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Key Takeaways
Holistic symptom management
Palliative care helps manage breathlessness, fatigue, swelling, pain, and anxiety, improving comfort for people with advanced heart failure.
Early planning and conversations
Discussing care preferences and treatment goals early ensures that patients’ wishes are respected and informs decisions about interventions and resuscitation.
Enhanced quality of life
Palliative care supports both patients and families, addressing emotional, psychological, and spiritual needs while providing tailored, patient-centered care at any stage of heart failure.
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Living with heart failure can be challenging, and palliative care offers a holistic approach to improve the quality of life for both, the individuals facing this chronic condition and their families. It focuses on managing symptoms, addressing emotional and spiritual needs, and providing support throughout the course of the illness.
What is heart failure?
Heart failure is a is a gradual weakening of the heart and chronic condition in which the heart is unable to pump blood effectively around the body as well as it should. This does not mean that the heart has completely stopped working; rather, it means the heart is not functioning at its optimal capacity. Thus, the heart may need support to help it work better.
There are 2 main types of heart failure. First, a systolic heart failure which is where the heart’s main pumping chamber (the left ventricle) becomes weakened and cannot contract effectively. The second is diastolic heart failure where the heart muscles become stiff and less flexible, making it harder for the ventricles to fill with blood during the relaxation phase of the cardiac cycle.
Symptoms
Symptoms of heart failure may develop slowly but can also start suddenly. Some of the symptoms are:
- Fatigue and weakness
- Wheezing
- Shortness of breath when you’re active or resting
- Swelling in your feet and ankles which can spread to your lower body.
- A new persistent cough
Photo credit: Cleveland Clinic
Treatment
Treatment for heart failure typically involves a combination of lifestyle changes, medication, and in some cases, surgical intervention or medical devices to help the heart work more efficiently. Lifestyle changes can include dietary modifications, exercise, and reducing factors that worsen heart failure, such as smoking and excessive alcohol consumption.
Find out more about our palliative homecare services
When does heart failure become palliative?
Various treatments can help manage symptoms and slow the disease’s progression. However, as it is a chronic condition with no cure, over time, people diagnosed with this disease will reach the final stages of heart failure.
Often, it is unclear when those suffering from heart failure are approaching end of life. However, when a patient has a life expectancy of 6 to 12 months or less, it means that they have reached end-stage heart failure and are supported with palliative care.
Palliative care for heart failure
Palliative care for heart failure is a specialized approach to care that focuses on improving the quality of life for individuals with advanced heart failure, as well as providing support to their families. The primary goal of palliative care in heart failure is to relieve symptoms, manage discomfort, address emotional and psychological needs, and enhance the overall well-being of patients.
Early conversations and care planning
Starting conversations about palliative care early makes sure that the person’s wishes are met. This can include care planning discussions with the patients about healthcare goals, preferences of life-sustaining treatments and decisions regarding resuscitation. Allowing the patient to have direct input ensures that everyone involved in the care understands the goals of care.
Symptom management
As symptoms worsen over time, managing them is a central aspect of palliative care for heart failure. This includes addressing common symptoms such as breathlessness, pain, fatigue, swelling, and anxiety. Medications and other interventions are used to alleviate these symptoms and enhance comfort.
Timing of palliative care
It is important to note that palliative care can be introduced at any stage of heart failure, not just in the end stages, and it can be provided concurrently with curative or disease-modifying treatments. The focus is on improving the patient’s quality of life and ensuring that their physical, emotional, and spiritual needs are addressed.
Tailored and patient-centered care
Palliative care for heart failure is tailored to the individual’s unique circumstances and preferences. It aims to enhance comfort, dignity, and overall well-being while respecting the person’s values and goals of care.
How can Cavendish Homecare help?
At Cavendish Homecare we are experts in providing palliative homecare for clients who want to remain in their own homes. When it comes to your health and wellbeing, choosing the right homecare package is of utmost importance and navigating this process can be overwhelming. With Cavendish Homecare by your side, you’ll have the support you need to remain safely at home while enjoying elevated health and wellbeing.
If you would like to enquire about our homecare services, contact us on, 02030085210 or email us at info@cavendishhomecare.com.
About the Author…
Misha Zemkova
Operations Lead
Misha plays a key role in ensuring the smooth and efficient running of day-to-day operations across the business. With a background in supported living and a degree in Health and Social Care, she brings both experience and empathy to her role.