Managing palliative care for adults with advanced heart failure

S. Kaasalainen, K. Willison, P.H. Strachan, K. Brazil, D. Marshall, A. Taniguchi, L. Dolovich, C. Demers

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

The purpose of this study was to explore the care processes experienced by community-dwelling adults dying from advanced heart failure, their family caregivers, and their health-care providers. A descriptive qualitative design was used to guide data collection, analysis, and interpretation. The sample comprised 8 patients, 10 informal caregivers, 11 nurses, 3 physicians, and 3 pharmacists. Data analysis revealed that palliative care was influenced by unique contextual factors (i.e., cancer model of palliative care, limited access to resources, prognostication challenges). Patients described choosing interventions and living with fatigue, pain, shortness of breath, and functional decline. Family caregivers described surviving caregiver burden and drawing on their faith. Health professionals described their role as trying to coordinate care, building expertise, managing medications, and optimizing interprofessional collaboration. Participants strove towards 3 outcomes: effective symptom management, satisfaction with care, and a peaceful death.
Original languageEnglish
Pages (from-to)38-57
Number of pages20
JournalCanadian Journal of Nursing Research
Volume43
Issue number3
Publication statusPublished - 01 Sep 2011

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    Kaasalainen, S., Willison, K., Strachan, P. H., Brazil, K., Marshall, D., Taniguchi, A., Dolovich, L., & Demers, C. (2011). Managing palliative care for adults with advanced heart failure. Canadian Journal of Nursing Research, 43(3), 38-57.