Paliative care of chronic heart failure:
When is it the right time?

Authors: PhDr. Helena Novotná 1,2;  doc. MUDr. Miroslav Kala, CSc. 1,3
Authors‘ workplace: Fakulta zdravotnických věd UP Olomouc 1;  Nemocnice Tábor, a. s. 2;  Hospic na Svatém Kopečku, Olomouc 3
Published in: Geriatrie a Gerontologie 2014, 3, č. 4: 202-206
Category: Review Article


The amount of patients with advanced chronic heart failure increases despite of develop methods of treatment. For many of them could be applied a paliative treatments. The specificity of palliative care is different philosophy of approach to the patient and deal with his problems in compared with curative approach. This is also the organization of care, that helps to patient and his family cope with very uncertain future. Current palliative care for patients with advanced chronic heart failure doesn´t have clear concept in the Czech republic. Most of these patients spend their last weeks of life on acute or intensive care.

chronic heart silure – palliative care – quality of life


1. Brad S: Palliative care and hospice in advanced heart failure. Palliat Med 2007; 10(1): 78–82.

2. Kabelka L: Principy neonkologické paliativní péče – pohled geriatra. Paliat med liec boles 2008; 1(2): 67–70.

3. Sláma O: Obecná a specializovaná paliativní péče v ČR. Paliat med liec boles 2012; 5(1): 10–12.

4. Kala M: Úskalí krátkodobé hospicové péče. Paliat med liec boles 2012; 4(2): 72–73.

5. Stewart S, McMurray J: Palliative care for heart failure. J Palliat Care 2005; 21(6): 48–59.

6. Stevenson L: Changinig preferences for survival after hospitalization with advanced heart failure. J Am Coll Cardiol 2008; 52(2): 1702–1708.

7. Boyd KJ: Living with the advanced heart failure: a prospective community based study of patients and their carers. Eur J Heart Fail 2004; 69(11): 6585–591.

8. Smith D: Development of end-of-life care pathway for patients with advanced heart failure in a community setting. J Palliat Nurs 2012; 18 (6): 295–300.

9. Thomas JM, O´Leary JR: Determinant of hospice disscusion of older person with advanced illnes. J Gen Intern Med 2012; 26(4):1411–8.

10. Hanratty B, Lowson E, Grande G et al.: A study of socioeconomic disadvantage and end-of-life hospital admissions for older people with heart failure and lung cancer in England. BMJ Support Palliat Care 2012; 3(1): 132.

11. Johnson M, Gadoud A: Palliative care for people with chronic heart failure. J Palliat Care 2011; 27(1): 37–42.

12. Highet G, Crawford D, Murray S et al.: Development and evaluation of the supportive and palliative care indicators tool: a mixed-methods study. BMJ Support Palliat Care 2013; 4 (7): 86–97.

13. Beernaert K, Deliens L, De Vleminck A et al.: Early identification of palliative care needs by family physicians: A qualitative study of barriers and facilitators from the perspective of family physicians, community nurses, and patients. Palliat Med 2014; 28(4): 370–382.

14. McCarthy M, Hall JA, Ley M.: Communication and choice in dying from heart disease. J R Soc Med 2007; 90: 128–131.

15. Málek F, Málek I: Srdeční selhání. 1. vyd. Praha: Karolinum 2013.

16. Kabelka L, Havlínová V: Možnosti paliativní péče u pokročilého srdečního selhání. Paliat med liec boles 2009; 2(2): 78–82.

17. Gibbs JSR, McCoy, AMS, Rogers AE et al.: Living with and dying from heart failure: the role of palliative care. Heart 2002; 88(Suppl III): 36–39.

Geriatrics General practitioner for adults Orthopaedic prosthetics
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