Availability of Heart Failure Medications in Hospice Care

The American Journal of Hospice & Palliative Care
Hillary D LumDaniel D Matlock

Abstract

Availability of cardiac medications in hospice for acute symptom management of heart failure is unknown. This study explored hospice approaches to cardiac medications for patients with heart failure. Descriptive study using a quantitative survey of 46 US hospice agencies and clinician interviews. Of 31 hospices that provided standard home medication kits for acute symptom management, only 1 provided medication with cardiac indications (oral furosemide). Only 22% of the hospice agencies had a specific cardiac medication kit. Just over half (57%) of the agencies could provide intravenous inotropic therapy, often in multiple hospice settings. Clinicians described an individualized approach to cardiac medications for patients with heart failure. This study highlights opportunities for practice guidelines that inform medical therapy for hospice patients with heart failure.

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Citations

Feb 3, 2016·Current Heart Failure Reports·Sara E WordinghamKeith M Swetz
Jun 12, 2018·Journal of Palliative Medicine·Ryan Jozwiak, Sean Marks
Jul 4, 2019·JAMA Cardiology·Sarah ChuziHaider J Warraich
Jul 16, 2021·Journal of Cardiac Failure·Stephen S GottliebLarry A Allen

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