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Commentary on: Schichtel M, Wee B, Perera R, Onakpoya I. The effect of advance care planning on heart failure: a systematic review and meta-analysis. J Gen Internal Med 2019. Epub ahead of print 12 November. https://doi.org/10.1007/s11606-019-05482-w.
Implications for practice and research
Nurses are well equipped to have key roles in facilitating advanced care planning (ACP) for patients and families.
Future research of ACP in heart failure (HF) should encompass multiple key components and multidisciplinary teams emphasising ethnic preferences to shift the paradigm of HF end-of-life care.
Heart failure (HF) is a chronic, progressive condition with tremendous burden on healthcare, patients and families. Six million Americans live with HF, projected to be eight million by 2030.¹ Despite medical developments, HF mortality remains 50% 5 years after diagnosis.² As HF progresses, patients, providers and families experience more suffering and symptom burden, impairing quality of life …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.