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Palliative Care and Advanced Cardiovascular Disease in Adults: Not Just End-of-Life Care: A Scientific Statement From
Insights
Palliative care significantly enhances quality of life for adults with advanced cardiovascular disease and their caregivers. Key elements include communication, shared decision-making, and advance care planning for holistic support.
Area of Science:
- Cardiology
- Palliative Care
- Geriatric Medicine
Background:
- Cardiovascular disease (CVD) is a major cause of adult morbidity and mortality.
- Aging populations necessitate improved quality of life and palliative care for advanced CVD.
- Palliative care integration can improve life quality for CVD patients and their informal care partners.
Purpose of the Study:
- To explore the application of communication, shared decision-making, age-friendly care, and advance care planning in advanced CVD palliative care.
- To summarize evidence on palliative care's impact on symptom management, quality of life, and psychosocial support for CVD patients and care partners.
- To address diversity, equity, inclusion, ethical concerns, and implementation strategies for CVD palliative care.
Main Methods:
- Review of current scientific literature on palliative care in advanced cardiovascular disease.
- Analysis of evidence regarding symptom management, quality of life, and support systems.
- Discussion of ethical, legal, and implementation challenges, including diversity and inclusion.
Main Results:
- Palliative care improves symptom management and reduces psychological distress for CVD patients and care partners.
- Effective communication, shared decision-making, and advance care planning are crucial for holistic care.
- Gaps exist in research concerning non-heart failure populations, care partner outcomes, and diverse populations.
Conclusions:
- Palliative care is essential for improving quality of life in adults with advanced cardiovascular disease.
- Comprehensive palliative care requires attention to communication, decision-making, and diverse patient needs.
- Further research is needed to address existing gaps in palliative care for cardiovascular disease.
Abstract:
Cardiovascular disease remains a leading cause of morbidity and mortality in adults despite recent scientific advancements. Although people are living longer lives, there may be an adverse impact on quality of life, necessitating a greater need for palliative care services and support. Palliative care for adults with advanced cardiovascular disease has the potential to significantly improve quality of life for individuals living with cardiovascular disease and their informal care partners. Effective communication, shared decision-making, age-friendly care principles, and advance care planning are vital components of palliative care and support comprehensive and holistic care throughout the advanced cardiovascular disease trajectory and across care settings. Current evidence highlights the benefits of palliative care in managing symptoms, reducing psychological distress, and supporting both people with cardiovascular disease and their care partners. However, significant gaps exist in palliative care research related to non-heart failure populations, care partner outcomes, and palliative care implementation in diverse populations. This scientific statement (1) discusses the application of effective communication, shared decision-making, age-friendly care, and advance care planning in advanced cardiovascular disease palliative care; (2) provides a summary of recent evidence related to palliative care and symptom management, quality of life, spiritual and psychological support, and bereavement support in individuals with advanced cardiovascular disease and their care partners; (3) discusses issues involving diversity, equity, and inclusion in cardiovascular disease palliative care; (4) highlights the ethical and legal concerns surrounding palliative care and implanted cardiac devices; and (5) provides strategies for palliative care engagement in adults with advanced cardiovascular disease for the care team.
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