AI Article Synopsis
- Home-based palliative and supportive care for heart failure patients enhances quality of life and reduces healthcare costs while benefiting caregivers.
- This study aims to identify and describe the essential components of such care, using a scoping review methodology.
- Key findings indicate that a multidisciplinary team, led by nurses, is crucial for effective symptom management, education, and advance care planning in this context, which points to a need for future research on digital interventions and team composition.
Article Abstract
Background: Palliative care and supportive care provided in the home for people with heart failure can improve quality of life, caregiver wellbeing and reduce healthcare costs. Identifying components of home-based palliative and supportive care in heart failure is useful to inform tailored care to people with heart failure.
Aim: To identify and describe components of home-based palliative and supportive care in adults with heart failure.
Design: A scoping review was undertaken in accordance with Joanna Briggs Institute guidelines. The protocol was registered prospectively with the Open Science Framework (https://doi.org/10.17605/OSF.IO/GHCME).
Data Sources: Embase, PubMed, CINAHL and Cochrane databases were searched from inception in May 2023 and re-run in January 2024. Original research focussed on palliative and supportive care in the home setting that included adults diagnosed with heart failure who have not undergone nor awaiting a heart transplant was included.
Results: Results were extracted from 13 papers based on eight studies. The findings highlight that nurses supported by a multidisciplinary team, providing symptom management, patient and carer education and discussion of goals of care and advance care planning, facilitates home-based palliative and supportive care for people with heart failure.
Conclusion: Ensuring patient and caregiver-centred care supported by a multidisciplinary team is essential to delivering home-based palliative and supportive care for people with heart failure. Further research focussed on the role of digital interventions in home-based palliative and supportive care, the composition of the multidisciplinary team and research which includes individuals across all stages of heart failure is needed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/02692163241290350 | DOI Listing |
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673332 | PMC |
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