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Review Article: A Model of Palliative Care for Heart FailureCollege of Medicine The Pennsylvania State University, Hershey, Pennsylvania, jxh37{at}psu.edu, School of Nursing, College of Medicine, The Pennsylvania State University, University Park, Pennsylvania
School of Nursing, College of Medicine, The Pennsylvania State University, University Park, Pennsylvania
School of Nursing, College of Medicine, The Pennsylvania State University, University Park, Pennsylvania 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.
Key Words: palliative care • heart failure • illness trajectories • models
This version was published on October
1, 2009 American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 5,
399-404 (2009) |
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