Primary palliative care for heart failure provided within ambulatory cardiology: A randomized pilot trial.

ABSTRACT:

Background

Heart failure is characterized by physical and emotional symptoms and decreased quality of life (QoL). Palliative care can reduce burdens of serious illness but often is limited to inpatient or academic settings.

Objectives

To develop and test the Primary Education for Nurses in Palliative care-HF (PENPal-HF) intervention, training outpatient cardiology nurses to address symptom burden, patient priorities for care and QoL, and advance care planning as part of quarterly HF visits.

Methods

We conducted a pilot randomized clinical trial for adults with NYHA Stage III or IV HF and ≥ 2 hospitalizations in the past 12 months, recruited from a community-based cardiology clinic. Participants were randomized 2:1, PENPal-HF plus usual care versus usual care alone. Pr

SUBMITTER: Kavalieratos D 

PROVIDER: S-EPMC9941979 | biostudies-literature | 2022 Nov-Dec

REPOSITORIES: biostudies-literature