Location: Cicely Saunders Institute, Denmark Hill Campus
A palliative care approach for people with advanced heart failure: recognition of need, transitions in care, and effect on patients, family carers, and clinicians
Speakers: Dr Amy Gadoud, NIHR Clinical Lecturer in palliative medicine at Hull York Medical School
About the speaker: Dr Amy Gadoud is a National Institute for Health Research (NIHR) clinical lecturer in palliative medicine at Hull York Medical School. This is an academic post at a post-doctoral level combined with clinical training as a higher specialty trainee in palliative medicine in the Yorkshire and Humber Deanery. Her clinical post is currently with the community team at Manorlands hospice, Oxenhope. Her academic unit is in the Supportive Care, Early Diagnosis and Advanced Disease (SEDA) research group, University of Hull; she also works with colleagues in the Epidemiology, Cancer and Statistics Group, University of York.
Her PhD was awarded in 2014 and explored aspects of a palliative care approach for patients with advanced heart failure. Work from her PhD was awarded a distinguished trainee research award at the 2012 North American Primary Care Research Group annual conference in New Orleans. Her post-doctoral work is continuing her interest in palliative care for patients with heart failure and is funded by the NIHR and the Academy of Medical Sciences. Her other research interest is in medical students learning about palliative care.
Abstract: Despite international and national consensus guidelines, patients with advanced heart failure have substantial unmet palliative care needs. This seminar will outline the main findings from a study exploring a palliative care approach for people with advanced heart failure: recognition of need; transitions in care; and effect on patients, family carers and clinicians. The mixed-method approach, with integration of findings, will be discussed. A systematic literature review of prognostic variables associated with the last year of life in heart failure was performed. The Clinical Practice Research Datalink, the world’s largest primary care database, was used to compare recognition of the need for palliative care between patients with cancer and patients with heart failure. Qualitative semi-structured interviews with patients receiving a palliative approach to care, together with their carers and a nominated clinician, were conducted. The conclusion of the study is that a palliative care approach before the very end of life is beneficial in patients with heart failure. A problem-based flexible approach to recognising the need for palliative care, rather than prognosis, is recommended. The presentation will outline the clinical and policy implications of the study.
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