DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161912

Palliative care in medical outliers with heart failure

Jammula Prabhakar Patro, Pavani Priyadarsini

Abstract


Medical outliers are the patients who present to medical practices without health insurance or with serious co-morbidities needing prolonged hospital stay. Palliative care is part of standard guidelines for management of heart failure. But in medical outliers suffering from heart failure, palliative care should begin more early than it is recommended in standard guidelines because of financial reasons. It is suggested that guidelines be framed also for medical outliers with heart failure. It will be useful for patients of heart failure in resource-poor countries too.


Keywords


Palliative care, Heart failure

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References


Papadimos TJ. Stoicism, the physician, and care of medical outliers. BMC Med Ethics. 2004;9;5:E8.

Oxenham D. Pain management and palliative care. In: Nicki RC, Brian RW, Stuart HR, eds. Davidson’s principles & practice of medicine.21st edition, Elsevier, Edinburgh, U.K. 2010:284-5.

Heart Failure Society of America. Disease management in heart failure. J Card Fail. 2006;12:e58-69.

Goodlin, SJ. Palliative care in congestive heart failure. J Am Coll Cardiol. 2009;54:386-96.

Gil K, Frances S, Andrew I. Heart failure supportive care. BCMJ. 2014;56(5):224-9.

Helen ESA. Novel Palliative Care Program for Patients with Chronic Heart Failure That Decreased Readmission Rates. Journal of Cardiac Failure, 2014;20(8):S59.

McCarthy M, Hall JA, Ley M. Communication and choice in dying from heart disease. J R Soc Med. 1997;90:28-31.

David JW, Sarah JG, Michael GD, Paul AH, Connie J, Wendy GS, et al. End-of-Life Care in Patients With Heart Failure. Journal of Cardiac Failure. 2013;20(2):121-34.

James CF, Gregory AE, Larry AA, Javed B, Cheryl AWC, Monica C, et al. Advanced (Stage D) Heart Failure: A Statement From the Heart Failure Society of America Guidelines Committee. Journal of Cardiac Failure. 2015;21(6);519-34.

Johnson MJ. Management of end stage cardiac failure. Postgrad Med J. 2007;83:395-401.

Campbell ML, Templin T, Walch J. Patients who are near death are frequently unable to self-report dyspnea. J Palliat Med. 2009;12:881-4.

Booth S, Wade R, Johnson M, Kite S, Swannick M, Anderson H. The use of oxygen in the palliation of breathlessness. A report of the expert working group of the Scientific Committee of the Association of Palliative Medicine. Respir Med. 2004;98:66-77.

Morita T, Takigawa C, Onishi H, Tajima T, Tani K, Matsubara T, et al. Opioid rotation from morphine to fentanyl in delirious cancer patients: An open-label trial. J Pain Symptom Manage. 2005;30:96-103

Friedmann E, Thomas SA, Liu F,Morton PG, Chapa D, Gottlieb SS. Relationship of depression, anxiety, and social isolation to chronic heart failure outpatient mortality. Am Heart J. 2006;152:940.e1-8.