Abstract
IntroductionHeart failure affects over 26 million people worldwide with prevalence expected to grow due to an ageing global population. Palliative care can address the holistic needs of patients with heart...
Highlights
Heart failure affects over 26 million people worldwide with prevalence expected to grow due to an ageing global population
► This is the first realist synthesis examining the integration of palliative care into routine heart failure management
AND OBJECTIVES Aim To understand how integrated palliative care and heart failure interventions may work in different healthcare settings for example, inpatient/outpatient and for which groups of people, so we can recommend strategies to maximise the potential for widespread implementation, reduce healthcare costs and improve quality of life (QoL) for patients and informal carers
Summary
► This is the first realist synthesis examining the integration of palliative care into routine heart failure management. The issue of heterogeneity was further highlighted in a narrative literature review aimed at identifying the key characteristics of integrated palliative care and heart failure interventions.[26] Of the nine studies included, all integrated palliative care and heart failure interventions were implemented in different countries with different models of health service provision for citizens (USA, Sweden, Hong Kong), different settings (inpatient, outpatient and home based), delivered by a heterogeneous mix of multidisciplinary teams (cardiologists, heart failure nurses, general practitioners, community nurses, occupational therapists), using different modes of delivery (face to face, telemedicine) and involving different intervention components (symptom management, advance care planning). AIMS AND OBJECTIVES Aim To understand how integrated palliative care and heart failure interventions may work in different healthcare settings for example, inpatient/outpatient and for which groups of people, so we can recommend strategies to maximise the potential for widespread implementation, reduce healthcare costs and improve QoL for patients and informal carers
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