Components of home-based palliative and supportive care for adults with heart failure: A scoping review.

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Title: Components of home-based palliative and supportive care for adults with heart failure: A scoping review.
Authors: Perera, Madhurangi, Halahakone, Ureni, Senanayake, Sameera, Kularatna, Sanjeewa, Parsonage, William, Yates, Patsy, Singh, Gursharan K.
Source: Palliative Medicine. Jan2025, Vol. 39 Issue 1, p86-98. 13p.
Subjects: Heart failure treatment, Home care services, Medical information storage & retrieval systems, Patient education, Palliative treatment, Research funding, CINAHL database, Systematic reviews, MEDLINE, Caregivers, Medical databases, Family-centered care, Social support, Online information services, Palliative care nurses, Health care teams, Advance directives (Medical care), Adults
Abstract: Background: Palliative care and supportive care provided in the home for people with heart failure can improve quality of life, caregiver wellbeing and reduce healthcare costs. Identifying components of home-based palliative and supportive care in heart failure is useful to inform tailored care to people with heart failure. Aim: To identify and describe components of home-based palliative and supportive care in adults with heart failure. Design: A scoping review was undertaken in accordance with Joanna Briggs Institute guidelines. The protocol was registered prospectively with the Open Science Framework (https://doi.org/10.17605/OSF.IO/GHCME). Data sources: Embase, PubMed, CINAHL and Cochrane databases were searched from inception in May 2023 and re-run in January 2024. Original research focussed on palliative and supportive care in the home setting that included adults diagnosed with heart failure who have not undergone nor awaiting a heart transplant was included. Results: Results were extracted from 13 papers based on eight studies. The findings highlight that nurses supported by a multidisciplinary team, providing symptom management, patient and carer education and discussion of goals of care and advance care planning, facilitates home-based palliative and supportive care for people with heart failure. Conclusion: Ensuring patient and caregiver-centred care supported by a multidisciplinary team is essential to delivering home-based palliative and supportive care for people with heart failure. Further research focussed on the role of digital interventions in home-based palliative and supportive care, the composition of the multidisciplinary team and research which includes individuals across all stages of heart failure is needed. [ABSTRACT FROM AUTHOR]
Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Components of home-based palliative and supportive care for adults with heart failure: A scoping review.
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  Data: <searchLink fieldCode="AR" term="%22Perera%2C+Madhurangi%22">Perera, Madhurangi</searchLink><br /><searchLink fieldCode="AR" term="%22Halahakone%2C+Ureni%22">Halahakone, Ureni</searchLink><br /><searchLink fieldCode="AR" term="%22Senanayake%2C+Sameera%22">Senanayake, Sameera</searchLink><br /><searchLink fieldCode="AR" term="%22Kularatna%2C+Sanjeewa%22">Kularatna, Sanjeewa</searchLink><br /><searchLink fieldCode="AR" term="%22Parsonage%2C+William%22">Parsonage, William</searchLink><br /><searchLink fieldCode="AR" term="%22Yates%2C+Patsy%22">Yates, Patsy</searchLink><br /><searchLink fieldCode="AR" term="%22Singh%2C+Gursharan+K%2E%22">Singh, Gursharan K.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Jan2025, Vol. 39 Issue 1, p86-98. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Heart+failure+treatment%22">Heart failure treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Family-centered+care%22">Family-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+care+nurses%22">Palliative care nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Advance+directives+%28Medical+care%29%22">Advance directives (Medical care)</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Palliative care and supportive care provided in the home for people with heart failure can improve quality of life, caregiver wellbeing and reduce healthcare costs. Identifying components of home-based palliative and supportive care in heart failure is useful to inform tailored care to people with heart failure. Aim: To identify and describe components of home-based palliative and supportive care in adults with heart failure. Design: A scoping review was undertaken in accordance with Joanna Briggs Institute guidelines. The protocol was registered prospectively with the Open Science Framework (https://doi.org/10.17605/OSF.IO/GHCME). Data sources: Embase, PubMed, CINAHL and Cochrane databases were searched from inception in May 2023 and re-run in January 2024. Original research focussed on palliative and supportive care in the home setting that included adults diagnosed with heart failure who have not undergone nor awaiting a heart transplant was included. Results: Results were extracted from 13 papers based on eight studies. The findings highlight that nurses supported by a multidisciplinary team, providing symptom management, patient and carer education and discussion of goals of care and advance care planning, facilitates home-based palliative and supportive care for people with heart failure. Conclusion: Ensuring patient and caregiver-centred care supported by a multidisciplinary team is essential to delivering home-based palliative and supportive care for people with heart failure. Further research focussed on the role of digital interventions in home-based palliative and supportive care, the composition of the multidisciplinary team and research which includes individuals across all stages of heart failure is needed. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1177/02692163241290350
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Heart failure treatment
        Type: general
      – SubjectFull: Home care services
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Patient education
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      – SubjectFull: Palliative treatment
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      – SubjectFull: CINAHL database
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              Text: Jan2025
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              Y: 2025
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