Heart Failure and Palliative Care

Chapter 6 Supportive care : psychological , social and spiritual aspects Scott
Murray , Marilyn Kendall , Richard Lehman and Miriam Johnson Patients with
heart failure are affected in all aspects of their lives , and patients facing a life -
limiting ...

Heart Failure and Palliative Care

Author: Miriam Johnson

Publisher: Radcliffe Publishing

ISBN: 9781857756432

Page: 150

View: 599

Heart failure is a very common terminal condition but few patients receive proper palliative care. This text is full of practical, evidence based advice, and encourages a multidisciplinary team based approrach.

Palliative Care Nursing

Coenzyme Q 10 as an adjunctive in the treatment of chronic congestive heart
failure. The Q 10 Study Group. Journal of Cardiac Failure, 1, 101–107. Jessup, M.
, & Brozena, S. (2003). Heart failure. New England Journal Medicine, 348(10), ...

Palliative Care Nursing

Author: Gary Martin, PhD

Publisher: Springer Publishing Company

ISBN: 9780826157928

Page: 592

View: 613

This textbook has...introduced concepts and methods of education which [help] to move palliative nursing forward as an evidenced based practice of whole person care. -- Betty Ferrell, PhD, FAAN Research Scientist (From the Foreword) In this comprehensive textbook on palliative care nursing, editors Marianne Matzo and Deborah Witt Sherman succeed in bringing together the heart of nursing and the true meaning of palliative care with the most current evidence based practice. --GeriPal Palliative care is a philosophy of caregiving that integrates disease modification with supportive, compassionate therapies for patients at the end of life. Palliative care nurses are responsible for alleviating pain and other physical symptoms-along with satisfying the emotional, social, cultural, and spiritual needs of patients who are facing life-threatening illness. This third edition of Palliative Care Nursing provides more comprehensive newly updated content, knowledge, attitudes, skills, and cutting-edge teaching and learning strategies to achieve the AACN End-of-Life nursing competencies providing a lifespan approach. Now in its third edition, this book continues to emphasize the value of complementary, holistic modalities in promoting health, wholeness, and wellness, even as death approaches. Key topics discussed: Ethical aspects of palliative care Legal aspects of end-of-life decision-making Loss, suffering, grief, and bereavement on the part of patients and their families Symptom-specific nursing management of pain, anxiety, depression, fatigue, malnutrition, and dehydration-all common to palliative care How to communicate with the seriously ill and dying patients, their families, and their health care providers Disease-specific aspects of palliative care for those battling cancer, heart disease, lung disease, HIV/AIDS, end-stage renal and liver disease, neurological, and other disorders

Heart Failure Second Edition

Heart. failure. and. palliative. care. Joshua M. Hauser and Robert O. Bonow
INTRODUCTION Palliative Care and Hospice Palliative care is care that aims to
treat suffering and to improve the quality of life of patients and their families with ...

Heart Failure  Second Edition

Author: Marc Semigran

Publisher: CRC Press

ISBN: 1420077015

Page: 500

View: 939

Heart Failure, Second Edition has been updated to provide the latest advancements in heart failure research. Supplemented by more than 200 high-quality figures and illustrations, the book helps cardiologists and emergency care physicians quickly and accurately identify the cause and severity of a patient’s cardiac impairment. New topics in this edition include: Developments in mechanical and pharmacologic treatments Discoveries in developmental biology Up-and-coming imaging modalities Surgical options for mechanical circulatory support and cardiac transplantation Pharmacogenomics and gene-based and cell-based therapies Gene expression/recurrence in heart failure Changes in metabolic substrate utilization and pathways

Palliative Care E Book

physicians' understanding of the roles of different specialists and disciplines
caring for patients. It is likely that each of these may be a barrier for the optimum
delivery of palliative care to patients with heart failure. The authors interpreted
their ...

Palliative Care E Book

Author: Linda L. Emanuel

Publisher: Elsevier Health Sciences

ISBN: 1437735975

Page: 640

View: 575

Find out all you need to know about providing high-quality care to patients with serious illnesses from the 2nd edition of Palliative Care: Core Skills and Clinical Competencies. Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the field, address the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. They give you a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control, ethical issues, and more. Clearly written in a user-friendly, high-yield format, this resource is your ultimate guidebook to the burgeoning practice of palliative medicine. Improve your pain management and symptom management skills with a better understanding of best practices in palliative care. Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease. Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings, such as the ICU, hospice, and the home; and to diverse populations, such as children, elders, and vulnerable members of society. Expand your knowledge of palliative care issues with new chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship. Find the information you need quickly and easily with a templated, high-yield format.

Team Based Care for Heart Failure An Issue of Heart Failure Clinics

However, a national shortage of palliative care specialists exists along with the
proliferation of heart failure in older patients with multimorbidity.31 Therefore, a
shared-care approach is crucial. By improving clinician skills and allaying fears ...

Team Based Care for Heart Failure  An Issue of Heart Failure Clinics

Author: Gregg C. Fonarow

Publisher: Elsevier Health Sciences

ISBN: 032339101X

Page: 177

View: 219

This issue of Heart Failure Clinics examines the critical role of team-based care in the management of patients with heart failure. Articles address Team-Based Care for Prevention, Patients Hospitalized with Heart Failure, Transitions of Care, Outpatients, Managing Cardiac Comorbidities, Managing Non-cardiac Conditions, Cardiac Rehabilitation and Exercise Training, External Telemonitoring, Ambulatory Hemodynamic Cardiac Device Monitoring, Advanced Heart Failure, and Palliative and End-of-Life Care.

Heart Failure An Issue of Critical Nursing Clinics E Book

“Principles for Palliative Care”10; Goodlin's “Palliative Care in Congestive Heart
Failure”41; the International Association for Hospice and Palliative Care (OAHPC
), “IAHPC List of Essential Practice in Palliative Care”43; and Pastor and Moore's
 ...

Heart Failure  An Issue of Critical Nursing Clinics  E Book

Author: Jennifer Kitchens

Publisher: Elsevier Health Sciences

ISBN: 0323402437

Page: 12

View: 286

Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems. The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients’ finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.

Braunwald s Heart Disease E Book

Hanratty B, Hibbert D, Mair F, et al: Doctor's perceptions of palliative care for
heart failure: Focus group study. BMJ 325:581, 2002. Easson AM, Crosby JA,
Librach SL: Discussion of death and dying in surgical textbooks. Am J Surg 182:
34, ...

Braunwald s Heart Disease E Book

Author: Robert O. Bonow

Publisher: Elsevier Health Sciences

ISBN: 1437727700

Page: 2048

View: 975

Braunwald’s Heart Disease remains your indispensable source for definitive, state-of-the-art answers on every aspect of contemporary cardiology. Edited by Drs. Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, and Peter Libby, this dynamic, multimedia reference helps you apply the most recent knowledge in molecular biology and genetics, imaging, pharmacology, interventional cardiology, electrophysiology, and much more. Weekly updates online, personally selected by Dr. Braunwald, continuously keep you current on the most important new developments affecting your practice. Enhanced premium online content includes new dynamic cardiac imaging videos, heart sound recordings, and podcasts. With sweeping updates throughout, and contributions from a "who’s who" of global cardiology, Braunwald’s is the cornerstone of effective practice. Continuously access the most important new developments affecting your practice with weekly updates personally selected by Dr. Braunwald, including focused reviews, "hot off the press" commentaries, and late-breaking clinical trials. Practice with confidence and overcome your toughest challenges with advice from the top minds in cardiology today, who synthesize the entire state of current knowledge and summarize all of the most recent ACC/AHA practice guidelines. Locate the answers you need fast thanks to a user-friendly, full-color design with more than 1,200 color illustrations. Search the complete contents online at www.expertconsult.com. Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart disease, ethics in cardiovascular medicine, the design and conduct of clinical trials, and many other timely topics. Hone your clinical skills with new dynamic cardiac imaging videos, heart sound recordings, and podcasts at www.expertconsult.com.

Palliative Care

Symptom management for pain, dyspnea, and depression is the primary goal of
palliativetreatment. Device technology has improved survival for patients but
has become a potential source • of suffering as well. “Palliative” treatments for
CHF ...

Palliative Care

Author: Jane E. Loitman

Publisher: Springer Science & Business Media

ISBN: 1607615908

Page: 83

View: 279

A clinical case-based handbook has a role in general clinicians’ practice of caring for patients with serious or life-limiting illness. The explosion of the field of Hospice and Palliative Medicine impacts all physicians and healthcare providers. Fellowship trained s- cialists graduate in greater numbers annually. These and more seasoned specialists are now certified by the American Board of Medical Specialties as subspecialists. Research in this field is expanding in scope and quantity, and peer reviewed journals devoted to this work are multiplying. Moreover, peer reviewed journals in primary care and other subspecialties of medicine regularly include papers that focus on end-of-life care, quality of life issues, and symptom management. Overall then, access to clinical information necessary to care for patients with life-limiting illness is not only essential, but also increasingly available. This case-based clinical book aims to help with the actual practice of caring for patients with life-limiting illness. Numerous texts and journals exist to provide the data to inform care, yet there remains a need to find practical points and information about the practical application of the principles of palliative care. Thus, we hope that the cases, key points, and practical tips will help health care providers who are not experts already in palliative care in the care of patients with serious illness and challenging problems. Some chapters follow one patient through the course of an illness to highlight the applicability of palliative care throughout the disease process.

Choices in Palliative Care

8 Palliative Care and Chronic Heart Failure Vikas Bhatara MD, Edmund H.
Sonnenblick MD, Thierry H. Le Jemtel MD, and Vladimir Kvetan MD 1.
Introduction Congestive heart failure is a serious and ultimately fatal illness, and
there is ...

Choices in Palliative Care

Author: Arthur Blank

Publisher: Springer Science & Business Media

ISBN: 0387708758

Page: 234

View: 295

Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients’ evolving needs. Those teaching health service delivery courses will find this material especially useful.

Heart Failure

Palliative care barriers The traditional view of chronic disease management and
palliative care, whereby chronic disease management needs to end before
palliative care management can start, is described more fully in b Chapter 3.

Heart Failure

Author: Miriam Johnson

Publisher: OUP Oxford

ISBN: 0191559539

Page: 240

View: 693

Excellent end of life care for people with heart failure is challenging but possible. Failure to address this aspect of care has serious consequences for patients, their families, clinicians and the use of health resources. Heart Failure: From Advanced Disease to Bereavement illustrates the complexity and importance of end of life care for patients with advanced heart failure. This book is a pocket reference for everyday use in the clinic, ward or home visit for all doctors, nurses and AHPs caring for people with advanced heart failure. It outlines the underlying pathophysiology of heart failure, summarises standard pharmacological and device therapy, and sets the context of the challenges resulting from an unpredictable course of disease. In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management, how to communicate honestly in the face of uncertainty, the rationalisation of medication and device therapies at the end of life, symptom control, care for the dying, and care after death.

Heart Failure A Companion to Braunwald s Heart Disease E book

Underpinnings of a palliative care model in late-stage heart failure. ICD,
implantable cardioverter-defibrillator. 883 CH 61 884 CH 61 PAIN SYNDROMES
Identify cause (angina, claudication, gout,. to relieve congestion.57 Willingness to
trade ...

Heart Failure  A Companion to Braunwald s Heart Disease E book

Author: Douglas L. Mann

Publisher: Elsevier Health Sciences

ISBN: 1437703631

Page: 928

View: 636

Dr. Douglas L. Mann, one of the foremost experts in the field, presents the 2nd Edition of Heart Failure: A Companion to Braunwald’s Heart Disease. This completely reworked edition covers the scientific and clinical guidance you need to effectively manage your patients and captures the dramatic advances made in the field over the last five years. Now in full color, this edition features eleven new chapters, including advanced cardiac imaging techniques, use of biomarkers, cell-based therapies and tissue engineering, device therapies, and much more. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Use this Braunwald’s companion as the definitive source to prepare for the ABIM’s new Heart Failure board exam. Access the fully searchable contents of the book online at Expert Consult. This edition includes 67 new authors, who are experts in the field of heart failure Stay on the cutting edge with new chapters on: The latest practice guidelines for medical and device therapy Hemodynamic assessment of heart failure Contemporary medical therapy for heart failure patients with reduced and preserved ejection fraction Biomarkers in heart failure Pulmonary hypertension Management of co-morbidities in heart failure Mechanical cardiac support devices Get up to speed with the latest clinical trials, as well as how they have influenced current practice guidelines Explore what’s changing in key areas such as basic mechanisms of heart failure, genetic screening, cell and gene therapies, pulmonary hypertension, heart failure prevention, co-morbid conditions, telemedicine/remote monitoring, and palliative care

Heart Failure An Issue of Cardiology Clinics

Patients with refractory heart failure should be referred to a cardiologist with
advanced heart failure training to evaluate these options. PALLIATIVE CARE IN
HEART FAILURE Sadly, despite our best medical therapies and treatment
options, ...

Heart Failure  An Issue of Cardiology Clinics

Author: Howard J Eisen

Publisher: Elsevier Health Sciences

ISBN: 0323277837

Page: 610

View: 516

Over 5.7 million people in America carry a diagnosis of heart failure, the incidence of which approaches 1 in 100 people over the age of 65. The cost to society is estimated at $29 billion annually and over 1.1 million hospital admissions. For hospitalized heart failure patients, the 30-day readmission rate approaches 25%. As our population ages these numbers are expected to grow. This issue of Cardiology Clinics helps practitioners to manage patients at all ACC/AHA stages of heart failure and addresses key issues that include sudden cardiac death, arrhythmias, acute decompensated heart failure, and heart failure with preserved ejection fraction.

Key Concepts in Palliative Care

Until fairly recently, palliative care was primarily geared towards patients with a
cancer diagnosis. However, the Coronary Heart Disease Collaborative (
Department of Health, 2004) acknowledges that 'heart failure produces greater
suffering ...

Key Concepts in Palliative Care

Author: Moyra A Baldwin

Publisher: SAGE

ISBN: 1446248003

Page: 256

View: 658

Do you need a succinct introduction to the key theories and principles of palliative care and their application to practice? Key Concepts in Palliative Care provides just this in a compact, fifty-concept guide to the field. Taking account of the government's "End of Life Care Strategy", contributors set out the key issues affecting practice across a range of health and social care contexts. The book covers topics ranging from dying and death to symptom management and spiritual care, backed up with practical examples. Each entry comprises: o a snapshot definition of the topic o key points o a discussion of the main debates o links to practice through thought-provoking case histories, and o suggestions for further reading. Key Concepts in Palliative Care is an ideal text and handy source of reference for health and social care professionals who are developing their knowledge and skills in palliative care.

Acute Heart Failure

Care near the end of life (EOL) for critically ill patients is emerging as an essential
task in cardiology and heart failure ... Then, three ways of optimizing EOL care in
the ICU are explored (incorporation of palliative care skills into critical care ...

Acute Heart Failure

Author: Alexandre Mebazaa

Publisher: Springer Science & Business Media

ISBN: 9781846287824

Page: 931

View: 633

For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Mechanical Circulatory Support A Companion to Braunwald s Heart Disease Ebook

The focus of palliative care is on improving quality of life through prevention and
relief of suffering by treatment of symptoms and ... Pang PS, Komajda M,
Gheorghiade M. The current and future management of acute heart failure
syndromes.

Mechanical Circulatory Support  A Companion to Braunwald s Heart Disease Ebook

Author: Robert L. Kormos

Publisher: Elsevier Health Sciences

ISBN: 1455727008

Page: 384

View: 872

Mechanical Circulatory Support, by Drs. Robert L. Kormos and Leslie W. Miller, provides the clinically relevant information you need to effectively use this therapy to treat and manage end-stage cardiovascular disease. In this Companion to Braunwald’s Heart Disease, the world’s most prominent experts in mechanical circulatory support (MCS) cover basic science, device construction, clinical applications, socioeconomic implications, future directions, and more. Stay on top of hot topics - including innovative devices like continuous flow pumps, next-generation centrifugal pumps, and total artificial hearts; MCS for pediatric and congenital heart disease; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Tap into discussions of hot topics in mechanical circulatory support (MCS), including current types of devices and clinical settings for MCS; MCS for pediatric and congenital heart disease; myocardial recovery, regenerative therapy, bleeding and thrombosis with MCS; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Get a complete picture of the role of mechanical circulatory support in treatment through coverage of device construction, clinical applications, socioeconomic implications, and future directions. Master the pathophysiology and rationale of treatment with discussions of basic science in addition to clinically-relevant information and current clinical practice guidelines. Apply the expertise of the world’s most prominent leaders in mechanical circulatory support.

Heart Failure

If no reversible causes of disease progression are identified, patients should be
evaluated for advanced therapies (cardiac transplantation or mechanical
circulatory support), or if not eligible for such therapies, for palliative care and
hospice ...

Heart Failure

Author: Stuart D. Katz

Publisher: Oxford University Press

ISBN: 0199917086

Page: 118

View: 270

Heart Failure synthesizes established clinical guidelines for the management of heart failure in an easy-to-use handbook for busy clinicians.

Management of Acute Decompensated Heart Failure

heart. failure. patient. Cheryl H Zambroski, Lynn P Roser, Debra K Moser The
concept of palliative care has continued to ... Introduction Despite recent data
suggesting that heart failure is more malignant than many common types of
cancer,1 ...

Management of Acute Decompensated Heart Failure

Author: Christopher O'Connor

Publisher: CRC Press

ISBN: 0203421345

Page: 644

View: 173

Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of con

Handbook of Palliative Care

... to refuse treatment AD advance directive ADA After Death Analysis AND allow
natural death ALS amyotrophic lateral sclerosis BPI Brief Pain Inventory CPR
cardiopulmonary resuscitation CVD cardiovascular disease CP care professional
 ...

Handbook of Palliative Care

Author: Christina Faull

Publisher: John Wiley & Sons

ISBN: 1118426819

Page: 392

View: 451

This handbook offers a practical, thorough approach to the clinical practice of palliative care. Adding North American authors to its roster of UK contributors, the third edition of this award-winning book addresses important changes in the evidence base of palliative care, as well as an emphasis on end-of-life community-based care. It features new chapters on dementia and advance care planning, a simplified lymphoedema discussion, and an ongoing commitment to providing essential guidance for physicians, nurses, and all primary care providers involved in palliative care in hospital, hospice, and community settings.

Innovations in Cancer and Palliative Care Education

The NHS Cancer Plan published in 2000 had palliative care at its heart ( or not
too far from it , anyway ) and in 2004 ... have called for palliative care to be
available to people with disorders such as neurodegenerative disease or heart
failure .

Innovations in Cancer and Palliative Care Education

Author: Lorna Foyle

Publisher: Radcliffe Publishing

ISBN: 9781846190568

Page: 280

View: 651

"This practical, evidence-based guide has been specifically designed for teachers in cancer and palliative care. It is completely up-to-date and covers the recent complex changes in cancer and palliative care delivery, offering a range of different, creative approaches. Ideal for training, the text includes highlighted key points, self help questions for reflection, and references where applicable. It provides invaluable guidance for all healthcare professionals with palliative care teaching responsibilities, including undergraduate and postgraduate healthcare educators and Macmillan lecturers."--PUBLISHER'S WEBSITE.

Manual of Heart Failure Management

Palliative care specialists may be helpful in discussing therapeutic options with
patients when prognosis is more uncertain and goals of treatment have not been
well-defined. MAXIMIZING QUALITY OF LIFE Health-Related Quality of Life How
 ...

Manual of Heart Failure Management

Author: John D. Bisognano

Publisher: Springer Science & Business Media

ISBN: 9781848821859

Page: 266

View: 101

Practical simple reference for understanding current management of heart failure Provides pathophysiology and pharmacology to explain the key points Focuses mostly on patient management issues