title: Team-based Palliative and End-of-life Care for Heart Failure.
abstract: Clinical practice guidelines endorse the use of palliative care in patients with symptomatic heart failure. Palliative care is conceptualized as supportive care afforded to most patients with chronic, life-limiting illness. However, the optimal content and delivery of palliative care interventions remains unknown and its integration into existing heart failure disease management continues to be a challenge. Therefore, this article comments on the current state of multidisciplinary care for such patients, explores evidence supporting a team-based approach to palliative and end-of-life care for patients with heart failure, and identifies high-priority areas for research.
authors.affiliation: Division of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City School of Medicine, 4401 Wornall Road, SLNI, CV Research, Suite 5603, Kansas City, MO 64111, USA. Electronic address: fendlert@umkc.edu.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Fendler
authors.affiliation: Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA.
authors.forename: Keith M
authors.initials: KM
authors.lastname: Swetz
authors.affiliation: Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12605 East 16th Avenue, 3rd Floor, Aurora, CO 80045, USA.
authors.forename: Larry A
authors.initials: LA
authors.lastname: Allen
mesh_terms: D006333:Heart Failure / Q000523:psychology / Q000628:therapy*; D017051:Hospice Care; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000379:methods; D013727:Terminal Care / Q000379:methods*
keywords: Comprehensive health care; Heart failure; Hospice care; Interdisciplinary communication; Palliative care; Patient care team