In this far-ranging textbook on palliative and end of life care, John Costello and a team of palliative care specialists take a patient-centred approach. Discussing palliative and end of life care across a range of diseases and illnesses, each chapter includes real-life case studies that focus on both the patient experience and the experiences of the family members of service users. Original in its approach to palliative and end of life care, Adult Palliative Care focuses on a range of non-cancer conditions. Thoughtfully balancing theory with practice, and interprofessional in its scope, Adult Palliative Care would benefit any health professional dealing with or working in the field of palliative and end of life care.

Palliative Care for People with End Stage Heart Failure (ESHF)

Palliative Care for People with End Stage Heart Failure (ESHF)
Sharon Grimsdale

Learning Outcomes

  • Describe the pathophysiology of end stage heart failure (ESHF)
  • Describe and discuss diagnosis, treatment and symptom management
  • Provide an account of supportive interventions for patients with ESHF


The purpose of this chapter is to describe in detail the changes that take place in the heart as we age and the effects caused by disease, as well as treatment. The chapter will discuss diagnosis, symptom control and clinical management issues. Moreover, the chapter will look at the situation whereby, as a result of disease and often many years of malfunction, the person’s heart failure becomes advanced or end stage and palliative care is ...

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