Palliative care needs assessment in chronic heart failure

Daisy J. A. Janssen*, Miriam J. Johnson, Martijn A. Spruit

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

16 Citations (Web of Science)

Abstract

Purpose of review

The unmet palliative care needs of patients with chronic heart failure (CHF) are well known. Palliative care needs assessment is paramount for timely provision of palliative care. The present review provides an overview of palliative care needs assessment in patients with CHF: the role of prognostic tools, the role of the surprise question, and the role of palliative care needs assessment tools.

Recent findings

Multiple prognostic tools are available, but offer little guidance for individual patients. The surprise question is a simple tool to create awareness about a limited prognosis, but the reliability in CHF seems less than in oncology and further identification and assessment of palliative care needs is required. Several tools are available to identify palliative care needs. Data about the ability of these tools to facilitate timely initiation of palliative care in CHF are lacking.

Summary

Several tools are available aiming to facilitate timely introduction of palliative care. Focus on identification of needs rather than prognosis appears to be more fitting for people with CHF. Future studies are needed to explore whether and to what extent these tools can help in addressing palliative care needs in CHF in a timely manner.

Original languageEnglish
Pages (from-to)25-31
Number of pages7
JournalCurrent opinion in supportive and palliative care
Volume12
Issue number1
DOIs
Publication statusPublished - Mar 2018

Keywords

  • assessment
  • chronic heart failure
  • needs
  • palliative care
  • RANDOMIZED CONTROLLED-TRIAL
  • AMBULATORY PATIENTS
  • PREDICTING MORTALITY
  • GENERAL-POPULATION
  • SURPRISE QUESTION
  • EUROPEAN-SOCIETY
  • ASSESSMENT TOOL
  • CLINICAL INDEX
  • NT-PROBNP
  • LAST YEAR

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