Thammana Rekha V, Goodlin Sarah J
Geriatrics and Palliative Care, Rehabilitation and Long Term Care, Veterans Affairs Portland Health Care System Portland, OR, US.
School of Medicine, Hematology and Medical Oncology, Oregon Health and Sciences University Portland, OR, US.
Card Fail Rev. 2022 Apr 4;8:e11. doi: 10.15420/cfr.2021.23. eCollection 2022 Jan.
Heart failure is a chronic illness that carries a significant burden for patients, caregivers and health systems alike. The integration of palliative care and telehealth is a growing area of interest in heart failure management to help alleviate these burdens. This review focuses on the incorporation of advance care planning for complex decision-making in heart failure in the setting of increasing virtual care and telehealth. The review will also consider the role of virtual education for advance care planning and serious illness communication. Telecommunication for clinical care and clinical education are both described as non-inferior to in-person methods. Nevertheless, more research is needed to discern best practices and the optimal integration of methods.
心力衰竭是一种慢性疾病,给患者、护理人员和医疗系统都带来了沉重负担。姑息治疗与远程医疗的整合是心力衰竭管理中一个日益受到关注的领域,旨在帮助减轻这些负担。本综述聚焦于在虚拟护理和远程医疗日益普及的背景下,将预先护理计划纳入心力衰竭复杂决策制定过程。该综述还将探讨虚拟教育在预先护理计划和严重疾病沟通中的作用。临床护理和临床教育中的远程通信都被描述为不逊色于面对面方式。然而,仍需要更多研究来确定最佳实践以及方法的最佳整合方式。