Cardiology Department, Hutt Valley District Health Board, Lower Hutt, New Zealand.
Te Omanga Hospice, Lower Hutt, New Zealand.
Intern Med J. 2019 Mar;49(3):404-407. doi: 10.1111/imj.14218.
Heart failure remains an ultimately fatal condition that causes significant symptoms as it progresses. The involvement by palliative services in this patient group has been suboptimal despite many years of guidance from international cardiac societies who recommend a palliative focus for these patients. At Hutt hospital, we have implemented a cardiology supportive care clinic in an attempt to improve the care of our advanced heart failure patients. Our initial experience is that the clinic has resulted in improvements in communication with patients and their families. Management plans and goals of care have been clearly documented, and there has been clarification of roles between the key stakeholders who manage end-stage heart failure patients. A formal integrated palliative approach has been helpful for our end-stage heart failure patients and there is potential for this concept to be beneficial for other end-stage medical conditions.
心力衰竭仍然是一种最终致命的疾病，随着病情的发展会导致严重的症状。尽管国际心脏协会多年来一直建议为这些患者提供姑息治疗，但姑息治疗服务在这一患者群体中的参与度并不理想。在 Hutt 医院，我们已经开设了心脏病学支持治疗诊所，试图改善我们对晚期心力衰竭患者的护理。我们的初步经验表明，该诊所改善了与患者及其家属的沟通。管理计划和护理目标已被明确记录，并且在管理晚期心力衰竭患者的主要利益相关者之间明确了角色。正式的综合姑息治疗方法对我们的晚期心力衰竭患者很有帮助，并且这一概念有可能对其他晚期医疗状况有益。
