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- W2986611655 abstract "BackgroundHeart failure is the final common pathway of many cardiovascular diseases, and yet many individuals with heart failure die hospitalised, suffering needlessly and experiencing what could be termed a ‘bad death’. While it is essential to address the wishes of individuals and their families in improving the quality of end-of-life care for patients with heart failure, their unmet needs remain poorly understood.AimTo systematically review the literature describing a good death or end-of-life care in heart failure and to synthesise identified studies to describe how elements of heart failure care may contribute to a good death.MethodsPubMed and Scopus were searched from January 2001 to April 2018. The method of Whittemore and Knafl guided this review to identify emergent themes.FindingsOf the 436 studies identified, 43 met the inclusion criteria. Five themes associated with end-of-life care in heart failure and a good death were generated: (1) location of death, (2) preferred care, (3) palliative care utilisation, (4) interventions to improve the likelihood of a good death, (5) the intersection of individual, family, healthcare providers, and community-level factors.DiscussionThis integrative review highlights a number of factors that prevent patients with heart failure from receiving palliative care, such as difficulty predicting mortality, late referral misconception of the role of palliative care and low availability of resources.ConclusionThis review has identified modifiable barriers and facilitator of a good death and emphasised the importance of considering the intersection of patient, provider and healthcare system issues in facilitating a good death for patients with heart failure." @default.
- W2986611655 created "2019-11-22" @default.
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- W2986611655 date "2019-12-01" @default.
- W2986611655 modified "2023-09-24" @default.
- W2986611655 title "Barriers and facilitators to a ‘good death’ in heart failure: An integrative review" @default.
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- W2986611655 doi "https://doi.org/10.1016/j.colegn.2019.09.010" @default.
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