Summary full of practical evidence based advice heart failure and palliative care encourages a multidisciplinary team based approach it stimulates joint working between primary care cardiology and palliative care teams raising awareness of the problems associated with supportive and palliative care for heart failure patients. Team based care implies a multidisciplinary approach ample evidence exists supporting team based care for patients with heart failure to decrease rehospitalizations and improve survival through education structured follow up patient self care and careplan adherence 67 however few pilot studies have assessed the efficacy of multidisciplinary palliative care in improving outcomes . Palliative care is a multidisciplinary approach to care that focuses on communication shared decision making and advance care planning provides relief from pain and other distressing symptoms integrates psychological and spiritual aspects of care and offers a support system to help families cope during illness and bereavement. Palliative care is provided by a team of palliative care doctors nurses and social workers they work together with your cardiologist heart specialist to give you an extra layer of support the team has a wide variety of approaches to treating congestive heart failure symptoms. Living and dying with advanced heart failure a palliative care approach clearly describes the potentially extensive scope of palliative care in heart failure and makes many sensible and practical recommendations but the scale of their implementation will be determined by fundholders inevitably translating these
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