Highlights
- •More patients are hospitalized for heart failure than from all cancers combined.
- •About 50% of patients diagnosed with heart failure die within 5 years.
- •There is a paradigm shift to implement palliative care sooner in heart failure care.
- •Palliative care for heart failure improves symptom management and quality of life.
Abstract
The nation’s largest, fastest growing, and costliest patient population are those
living with symptomatic heart failure (HF). Patients with HF live, on average, for
5 years. Preventing the escalation of symptoms or an exacerbation is key when optimizing
patient quality of life. Earlier integration of palliative symptom management can
reduce exacerbation, prevent debility, maintain physical functioning, improve costly
hospitalization, and improve patient quality of life. The current trends in policy
and practice provide an important paradigm for the nurse practitioner when effectively
managing the patient with HF.
Keywords
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References
- Roadmap for heart failure: informing health systems approaches to heart failure by prioritizing practical, proven, cost-effective action.https://www.world-heart-federation.org/cvd-roadmaps/wp-content/uploads/sites/6/2019/10/WHF-Heart-Failure-Roadmap-Summary-Document.pdfDate: June 2019Date accessed: May 5, 2022
- World Health Federation roadmap for heart failure.Global Heart. 2019; 14: 197-214
- Heart failure.(Updated September 8)
- Premature cardiovascular mortality in the United States: who will protect the most vulnerable among us?.Circulation. 2021; 144: 1280-1283
- Annual heart failure costs in the US could surpass $70B by 2030.(January 25)https://www.cardiovascularbusiness.com/topics/clinical/heart-failure/annual-heart-failure-costs-us-could-surpass-70b-2030Date: 2022Date accessed: May 1, 2022
- What is heart failure? Updated March 24.
- Age-adjusted death rates from heart disease among adults aged 45–64 years by urbanization level and sex. National Vital Statistics System, United States, 2019.MMWR Morb Mortal Wkly Rep. 2021; 70: 1621https://doi.org/10.15585/mmwr.mm7046a8
- Heart failure population health considerations.Am J Manag Care. 2022; 27: S191-S195https://doi.org/10.37765/ajmc.2021.88673
- Guideline updates in heart failure: expert breakdown of key takeaways.(May 17)
- Mayo Clinic. Heart failure.https://www.mayoclinic.org/diseases-conditions/heart-failure/symptoms-causes/syc-20373142?p=1Date: 2022Date accessed: May 10, 2022
- 2022 AHA/ACC/HFSA guidelines for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Circulation. 2022; 145: e895-e1032
- Palliative care.
- Assessing the development of palliative care worldwide: a set of actionable indicators.
- American Academy of Nursing Expert Panel consensus statement on nursing's roles in ensuring universal palliative care access.Nurs Outlook. 2021; 69: 961-968https://doi.org/10.1016/j.outlook.2021.06.011
- Engineering and Medicine. Integrating Serious Illness into Primary Care Delivery: Proceedings of a Workshop.The National Academies Press, 2022
- A systematic review of medical costs associated with heart failure in the USA (2014–2020).Pharmacoeconomics. 2020; 38: 1219-1236https://doi.org/10.1007/s40273-020-00952-0
- Palliative care in heart failure.Trends Cardiovasc Med. 2018; 28: 445-450https://doi.org/10.1016/j.tcm.2018.02.008
- Palliative care issues for patients with heart failure.JAMA Netw Open. 2020; 3e200011https://doi.org/10.1001/jamanetworkopen.2020.0011
- Congestive heart failure imaging.(Updated March 16, Medscape)
- Universal definition, and classification of heart failure: a step in the right direction. American College of Cardiology.
- Cardiovascular disease.in: Kuebler K. Integration of Palliative Care in Chronic Conditions: An Interdisciplinary Approach. Oncology Nursing Society, 2017: 125-140
- Palliative care interventions for patients with heart failure: a systematic review and meta-analysis.J Palliat Med. 2017; 20: 84-92https://doi.org/10.1089/jpm.2016.0330
- Systematic review and network meta-analysis of pharmacological treatment of heart failure with reduced ejection fraction.JACC Heart Fail. 2022; 10: 73-84https://doi.org/10.1016/j.jchf.2021.09.004
- FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines; requires its strongest warning.(Updated January 19)https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.056658Date: 2022Date accessed: May 10, 2022
Biography
Kim Kuebler, DNP, APRN, ANP-BC, FAAN, is the director/founder of the Multiple Chronic Conditions Resource Center, Duane L Waters Health Center, Michigan Department of Corrections, Jackson, MI. Dr Kuebler can be reached at [email protected]
Article info
Publication history
Published online: December 13, 2022
Publication stage
In Press Corrected ProofFootnotes
In compliance with standard ethical guidelines, the author reports no relationships with business or industry that may pose a conflict of interest.
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© 2022 Published by Elsevier Inc.
