Establishing a System for Providing Heart Failure Palliative Care in the Acute Care Hospital

Takashi Ohmori; Hideyuki Kashiwagi; Shujiro Inoue; Shoichiro Furukawa; Michiko Shimomi; Mayuko Miyazaki; Emi Harada; Kiko Hiroki; Yoshiko Oka; Kazuki Tsutsumi; Kiyofumi Oya

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Establishing a System for Providing Heart Failure Palliative Care in the Acute Care Hospital

VernacularTitle:急性期病院における心不全緩和ケア提供体制の構築
Author: Takashi OHMORI ¹ ; Hideyuki KASHIWAGI ² ; Shujiro INOUE ¹ ; Shoichiro FURUKAWA ² ; Michiko SHIMOMI ³ ; Mayuko MIYAZAKI ² ; Emi HARADA ³ ; Kiko HIROKI ⁴ ; Yoshiko OKA ⁴ ; Kazuki TSUTSUMI ⁴ ; Kiyofumi OYA ⁴
Author Information

1. Department of Transitional and Palliative Care, Iizuka Hospital
2. Department of Heart Failure Care, Iizuka Hospital
3. Department of Cardiology, Iizuka Hospital
4. Department of Nursing, Iizuka Hospital
Keywords: heart failure; symptom assessment; multidisciplinary approach; integrated palliative care outcome scale; acute care hospital
From:Palliative Care Research 2022;17(4):165-170
CountryJapan
Language:Japanese
Abstract: The need for palliative care for heart failure patients has been attracting attention, but the system for providing such care is not yet fully established in Japan. Iizuka Hospital is a 1048-bed acute care hospital located in Fukuoka, Japan. The Heart Support Team (HST) was established to provide palliative care for heart failure at the hospital. After the HST was launched in May 2017, 168 referrals for palliative care intervention for heart failure patients by March 2022. Twenty-five (14.8%) met the intervention cases’ additional palliative care treatment criteria. The Integrated Palliative Outcome Scale was administered to 11 consecutive patients from April 1 to 30, 2021. In establishing and operating the HST, the challenge was recruiting, training, and creating a system to sustain the system. Creating the HST in collaboration with staff specializing in palliative care, psychiatric care, and cardiovascular specialists was the first step in establishing a method for palliative care to heart failure patients in an acute care hospital.