期刊
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
卷 26, 期 5, 页码 399-404出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1049909109333935
关键词
palliative care; heart failure; illness trajectories; models
资金
- NATIONAL INSTITUTE OF NURSING RESEARCH [R15NR009976] Funding Source: NIH RePORTER
- NINR NIH HHS [R15 NR009976, 1 R15 NR009976-01, R15 NR009976-01] Funding Source: Medline
The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory. In this article, we propose a new model of palliative care that conceptualizes palliative care as a philosophy of care that encompasses the unpredictable nature of heart failure.
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