Daisy J A Janssen1,2, Miriam J Johnson3, Martijn A Spruit1,4,5. 1. Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn. 2. Centre of Expertise for Palliative Care, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands. 3. Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK. 4. REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium. 5. Department of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, MUMC+, Maastricht, The Netherlands.
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.
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.
Authors: Yuchieh Kathryn Chang; Holland Kaplan; Yimin Geng; Li Mo; Jennifer Philip; Anna Collins; Larry A Allen; John A McClung; Martin A Denvir; David Hui Journal: Circ Heart Fail Date: 2020-09-09 Impact factor: 8.790
Authors: Valentina Gonzalez-Jaramillo; Maud Maessen; Nora Luethi; Jelena Guyer; Lukas Hunziker; Steffen Eychmüller; Sofia C Zambrano Journal: Front Cardiovasc Med Date: 2022-05-30
Authors: Matthijs P S van Wijmen; Bart P M Schweitzer; H R Pasman; Bregje D Onwuteaka-Philipsen Journal: Fam Pract Date: 2020-10-19 Impact factor: 2.267
Authors: Stephanie M C Ament; Lisette M van den Broek; Marieke H J van den Beuken-van Everdingen; Josiane J J Boyne; José M C Maessen; Sebastiaan C A M Bekkers; Louise Bellersen; Hans-Peter Brunner-La Rocca; Yvonne Engels; Daisy J A Janssen Journal: BMC Palliat Care Date: 2022-01-04 Impact factor: 3.234
Authors: Stephanie Mc Ament; Inge Me Couwenberg; Josiane Jj Boyne; Jos Kleijnen; Henri Ejh Stoffers; Marieke Hj van den Beuken; Yvonne Engels; Louise Bellersen; Daisy Ja Janssen Journal: Palliat Med Date: 2020-10-15 Impact factor: 4.762
Authors: Daisy Ja Janssen; Stephanie Mc Ament; Josiane Boyne; Jos Mga Schols; Hans-Peter Brunner-La Rocca; José Mc Maessen; Marieke Hj van den Beuken-van Everdingen Journal: Eur J Cardiovasc Nurs Date: 2020-05-05 Impact factor: 3.908