• Palliative medicine · Jan 2021

    Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.

    • Stephanie Mc Ament, Inge Me Couwenberg, Josiane Jj Boyne, Jos Kleijnen, Henri Ejh Stoffers, Marieke Hj van den Beuken, Yvonne Engels, Louise Bellersen, and Daisy Ja Janssen.
    • Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
    • Palliat Med. 2021 Jan 1; 35 (1): 455845-58.

    BackgroundThe delivery of palliative care interventions is not widely integrated in chronic heart failure care as the recognition of palliative care needs is perceived as difficult. Tools may facilitate healthcare professionals to identify patients with palliative care needs in advanced chronic heart failure.AimTo identify tools to help healthcare professionals recognize palliative care needs in patients with advanced chronic heart failure.DesignThis systematic review was registered in the PROSPERO database (CRD42019131896). Evidence of tools' development, evaluation, feasibility, and implementation was sought and described.Data SourcesElectronic searches to identify references of tools published until June 2019 were conducted in MEDLINE, CINAHL, and EMBASE. Hand-searching of references and citations was undertaken. Based on the identified tools, a second electronic search until September 2019 was performed to check whether all evidence about these tools in the context of chronic heart failure was included.ResultsNineteen studies described a total of seven tools. The tools varied in purpose, intended user and properties. The tools have been validated to a limited extent in the context of chronic heart failure and palliative care. Different health care professionals applied the tools in various settings at different moments of the care process. Guidance and instruction about how to apply the tool revealed to be relevant but may be not enough for uptake. Spiritual care needs were perceived as difficult to assess.ConclusionSeven tools were identified which showed different and limited levels of validity in the context of palliative care and chronic heart failure.

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