Chrome 2001
.
Aetna Intelihealth InteliHealth Aetna Intelihealth Aetna Intelihealth
 
.
. .
.
Chrome 2001
Chrome 2001
Health News Health News
.
Many With Heart Failure Aren't Told About End-of-Life Care: Study
June 04, 2014

 

WEDNESDAY, June 4, 2014 (HealthDay News) -- Health-care providers are often hesitant to discuss end-of-life care with their heart failure patients, new research reveals.

For the study, researchers surveyed 50 doctors and 45 nurse practitioners or physician assistants at the Mayo Clinic in Rochester, Minn., and the Mayo Clinic Health System. The investigators found that only 12 percent said they had routine yearly discussions with heart failure patients about end-of-life care, as recommended by the American Heart Association (AHA).

About 30 percent of the health-care providers said they had little confidence in their own abilities to discuss or provide end-of-life care, according to the study.

The findings, which should be viewed as preliminary until published in a peer-reviewed journal, were scheduled for presentation Wednesday at an AHA meeting in Baltimore.

The study authors found that 52 percent of the health-care providers were hesitant to mention end-of-life care to patients. Of those, 21 percent believed patients weren't ready to talk about the topic, 11 percent felt uncomfortable bringing it up, 9 percent said they were concerned about destroying a patient's sense of hope, and 8 percent said they didn't have time.

Heart failure occurs when the heart doesn't pump blood as well as it should. It is often the result of narrowed arteries or high blood pressure, which can leave the heart too weak to pump efficiently. About 5.1 million Americans have heart failure and about half die within five years of their diagnosis, according to the AHA.

Heart failure specialists and community cardiology clinicians were far more likely than primary care providers to have referred heart failure patients to "palliative care" within the past year -- 89 percent versus 21 percent. Palliative care involves pain relief, treatment of symptoms, support services and counseling, with the goal of improving quality of life.

"Providers did express an interest in receiving additional training to develop the skills and confidence to talk about end-of-life care with their patients with heart failure," study lead author Dr. Shannon Dunlay, a Mayo Clinic cardiologist, said in an AHA news release.

She noted that discussing end-of-life care may ease anxiety for some patients and families.

"Incorporating end-of-life conversations into the ongoing, routine care of the patient is important as goals and preferences can change over time, and patients and their families can feel more comfortable and confident in relaying their wishes to multiple providers," Dunlay said.

More information

The U.S. National Heart, Lung, and Blood Institute has more about heart failure.
Copyright © 2014 HealthDay. All rights reserved.


SOURCE: American Heart Association, news release, June 4, 2014...

InteliHealth
.
.
.
.
.
More News
InteliHealth .
.
General Health News
Today's News
Today In Health History
This Week In Health
Addiction News
Allergy News
Alzheimer's News
Arthritis News
Asthma News
Babies News
Breast Cancer News
Bronchitis News
Cancer News
Cervical Cancer News
Children's Health News
Cholesterol News
Dental/Oral Health News
Depression News
Diabetes News
Ear, Nose And Throat News
Environmental Health News
Eye News
Fitness News
Genetics News
Headache News
Health Policy News
Heart Attack News
Heart Failure News
Heart Health News
HIV/AIDS News
Infectious Diseases News
Influenza News
Lung Cancer News
Medication News
Men's Health News
Mental Health News
Multiple Sclerosis News
Nutrition News
Parkinson's News
Pregnancy News
Prostate Cancer News
Schizophrenia
Senior Health News
Sexual/Reproductive Health News
Sexual dysfunction
Sleep News
STDs News
Stroke News
Tobacco Cessation News
Weight Management News
Women's Health News
.
.
.
.
InteliHealth
    Print Printer-friendly format    
   
.  
This website is certified by Health On the Net Foundation. Click to verify.
.