Gelfman Laura P, Kalman Jill, Goldstein Nathan E
1 Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
J Palliat Med. 2014 Jul;17(7):753-60. doi: 10.1089/jpm.2013.0675. Epub 2014 Jun 5.
Heart failure (HF) is the most common cause of hospitalization among adults over the age of 65. Hospital readmission rates, mortality rates, and Medicare costs for patients with this disease are high. Furthermore, patients with HF experience a number of symptoms that worsen as the disease progresses. However, a small minority of patients with HF receives hospice or palliative care. One possible reason for this may be that the HF and palliative care clinicians have differing perspectives on the role of palliative care for these patients.
The goal of the article is to offer palliative care clinicians a roadmap for collaborating with HF clinicians by reviewing the needs of patients with HF.
This article reviews the needs of patients with HF and their families, the barriers to referral to palliative care for patients with HF, and provides suggestions for improving collaboration between palliative care and HF clinicians.
心力衰竭（HF）是65岁以上成年人住院的最常见原因。该疾病患者的医院再入院率、死亡率和医疗保险费用都很高。此外，心力衰竭患者会出现一系列随着疾病进展而加重的症状。然而，只有一小部分心力衰竭患者接受临终关怀或姑息治疗。造成这种情况的一个可能原因是，心力衰竭和姑息治疗临床医生对这些患者的姑息治疗作用有不同的看法。
本文的目的是通过回顾心力衰竭患者的需求，为姑息治疗临床医生提供与心力衰竭临床医生合作的路线图。
本文回顾了心力衰竭患者及其家属的需求、心力衰竭患者转诊至姑息治疗的障碍，并为改善姑息治疗和心力衰竭临床医生之间的合作提供了建议。
