Nursing concerns with palliative care and at the end-of-life in patients with heart failure

Cheryl Westlake,1 Valerie Joy Smith2 1School of Nursing, Azusa Pacific University, Azusa, CA, USA; 2Department of Nursing, Keck Medical Center of University of Southern California, Los Angeles, CA, USA Abstract: Patients with chronic heart failure (HF) suffer from numerous symptoms and quality-of-...

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Autores principales:	Westlake C, Smith VJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/97ef1a5904a2451f8ab43bec7e43c60e
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spelling	oai:doaj.org-article:97ef1a5904a2451f8ab43bec7e43c60e2021-12-02T05:46:28ZNursing concerns with palliative care and at the end-of-life in patients with heart failure2230-522Xhttps://doaj.org/article/97ef1a5904a2451f8ab43bec7e43c60e2015-02-01T00:00:00Zhttp://www.dovepress.com/nursing-concerns-with-palliative-care-and-at-the-end-of-life-in-patien-peer-reviewed-article-NRRhttps://doaj.org/toc/2230-522X Cheryl Westlake,1 Valerie Joy Smith2 1School of Nursing, Azusa Pacific University, Azusa, CA, USA; 2Department of Nursing, Keck Medical Center of University of Southern California, Los Angeles, CA, USA Abstract: Patients with chronic heart failure (HF) suffer from numerous symptoms and quality-of-life (QOL) concerns, and thus, palliative care, a multidisciplinary approach that includes the family and focuses on the improvement of patients' and their families' QOL through the relief of physical, psychosocial, and spiritual suffering, is needed. The transition to hospice care is made when HF is refractory to medical therapy or when the potential harm of treatment outweighs the potential benefits. Nurses are key persons for patients with HF as they may initiate and support palliative and hospice care, focus on delivering patients' goal-directed, well-coordinated care, champion patients' and caregivers' needs, and facilitate optimal QOL. Despite the inclusion of palliative and hospice care for HF patients in published guidelines, health care providers are frequently unfamiliar with palliative and hospice care and the needs of HF patients and their families. Therefore, this paper addresses the nurses' role in determining for whom, and when palliative and hospice care is appropriate; where and how palliative and hospice care should be provided; and the communication needs of patients and their families regarding referral to hospice, emergencies, implantable cardioverter-defibrillator therapy, ventricular assist devices, and continuous intravenous inotropic or vasoactive support at the end-of-life. Keywords: palliative care, hospice care, end of life care, palliative care nursing, hospice care nursing, heart failure, heart failure therapyWestlake CSmith VJDove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2015, Iss default, Pp 33-47 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Westlake C Smith VJ Nursing concerns with palliative care and at the end-of-life in patients with heart failure
description	Cheryl Westlake,1 Valerie Joy Smith2 1School of Nursing, Azusa Pacific University, Azusa, CA, USA; 2Department of Nursing, Keck Medical Center of University of Southern California, Los Angeles, CA, USA Abstract: Patients with chronic heart failure (HF) suffer from numerous symptoms and quality-of-life (QOL) concerns, and thus, palliative care, a multidisciplinary approach that includes the family and focuses on the improvement of patients' and their families' QOL through the relief of physical, psychosocial, and spiritual suffering, is needed. The transition to hospice care is made when HF is refractory to medical therapy or when the potential harm of treatment outweighs the potential benefits. Nurses are key persons for patients with HF as they may initiate and support palliative and hospice care, focus on delivering patients' goal-directed, well-coordinated care, champion patients' and caregivers' needs, and facilitate optimal QOL. Despite the inclusion of palliative and hospice care for HF patients in published guidelines, health care providers are frequently unfamiliar with palliative and hospice care and the needs of HF patients and their families. Therefore, this paper addresses the nurses' role in determining for whom, and when palliative and hospice care is appropriate; where and how palliative and hospice care should be provided; and the communication needs of patients and their families regarding referral to hospice, emergencies, implantable cardioverter-defibrillator therapy, ventricular assist devices, and continuous intravenous inotropic or vasoactive support at the end-of-life. Keywords: palliative care, hospice care, end of life care, palliative care nursing, hospice care nursing, heart failure, heart failure therapy
format	article
author	Westlake C Smith VJ
author_facet	Westlake C Smith VJ
author_sort	Westlake C
title	Nursing concerns with palliative care and at the end-of-life in patients with heart failure
title_short	Nursing concerns with palliative care and at the end-of-life in patients with heart failure
title_full	Nursing concerns with palliative care and at the end-of-life in patients with heart failure
title_fullStr	Nursing concerns with palliative care and at the end-of-life in patients with heart failure
title_full_unstemmed	Nursing concerns with palliative care and at the end-of-life in patients with heart failure
title_sort	nursing concerns with palliative care and at the end-of-life in patients with heart failure
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/97ef1a5904a2451f8ab43bec7e43c60e
work_keys_str_mv	AT westlakec nursingconcernswithpalliativecareandattheendoflifeinpatientswithheartfailure AT smithvj nursingconcernswithpalliativecareandattheendoflifeinpatientswithheartfailure
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Nursing concerns with palliative care and at the end-of-life in patients with heart failure

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