Heart failure and palliative care services working in partnership: report of                 a new model of care

Background: Heart failure is highly prevalent with poor outcomes, yet only a small proportion of patients receive specialist palliative care services. Aim: To explore if a programme focusing on support and symptom management of people with heart failure in a hospice environment would be acceptable and of benefit to patients. Methods: A pre/post intervention study design using mixed methods was used to evaluate the programme. The programme was delivered in 2-hour time slots over a period of 8 weeks. Participants completed three questionnaires pre- and post- and were interviewed within 1 week of completion. The study was conducted between June 2014 and January 2015. Findings: A response rate of 51.7% (n=15) was narrowed to a final sample size of 12 patients. The questionnaire results showed a positive impact on participants' wellbeing and views regarding the use of a hospice, but a desire for greater focus on emotional support. Four key themes emerged from inductive qualitative analysis: demystifying perceptions about hospice care; positivity about wellbeing; learning together; and consideration of end-of-life preparation. Conclusion: This adapted programme provides a useful model for the increased integration of palliative care into provision for those living with advancing heart failure.

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Incorporating palliative care into heart failure management: a new model of care

International Journal of Palliative Nursing ◽

10.12968/ijpn.2005.11.3.18033 ◽

2005 ◽

Vol 11 (3) ◽

pp. 135-136 ◽

Cited By ~ 7

Author(s):

Diane I Segal ◽

Debbie O’Hanlon ◽

Naila Rahman ◽

Debbie J McCarthy ◽

J Simon R Gibbs

Keyword(s):

Heart Failure ◽

Palliative Care ◽

Heart Failure Management ◽

Model Of Care ◽

New Model

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Palliative Care Services During Terminal Hospitalization: Stage D Heart Failure Patients

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2014.06.023 ◽

2014 ◽

Vol 20 (8) ◽

pp. S5-S6 ◽

Cited By ~ 2

Author(s):

Lisa A. Kitko ◽

Judith E. Hupcey ◽

Maureen Palese

Keyword(s):

Heart Failure ◽

Palliative Care ◽

Heart Failure Patients ◽

Care Services ◽

Palliative Care Services ◽

Stage D

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The nature of heart failure as a challenge to the integration of palliative care services

Current Opinion in Supportive and Palliative Care ◽

10.1097/spc.0b013e3282f283b6 ◽

2007 ◽

Vol 1 (4) ◽

pp. 249-254 ◽

Cited By ~ 16

Author(s):

Brad Stuart

Keyword(s):

Heart Failure ◽

Palliative Care ◽

Care Services ◽

Palliative Care Services

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A Bereavement Common Assessment Framework in Palliative Care: Informing Practice, Transforming Care

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909116647403 ◽

2016 ◽

Vol 34 (7) ◽

pp. 677-684 ◽

Cited By ~ 11

Author(s):

Pippa Blackburn ◽

Kris Dwyer

Keyword(s):

Palliative Care ◽

Health Service ◽

Evidence Base ◽

Adverse Outcomes ◽

Support Programs ◽

Assessment Framework ◽

Model Of Care ◽

Care Services ◽

Palliative Care Services ◽

The Many

This article describes the development of a bereavement assessment framework for the Western Australia Country Health Service Palliative Care Services bereavement program. The framework is grounded in a clearly articulated evidence base, integrating research from the bereavement field that has informed the development of a standardized assessment framework referred to as the bereavement common assessment framework (B-CAF). The B-CAF identifies the many facets of experiences of the bereaved, creating a holistic and contextual assessment and providing professionals with a tool to enhance assessment and intervention practices. The palliative–curative model of care has also been reconceptualized to recognize that earlier interventions may mitigate adverse outcomes in bereavement. This framework may have implications for further research and service delivery of bereavement support programs.

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