Limits...
Current challenges in palliative care provision for heart failure in the UK: a survey on the perspectives of palliative care professionals.

Cheang MH, Rose G, Cheung CC, Thomas M - Open Heart (2015)

Bottom Line: Moreover, 24% of respondents experienced difficulties with implantable cardioverter defibrillator deactivation.Low HF referrals despite widespread availability of PC services and insufficient efforts by cardiology to address PC issues may contribute to the perception that PC is underutilised in HF.These findings will hopefully promote awareness of PC issues in HF and encourage debate on how to improve PC support for this population.

View Article: PubMed Central - PubMed

Affiliation: Department of Heart Failure , The Heart Hospital, University College London Hospital , London , UK.

ABSTRACT

Objective: Palliative care (PC) in heart failure (HF) is beneficial and recommended in international HF guidelines. However, there is a perception that PC is underutilised in HF in the UK. This exploratory study aims to investigate, from a PC perspective, this perceived underutilisation and identify problems with current practice that may impact on the provision of PC in HF throughout the UK.

Methods: A prospective survey was electronically sent to PC doctors and nurses via the UK Association for Palliative Medicine and adult PC teams listed in the UK Hospice directory.

Results: We received 499 responses (42%-PC consultants). Although PC provision for patients with HF was widespread, burden on PC services was low (47% received less than 10 referrals annually). While PC was acknowledged to have a role in end-stage HF, there were differing views about the optimal model of care. Levels of interdisciplinary collaboration (58%) and mutual education (36%) were low. There were frequent reports that end-of-life matters were not addressed by cardiology prior to PC referral. Moreover, 24% of respondents experienced difficulties with implantable cardioverter defibrillator deactivation.

Conclusions: Low HF referrals despite widespread availability of PC services and insufficient efforts by cardiology to address PC issues may contribute to the perception that PC is underutilised in HF. The challenges facing PC and HF identified here need to be further investigated and addressed. These findings will hopefully promote awareness of PC issues in HF and encourage debate on how to improve PC support for this population.

No MeSH data available.


Related in: MedlinePlus

Number of consultants versus non-consultant doctors and nurses from different localities.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4305067&req=5

OPENHRT2014000188F1: Number of consultants versus non-consultant doctors and nurses from different localities.

Mentions: Eleven (2%) of the 510 responses did not belong to the target population and were excluded. Respondents were distributed throughout all 19 regions of the UK (figure 1). Consultants accounted for 42% of responses (28% clinical nurse specialists, 6% other PC nurses, 24% non-consultant doctors). Most were based mainly in a hospice (59% hospice, 46% hospital, 21% community) and 18% worked in more than one site.


Current challenges in palliative care provision for heart failure in the UK: a survey on the perspectives of palliative care professionals.

Cheang MH, Rose G, Cheung CC, Thomas M - Open Heart (2015)

Number of consultants versus non-consultant doctors and nurses from different localities.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4305067&req=5

OPENHRT2014000188F1: Number of consultants versus non-consultant doctors and nurses from different localities.
Mentions: Eleven (2%) of the 510 responses did not belong to the target population and were excluded. Respondents were distributed throughout all 19 regions of the UK (figure 1). Consultants accounted for 42% of responses (28% clinical nurse specialists, 6% other PC nurses, 24% non-consultant doctors). Most were based mainly in a hospice (59% hospice, 46% hospital, 21% community) and 18% worked in more than one site.

Bottom Line: Moreover, 24% of respondents experienced difficulties with implantable cardioverter defibrillator deactivation.Low HF referrals despite widespread availability of PC services and insufficient efforts by cardiology to address PC issues may contribute to the perception that PC is underutilised in HF.These findings will hopefully promote awareness of PC issues in HF and encourage debate on how to improve PC support for this population.

View Article: PubMed Central - PubMed

Affiliation: Department of Heart Failure , The Heart Hospital, University College London Hospital , London , UK.

ABSTRACT

Objective: Palliative care (PC) in heart failure (HF) is beneficial and recommended in international HF guidelines. However, there is a perception that PC is underutilised in HF in the UK. This exploratory study aims to investigate, from a PC perspective, this perceived underutilisation and identify problems with current practice that may impact on the provision of PC in HF throughout the UK.

Methods: A prospective survey was electronically sent to PC doctors and nurses via the UK Association for Palliative Medicine and adult PC teams listed in the UK Hospice directory.

Results: We received 499 responses (42%-PC consultants). Although PC provision for patients with HF was widespread, burden on PC services was low (47% received less than 10 referrals annually). While PC was acknowledged to have a role in end-stage HF, there were differing views about the optimal model of care. Levels of interdisciplinary collaboration (58%) and mutual education (36%) were low. There were frequent reports that end-of-life matters were not addressed by cardiology prior to PC referral. Moreover, 24% of respondents experienced difficulties with implantable cardioverter defibrillator deactivation.

Conclusions: Low HF referrals despite widespread availability of PC services and insufficient efforts by cardiology to address PC issues may contribute to the perception that PC is underutilised in HF. The challenges facing PC and HF identified here need to be further investigated and addressed. These findings will hopefully promote awareness of PC issues in HF and encourage debate on how to improve PC support for this population.

No MeSH data available.


Related in: MedlinePlus