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Multidisciplinary Team-Based Palliative Care for Heart Failure and Food Intake at the End of Life
- Source :
- Nutrients, Vol 13, Iss 2387, p 2387 (2021), Nutrients, Volume 13, Issue 7
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Traditionally, patients with end-stage heart failure (HF) have rarely been involved in end-of-life care (EOLC) discussions in Japan. The purpose of this study was to examine the impact of HF-specific palliative care team (HF-PCT) activities on EOLC discussions with patients, HF therapy and care, and food intake at the end of life. We retrospectively analyzed 52 consecutive patients with HF (mean age, 70 ± 15 years<br />42% female) who died at our hospital between May 2013 and July 2020 and divided them into two groups: before (Era 1, n = 19) and after (Era 2, n = 33) the initiation of HF-PCT activities in June 2015. Compared to Era 1, Era 2 showed a decrease in invasive procedures, an increase in opioid and non-intubating sedative use for symptom relief, improved quality of meals at the end of life, and an increase in participation in EOLC discussions. The administration of artificial nutrition in the final three days was associated with non-ischemic cardiomyopathy etiology, the number of previous hospitalizations for HF, and multidisciplinary EOLC discussion support. HF-PCT activities may provide an opportunity to discuss EOLC with patients, reduce the burden of physical and psychological symptoms, and shift the goals of end-of-life nutritional intake to ensure comfort and quality of life.
- Subjects :
- Male
Advance care planning
medicine.medical_specialty
Food intake
food intake
Palliative care
Cardiomyopathy
Nutritional Status
heart failure
030204 cardiovascular system & hematology
Article
Eating
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Japan
Multidisciplinary approach
medicine
Humans
TX341-641
030212 general & internal medicine
advance care planning
Aged
Retrospective Studies
Aged, 80 and over
Patient Care Team
Terminal Care
palliative care
Nutrition and Dietetics
Nutritional Support
Nutrition. Foods and food supply
business.industry
end-of-life care discussion
Middle Aged
artificial nutrition
medicine.disease
Treatment Outcome
Heart failure
Emergency medicine
Quality of Life
Etiology
Female
Interdisciplinary Communication
business
Food Science
Subjects
Details
- ISSN :
- 20726643
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....f7eb183f67f0fb8aff53910c643a755d