Integrating palliative care into heart failure care

Paul J. Hauptman, Edward P. Havranek

Research output: Contribution to journalReview article

111 Citations (Scopus)

Abstract

Heart failure is a condition for which both palliative care and hospice care can be appropriate. The disease's increasing prevalence and predilection for elderly patients with significant comorbidity underscore the need to integrate these modes of care with the acute care approach that has dominated heart failure treatment. We propose integration of a palliative care approach early in the course of heart failure treatment and a tiered process for selecting patients for hospice care. A transition of the focus to palliative care rather than mortality reduction should occur over time, when clinical status deteriorates and advanced therapeutic options become inappropriate or ineffective. Failure to respond to the need for palliative care puts at risk the mandate to treat the patient with heart failure during the entire course of illness.

Original languageEnglish (US)
Pages (from-to)374-378
Number of pages5
JournalArchives of Internal Medicine
Volume165
Issue number4
DOIs
StatePublished - Feb 28 2005

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Palliative Care
Heart Failure
Hospice Care
Comorbidity
Patient Care
Therapeutics
Mortality

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

Integrating palliative care into heart failure care. / Hauptman, Paul J.; Havranek, Edward P.

In: Archives of Internal Medicine, Vol. 165, No. 4, 28.02.2005, p. 374-378.

Research output: Contribution to journalReview article

Hauptman, Paul J. ; Havranek, Edward P. / Integrating palliative care into heart failure care. In: Archives of Internal Medicine. 2005 ; Vol. 165, No. 4. pp. 374-378.
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