Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care

Sonntag, Elizabeth; Rivet, Emily B.; Katz, Jason N.; Noreika, Danielle; Granina, Evgenia

doi:10.1007/978-3-030-80112-0_14

Cited by 1 publication

(1 citation statement)

References 28 publications

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“…Cardiologists are generally late in dealing with these issues due to cultural, training and emotional reasons [ 43 ]. They feel great discomfort initiating discussion on treatment choices with patients and family members at EoL [ 40 ].…”

Section: When Is the Right Moment To Discuss Cardiac Implantable Devi...mentioning

confidence: 99%

Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

Romanò

2022

JCM

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Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer patients, but which are often unmet. This paper analyzes the main unresolved issues regarding the relationship between HF patients and the referral to an early PC program. These issues are presented as ten questions related to which patients should be admitted to PC and at what stage of their disease. Furthermore, the barriers opposing to referral to PC, the role of cardiologists and PC physicians within the care team, the gap between the scientific societies’ suggestions and the real world, the right time to promote patients’ awareness and shared decision making, regarding prognosis, end of life wishes and choices, with reference also to cardiac implantable devices’ deactivation, are discussed. These unresolved questions support the need to reevaluate programs and specific models in achieving equal access to palliative care interventions for HF patients, which is still mainly offered to patients with cancer.

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Section: When Is the Right Moment To Discuss Cardiac Implantable Devi...mentioning

confidence: 99%

Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

Romanò

2022

JCM

View full text Add to dashboard Cite

show abstract

Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care

Cited by 1 publication

References 28 publications

Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

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