden the healthcare system. The World Health Organisation advocates palliative care to improve the quality of life of patients with life-limiting diseases. However, palliative care is under-used in heart failure patients. Heart failure is characterised by its unpredictable progression and blurred boundaries between curative and palliative therapy. Therefore, international guidelines advocate an urgent need for a new care model to introduce supportive and palliative care early and gradually along the disease trajectory, overlapping and complementing active curative therapy. Preliminary research evidence is emerging to support the beneficial effects of palliative care interventions on symptom burden, quality of life and hospital service utilisation among patients with advanced heart failure. However, most of the studies focused on separate consultation by physicians or nurses, rather than an integrated heart failure and palliative care service, or providing transitional care in addition to the hospital-based palliative care service. There is no study examining the effects of integration of palliative care into heart failure management. A nurse-coordinated integrated heart failure-palliative care model is proposed.
Persistent Identifierhttp://hdl.handle.net/10722/274154
ISSN
2015 SCImago Journal Rankings: 0.139

 

DC FieldValueLanguage
dc.contributor.authorYu, D-
dc.contributor.authorLi, P-
dc.contributor.authorFung, E-
dc.contributor.authorYuen, JKY-
dc.contributor.authorWoo, J-
dc.contributor.authorChair, SY-
dc.contributor.authorLee, V-
dc.contributor.authorChoi, KC-
dc.contributor.authorLo, R-
dc.date.accessioned2019-08-18T14:56:09Z-
dc.date.available2019-08-18T14:56:09Z-
dc.date.issued2018-
dc.identifier.citation1st Asia Pacific Advanced Heart Failure Forum (APAHFF), Hong Kong, 15 December 2017. APAHFF Abstracts 2017 in Heart Asia, 2018, v. 10 n. Suppl. 1, p. A7-A8-
dc.identifier.issn1759-1104-
dc.identifier.urihttp://hdl.handle.net/10722/274154-
dc.description.abstractDespite advances in evidence-based treatment to improve survivorship of patients with heart failure, the progressive deteriorating disease trajectory results in an expanding cohort of patients with advanced disease stage. Patients with advanced heart failure experience persistent physical and psychosocial symptoms despite optimal medical therapy. Frequent disease exacerbations require repeated hospitalisations, which heavily reduce the quality of life of patients and their families, and burden the healthcare system. The World Health Organisation advocates palliative care to improve the quality of life of patients with life-limiting diseases. However, palliative care is under-used in heart failure patients. Heart failure is characterised by its unpredictable progression and blurred boundaries between curative and palliative therapy. Therefore, international guidelines advocate an urgent need for a new care model to introduce supportive and palliative care early and gradually along the disease trajectory, overlapping and complementing active curative therapy. Preliminary research evidence is emerging to support the beneficial effects of palliative care interventions on symptom burden, quality of life and hospital service utilisation among patients with advanced heart failure. However, most of the studies focused on separate consultation by physicians or nurses, rather than an integrated heart failure and palliative care service, or providing transitional care in addition to the hospital-based palliative care service. There is no study examining the effects of integration of palliative care into heart failure management. A nurse-coordinated integrated heart failure-palliative care model is proposed.-
dc.languageeng-
dc.publisherBMJ Group. The Journal's web site is located at http://heartasia.bmj.com/-
dc.relation.ispartofHeart Asia-
dc.relation.ispartof1st Asia Pacific Advanced Heart Failure Forum (APAHFF), 2017-
dc.rightsHeart Asia. Copyright © BMJ Group.-
dc.titleSupportive cardiology: an innovative practice model to integrate palliative care into the management of advanced heart failure-
dc.typeConference_Paper-
dc.identifier.emailYuen, JKY: jkyuen@hku.hk-
dc.identifier.authorityYuen, JKY=rp02510-
dc.identifier.doi10.1136/heartasia-2018-apahff.22-
dc.identifier.hkuros302233-
dc.identifier.volume10-
dc.identifier.issueSuppl. 1-
dc.identifier.spageA7-
dc.identifier.epageA8-
dc.publisher.placeUnited Kingdom-

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