• J Palliat Care · Jan 2011

    Multicenter Study

    Exploring the extent of communication surrounding transitions to palliative care in heart failure: the perspectives of health care professionals.

    • Emilie Green, Clare Gardiner, Merryn Gott, and Christine Ingleton.
    • University of Sheffield Medical School, Sykes House, St. Luke's Hospice, Little Common Lane, Sheffield, UK. mda07eg@shef.ac.uk
    • J Palliat Care. 2011 Jan 1; 27 (2): 107-16.

    IntroductionThe aim of this study was to explore the perspectives of health care professionals (HCPs) on the transition of heart failure (HF) patients to a palliative care approach.MethodQualitative data were generated from 24 HCPs specializing in cardiology, care for the elderly, and palliative care. Data were analyzed using the principles of thematic analysis.ResultsEmergent themes related to the unpredictable trajectory of HF, causing prognostic ambiguity; the use of structured pathways in end-of-life decision making; and comparison of HF and cancer patients in terms of their requirements and access to high-quality palliative care.ConclusionThere is a need for both established prognostic guidelines and further education to develop the communication skills to facilitate end-of-life discussions with HF patients.

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