Supportive Care in Heart Failure - Hardcover

 
9780198570288: Supportive Care in Heart Failure

Synopsis

Heart failure occurs in almost epidemic proportions, placing a huge burden on both the healthcare system, and sufferers and their families. This can only rise over coming years as the ageing population, particularly in industrialized countries, increasingly suffers from heart failure and its related comorbidities. The care of this group of patients has evolved significantly over recent years as our knowledge and understanding of the pathophysiology of heart failure has developed. It has become evident that supportive care is integral to comprehensive heart failure care, and this book provides an evidence-based overview of heart failure aetiology, its management, and the supportive care required by patients throughout the course of their disease.

The complex nature of heart failure care requires a multidisciplinary team approach, and this book provides exactly that. It covers background information on the epidemiology and pathophysiology of heart failure, looking at both pharmacological and device therapy, and exploring the role of the surgeon and the interdisciplinary team. Symptom management is comprehensively addressed, covering early stage symptoms through until the last few days of care, and including both physical and psychosocial support. Prognostication and communication are then explored, including decision making and ethical dilemmas.

Heart failure has traditionally presented a challenge to physicians, as a generally progressive condition with significant symptoms, a poor quality of life, and high mortality. But by applying the principles of palliative medicine, it is possible to offer a supportive care approach to the disease that synthesizes the experience of both the heart failure specialist and the palliative care physician, and offers the best possible quality of care to this group of patients.

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About the Author

James Beattie has had a long interest in heart failure. He was Clinical Lecturer in Cardiovascular Medicine at the University of Birmingham and was appointed Consultant Cardiologist at Heartlands Hospital in 1990. For about 15 years he has had an interest in palliative care for heart failure and for the past 3 years has been a National Clinical Lead for the NHS Heart Improvement Programme promoting the development of such services across England. He is a member of the Circulatory Forum of the National Council for Palliative Care and the Department of Health End of Life Care Strategy Group. He is also a member of the British Cardiovascular Society and holds fellowships of the European Society of Cardiology and the Royal Colleges of Physicians of Glasgow and London. Sarah Goodlin is a geriatrician and palliative care physician in Salt Lake City. Dr Goodlin developed the New Hampshire End of Life Project, a two-year project that initiated a state-wide collaborative to improve end of life care and developed outcome measures for care of persons near the end of life. In 1998 she initiated quality improvement projects for care of the frail elderly and for persons with advanced heart failure. In 2002 and 2003 Dr Goodlin directed two consensus conferences on Palliative and Supportive Care in Advanced Heart Failure, funded by the Agency for Healthcare Quality and the Robert Wood Johnson Foundation. She directs the Palliative Care-Heart Failure Education and Research Collaborative, a national working group of researchers and clinicians formed to improve quality of life and meet the needs of patients with advanced heart failure and their families. Dr Goodlin was also a member of the Board of Directors of the American Academy of Hospice and Palliative Medicine.

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