TY - JOUR
T1 - Integration of a palliative approach into heart failure care: a European Society of Cardiology Heart Failure Association position paper
AU - Hill, Loreena
AU - Jaarsma, Tiny
AU - Geller , Tal Prager
AU - Barauh, Resham
AU - Beattie, James M.
AU - Di Stolfo, Giuseppe
AU - Lambrinou, Ekaterini
AU - Boyne, Josiane
AU - Uchmanowicz, Izabella
AU - Čelutkiene, Jelena
AU - Piepoli, Massimo Francesco
AU - Rutten, Frans H.
AU - Jankowska, Ewa A.
AU - Chioncel, Ovidiu
AU - Seferovic, Petar M
AU - Ruschitzka, Frank
AU - Coats, Andrew J S
AU - Stromberg, Anna
AU - de Stoutz, Noemi
AU - Skibelund, Anne
PY - 2020/12
Y1 - 2020/12
N2 - The Heart Failure Association of the European Society of Cardiology has published a previous position paper and various guidelines over the past decade recognizing the value of palliative care for those affected by this burdensome condition. Integrating palliative care into evidence-based heart failure management remains challenging for many professionals, as it includes the identification of palliative care needs, symptom control, adjustment of drug and device therapy, advance care planning, family and informal caregiver support, and trying to ensure a “good death”. This new position paper aims to provide day-to-day practical clinical guidance on these topics, supporting the coordinated provision of palliation strategies as goals of care fluctuate along the heart failure disease trajectory. The specific components of palliative care for symptom alleviation, spiritual and psychosocial support, and the appropriate modification of guideline-directed treatment protocols, including drug deprescription and device deactivation, are described for the chronic, crisis and terminal phases of heart failure.
AB - The Heart Failure Association of the European Society of Cardiology has published a previous position paper and various guidelines over the past decade recognizing the value of palliative care for those affected by this burdensome condition. Integrating palliative care into evidence-based heart failure management remains challenging for many professionals, as it includes the identification of palliative care needs, symptom control, adjustment of drug and device therapy, advance care planning, family and informal caregiver support, and trying to ensure a “good death”. This new position paper aims to provide day-to-day practical clinical guidance on these topics, supporting the coordinated provision of palliation strategies as goals of care fluctuate along the heart failure disease trajectory. The specific components of palliative care for symptom alleviation, spiritual and psychosocial support, and the appropriate modification of guideline-directed treatment protocols, including drug deprescription and device deactivation, are described for the chronic, crisis and terminal phases of heart failure.
U2 - 10.1002/ejhf.1994
DO - 10.1002/ejhf.1994
M3 - Review article
VL - 22
SP - 2327
EP - 2340
JO - European journal of heart failure : journal of the Working Group on Heart Failure of the European So
JF - European journal of heart failure : journal of the Working Group on Heart Failure of the European So
SN - 1388-9842
IS - 12
ER -