It is a matter of course that palliative care is important for the patients with terminal
heart failure as well as terminal cancer. But heart failure is gradually getting worse
while the patients repeatedly get hospitalized, so the timing of starting palliative
care is difficult. In our hospital, last year 337 patients were hospitalized and 14
patients died for heart failure. We established heart failure palliative care team
in 2016, and holded malti-disciplinary conference about terminal heart failure patients
once a week. In doing so, we planed to reveal and share problems from multi-direction.
This time, we experienced the patient who was 50s-years-old man with dilated cardiomyopathy
was introduced palliative care. He was already treated with large amounts of inotropic
agents, and rejected to receive LVAD (Left Ventricular Assist Device) due to exception.
We want to report and review some problems, for example when was the best point to
make ACP (advance care planning).
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