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Palliative care needs assessment in chronic heart failure
Daisy J A Janssen1,2, Miriam J Johnson3, Martijn A Spruit1,4,5
1Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn.
Current Opinion in Supportive and Palliative Care
|December 6, 2017
Summary
Assessing palliative care needs in chronic heart failure (CHF) is crucial. While prognostic tools and the surprise question have limitations, focusing on needs assessment tools may better facilitate timely palliative care for CHF patients.
Area of Science:
- Palliative Care
- Cardiology
- Geriatrics
Background:
- Unmet palliative care needs are common in patients with chronic heart failure (CHF).
- Effective palliative care requires accurate needs assessment for timely intervention.
- Existing assessment methods require further evaluation in the context of CHF.
Purpose of the Study:
- To review palliative care needs assessment in chronic heart failure.
- To evaluate the utility of prognostic tools and the surprise question.
- To explore the role of dedicated palliative care needs assessment tools.
Main Methods:
- Literature review of prognostic tools, the surprise question, and needs assessment tools in CHF.
- Analysis of the applicability and limitations of each tool for CHF patients.
- Synthesis of current evidence on facilitating timely palliative care initiation.
Main Results:
- Prognostic tools offer limited individual guidance for CHF patients.
- The surprise question's reliability in CHF is less established than in oncology.
- Several needs assessment tools exist, but data on their effectiveness in timely CHF palliative care initiation is scarce.
Conclusions:
- Focusing on needs identification, rather than solely prognosis, appears more suitable for CHF.
- Further research is needed to determine the effectiveness of assessment tools in addressing CHF palliative care needs promptly.
- Dedicated needs assessment tools show promise for timely palliative care introduction in CHF.
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