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Palliative Care

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By Renato Bandeira De Mello Geriatrician, MD, PhD
Judith E Hupcey, Janice Penrod, Kimberly Fenstermacher
The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory...
October 2009: American Journal of Hospice & Palliative Care
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