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Medline ® Abstract for Reference 127

of 'Psychosocial issues in advanced illness'

Review article: a model of palliative care for heart failure.
Hupcey JE, Penrod J, Fenstermacher K
Am J Hosp Palliat Care. 2009 Oct;26(5):399-404. Epub 2009 Apr 8.
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. In this article, we propose a new model of palliative care that conceptualizes palliative care as a philosophy of care that encompasses the unpredictable nature of heart failure.
College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania 17033, USA. jxh37@psu.edu