Palliative care for older adults with cardiovascular disease

Area of Science:

• Geriatric Medicine
• Cardiovascular Disease
• Palliative Care

Background:

• Heart disease is the leading cause of death in the U.S.
• Advanced heart failure presents complex challenges for older adults, including geriatric syndromes and polypharmacy.
• Caregiver burden is significant in managing heart failure in the elderly population.

Purpose of the Study:

• To summarize literature and provide practical tools for optimizing outpatient care for older adults with heart disease.
• To emphasize the integration of geriatrics, palliative care, and cardiovascular care.
• To focus on symptom management, goals of care, and quality of life for aging patients with heart conditions.

Main Methods:

• This is a review article.
• Literature synthesis on interdisciplinary care models.
• Focus on practical tools for clinicians.

Main Results:

• Life-prolonging and quality of life-focused approaches are compatible in cardiovascular disease management.
• Palliative care's symptom management is integral to cardiovascular care.
• Integrated care enhances holistic management for older adults.

Conclusions:

• Integrated outpatient care involving geriatrics, palliative care, and cardiology is essential for older adults with heart disease.
• Symptom management and life-prolonging treatments can be effectively combined.
• Optimizing care improves quality of life and reduces caregiver burden for this population.