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Planning for end-of-life care in heart failure: experience of two integrated cardiology-palliative care teams

May 2012 Br J Cardiol 2012;19:71–5 doi:10.5837/bjc.2012.014

Planning for end-of-life care in heart failure: experience of two integrated cardiology-palliative care teams

Miriam Johnson, Anne Nunn, Tracey Hawkes, Sharon Stockdale, Andrew Daley

Abstract

Introduction Landmark qualitative studies published within the last decade highlighted inequalities in end-of-life care between people with advanced heart failure (HF) and cancer.1-8 A palliative approach and access to specialist palliative care (SPC) services for people with advanced HF is now underlined in national and international policy.9-14 However, those with HF are still more likely to die in hospital in the UK than cancer patients,15 and UK 2010 national audit figures document less than 4% of people with HF referred for palliative care.16 Hospice referral seems higher in the USA and Canada.17,18 We have previously reported retrospect

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