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A model of palliative care for heart failure

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HUPCEY, Judith E. | PENROD, Janice | FENSTERMACHER, Kimberly

The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory. In this article, we propose a new model of palliative care that conceptualizes palliative care as a philosophy of care that encompasses the unpredictable nature of heart failure.

http://dx.doi.org/10.1177/1049909109333935

Voir la revue «The American journal of hospice and palliative care, 26»

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