Palliative care for patients with heart failure in critical care: scoping review

Fábio Pousinho; Lúcia Bacalhau; Patrícia Pontífice-Sousa

doi:10.29352/mill0226.37398

Palliative care for patients with heart failure in critical care: scoping review

Título traduzido da contribuição: Cuidados paliativos à pessoa com insuficiência cardíaca em cuidados críticos: Scoping review

Fábio Pousinho^*
, Lúcia Bacalhau
, Patrícia Pontífice-Sousa

^*Autor correspondente para este trabalho

Resultado de pesquisa › revisão de pares

38 Transferências (Pure)

Resumo

Introdução: A insuficiência cardíaca é uma doença crónica que afeta milhares de pessoas em todo o mundo. Estas pessoas, em alguma fase da sua doença, têm necessidade de cuidados críticos. A prestação de cuidados paliativos é essencial no decurso de toda a doença. Objetivo: Mapear a evidência sobre os cuidados paliativos à pessoa com insuficiência cardíaca em cuidados críticos. Métodos: Foi realizada uma scoping review, segundo a metodologia proposta pelo Joanna Briggs Institute. A pesquisa foi realizada nas bases de dados electrónicas MEDLINE Complete (via EBSCO); CINAHL (via EBSCO); Pubmed, Web-of-science e Repositórios Científicos de Acesso Aberto de Portugal (RCAAP, via b-on). Resultados: Foram incluídos na presente revisão 10 fontes de evidência. Os resultados foram agregados em 2 categorias – cuidados paliativos no serviço de urgência e cuidados paliativos na unidade de cuidados intensivos. Foram identificadas 8 subcategorias: identificação de necessidade de cuidados paliativos; controle de sintomas; comunicação, tomada de decisão e planeamento antecipado de cuidados; gestão de dispositivos cardíacos implantáveis e de assistência ventricular; processo de morte, cuidados culturalmente sensíveis; definição de prognóstico; princípios da bioética e Consentimento informado Conclusão: Os contextos de prestação de cuidados críticos revelam-se como locais aos quais pessoas com insuficiência cardíaca recorrem no recurso da sua doença. Existem intervenções específicas para cada contexto, que podem aumentar a qualidade de vida das pessoas.

Título traduzido da contribuição	Cuidados paliativos à pessoa com insuficiência cardíaca em cuidados críticos: Scoping review
Idioma original	English
Número do artigo	e37398
Número de páginas	12
Revista	Millenium: Journal of Education, Technologies, and Health
Volume	2025
Número de emissão	26
DOIs	https://doi.org/10.29352/mill0226.37398
Estado da publicação	Publicado - 13 fev. 2025

Keywords

Insuficiência cardíaca
Cuidados paliativos
Cuidados críticos
Serviço de urgência
UCI

Acesso ao documento

10.29352/mill0226.37398Licença:

116233311_enFinal published version, 653 KBLicença:
116233311_ptFinal published version, 634 KBLicença:

http://hdl.handle.net/10400.14/52820Licença:

Outros arquivos e links

Link to publication in Scopus

CIIS - Center for Interdisciplinary Research in Health: UID/04279/2025. Pluriannual 2025-2029
Rosa, N. (PI) & Soares, E. (Project Manager)
1/01/25 → 31/12/29
Projeto

Citação

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title = "Palliative care for patients with heart failure in critical care: scoping review",

abstract = "Introduction: Heart failure is a chronic condition affecting thousands globally. At some stage of their illness, these individuals require critical care. Palliative care is essential throughout the course of the disease. Objective: To map the evidence on palliative care for people with heart failure in critical care. Methods: A scoping review was conducted following the methodology proposed by the Joanna Briggs Institute. Searches were performed in electronic databases: MEDLINE Complete (via EBSCO), CINAHL (via EBSCO), PubMed, Web of Science, and Reposit{\'o}rios Cient{\'i}ficos de Acesso Aberto de Portugal (RCAAP, via b-on). Results: 10 sources of evidence were included in this review. The results were grouped into 2 categories-palliative care in the emergency department and palliative care in the intensive care unit. Eight subcategories were identified: identification of the need for palliative care; symptom control; communication, decision-making and advance care planning; management of implantable cardiac devices and ventricular assistance; the dying process; culturally sensitive care; definition of prognosis; bioethical principles and informed consent. Conclusion: Critical care settings are the places where people with heart failure turn to for help with their illness. There are specific interventions for each context that can increase people's quality of life.",

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author = "F{\'a}bio Pousinho and L{\'u}cia Bacalhau and Patr{\'i}cia Pont{\'i}fice-Sousa",

year = "2025",

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doi = "10.29352/mill0226.37398",

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volume = "2025",

journal = "Millenium: Journal of Education, Technologies, and Health",

issn = "0873-3015",

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}

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AU - Bacalhau, Lúcia

AU - Pontífice-Sousa, Patrícia

PY - 2025/2/13

Y1 - 2025/2/13

N2 - Introduction: Heart failure is a chronic condition affecting thousands globally. At some stage of their illness, these individuals require critical care. Palliative care is essential throughout the course of the disease. Objective: To map the evidence on palliative care for people with heart failure in critical care. Methods: A scoping review was conducted following the methodology proposed by the Joanna Briggs Institute. Searches were performed in electronic databases: MEDLINE Complete (via EBSCO), CINAHL (via EBSCO), PubMed, Web of Science, and Repositórios Científicos de Acesso Aberto de Portugal (RCAAP, via b-on). Results: 10 sources of evidence were included in this review. The results were grouped into 2 categories-palliative care in the emergency department and palliative care in the intensive care unit. Eight subcategories were identified: identification of the need for palliative care; symptom control; communication, decision-making and advance care planning; management of implantable cardiac devices and ventricular assistance; the dying process; culturally sensitive care; definition of prognosis; bioethical principles and informed consent. Conclusion: Critical care settings are the places where people with heart failure turn to for help with their illness. There are specific interventions for each context that can increase people's quality of life.

AB - Introduction: Heart failure is a chronic condition affecting thousands globally. At some stage of their illness, these individuals require critical care. Palliative care is essential throughout the course of the disease. Objective: To map the evidence on palliative care for people with heart failure in critical care. Methods: A scoping review was conducted following the methodology proposed by the Joanna Briggs Institute. Searches were performed in electronic databases: MEDLINE Complete (via EBSCO), CINAHL (via EBSCO), PubMed, Web of Science, and Repositórios Científicos de Acesso Aberto de Portugal (RCAAP, via b-on). Results: 10 sources of evidence were included in this review. The results were grouped into 2 categories-palliative care in the emergency department and palliative care in the intensive care unit. Eight subcategories were identified: identification of the need for palliative care; symptom control; communication, decision-making and advance care planning; management of implantable cardiac devices and ventricular assistance; the dying process; culturally sensitive care; definition of prognosis; bioethical principles and informed consent. Conclusion: Critical care settings are the places where people with heart failure turn to for help with their illness. There are specific interventions for each context that can increase people's quality of life.

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KW - Emergency department

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KW - Cuidados paliativos

KW - Cuidados críticos

KW - Serviço de urgência

KW - UCI

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DO - 10.29352/mill0226.37398

M3 - Article

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ER -

Palliative care for patients with heart failure in critical care: scoping review

Resumo

Keywords

Acesso ao documento

Outros arquivos e links

Impressão digital

Projetos

CIIS - Center for Interdisciplinary Research in Health: UID/04279/2025. Pluriannual 2025-2029

Citação