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Title: Integration of a palliative approach into heart failure care: a European Society of Cardiology Heart Failure Association position paper
Authors: Hill, Loreena Michelle 
Prager Geller, Tal 
Baruah, Resham 
Beattie, James M. 
Boyne, Josiane J.J. 
De Stoutz, Noémi D. 
Di Stolfo, Giuseppe 
Lambrinou, Ekaterini 
Skibelund, Anne K. 
Uchmanowicz, Izabella 
Rutten, Frans Hendrik 
Čelutkienė, Jelena 
Piepoli, Massimo F. 
Jankowska, Ewa Anita 
Chioncel, Ovidiu 
Ben-Gal, Tuvia 
Seferovíc, Petar M. 
Ruschitzka, Frank T. 
Coats, Andrew J.S. 
Strömberg, Anna E. 
Jaarsma, Tiny 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: Clinical guidance;Heart failure;Palliative care
Issue Date: 2020
Source: European Journal of Heart Failure, 2020, vol. 22, no.12, pp. 2327-2339
Volume: 22
Issue: 12
Start page: 2327
End page: 2339
Journal: European Journal of Heart Failure 
Abstract: The Heart Failure Association of the European Society of Cardiology has published a previous position paper and various guidelines over the past decade recognizing the value of palliative care for those affected by this burdensome condition. Integrating palliative care into evidence-based heart failure management remains challenging for many professionals, as it includes the identification of palliative care needs, symptom control, adjustment of drug and device therapy, advance care planning, family and informal caregiver support, and trying to ensure a 'good death'. This new position paper aims to provide day-to-day practical clinical guidance on these topics, supporting the coordinated provision of palliation strategies as goals of care fluctuate along the heart failure disease trajectory. The specific components of palliative care for symptom alleviation, spiritual and psychosocial support, and the appropriate modification of guideline-directed treatment protocols, including drug deprescription and device deactivation, are described for the chronic, crisis and terminal phases of heart failure.
ISSN: 1879-0844
DOI: 10.1002/ejhf.1994
Rights: © The Authors.
Type: Article
Affiliation : Queen’s University Belfast 
Rabin Medical Center 
Chelsea and Westminster NHS Foundation Trust 
King's College London 
Maastricht University Medical Centre 
ESC Patient Forum Representative 
Fondazione IRCCS Casa Sollievo della Sofferenza 
Cyprus University of Technology 
Wroclaw Medical University 
University Hospital, Wroclaw 
Utrecht University 
Vilnius University 
Guglielmo da Saliceto Hospital 
University of Parma 
Wroclaw Medical University 
Emergency Institute for Cardiovascular Diseases ‘Prof. C.C. Iliescu’ 
Carol Davila University of Medicine and Pharmacy 
Tel Aviv University 
University Hospital Zurich 
IRCCS San Raffaele Pisana 
Linköping University 
University Medical Center Utrecht 
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