Palliativ indsats til aeldre med kronisk hjertesvigt - en systematisk litteraturgennemgang
Engelsk titel: Palliative care for elderly with chronic heart failure - a systematic literature review
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Författare:
Nielsen, Karin Tind
;
Raunkiär, Mette
Email: tind@socsci.aau.dk
Språk: Dan
Antal referenser: 64
Dokumenttyp:
Systematisk översikt
UI-nummer: 14101155
Sammanfattning
Background: Studies indicate that the focus on patients with chronic heart failure is rehabilitative from a traditional understanding of
treatment, in which the focal point is the effect of treatment relation to mortality, morbidity and health-related quality of life, whereby the
palliative care is downgraded.
Aim: To investigate which challenges and solutions the international research literature describes in relation to palliative care to the elderly
with chronic heart failure.
Method: A systematic literature review of international research literature inspired by Polit and Beck was carried out. The following databases
were searched: PubMed, CINAHL, PsykInfo, Embase, Cochrane and SweMed. Thirty-seven articles were included.
Results and conclusion: Health professionals find it difficult to predict the progress of the disease and are reluctant to initiate palliative care.
Efforts are characterized by a lack of continuity and consistency, poorly coordinated care and problems in communication and transition
between the primary and secondary sector. A two-pronged approach is proposed where palliation is offered alongside treatment to varying
degrees according to need and the use of interdisciplinary/sectorial care plans, Golden Standards Framework and Advanced Care Plans.
Furthermore a clear division of labour between health professionals is required.