Symptom cluster among patients with advanced heart failure: a review of its manifestations and impacts on health outcomes

Symptom cluster among patients with advanced heart failure: a review of its manifestations and... Purpose of reviewAssessment of symptom clustering is effective in enhancing care planning for symptom palliation in life-limiting disease. This review was aimed at identifying symptom cluster manifestation among advanced heart failure patients and to investigate the prognostic impact of the identified symptom clusters.Recent findingsA systematic search of the literature identified 10 relevant articles. Two approaches were undertaken based on: correlations between symptoms and shared characteristics of patients’ symptom profiles, to identify the symptom clusters. By comparing the findings for heart failure patients at an advanced disease stage and those who were not, the symptom clusters of advanced heart failure were found to have unique characteristics. In particular, the typical symptoms associated with cardiac decompensation are not clustered together. Instead, dyspnoea is clustered with emotional symptoms indicating that a distressing dyspnoeic attack may reinforce awareness of the life-limiting nature of the disease and arouse negative emotions. In addition, the debilitating heart failure-specific symptoms share the cause of the life-limiting aspects in compromising patient vitality. The strong positive association between symptom burden and cardiac event prompts the need for effective intervention to palliate not only typical but also atypical and emotional symptoms of advanced heart failure.SummaryThis review provides insight on potentially effective interventions for symptom palliation in advanced heart failure. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Opinion in Supportive and Palliative Care Wolters Kluwer Health

Symptom cluster among patients with advanced heart failure: a review of its manifestations and impacts on health outcomes

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Publisher
Wolters Kluwer
Copyright
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1751-4258
eISSN
1751-4266
D.O.I.
10.1097/SPC.0000000000000316
Publisher site
See Article on Publisher Site

Abstract

Purpose of reviewAssessment of symptom clustering is effective in enhancing care planning for symptom palliation in life-limiting disease. This review was aimed at identifying symptom cluster manifestation among advanced heart failure patients and to investigate the prognostic impact of the identified symptom clusters.Recent findingsA systematic search of the literature identified 10 relevant articles. Two approaches were undertaken based on: correlations between symptoms and shared characteristics of patients’ symptom profiles, to identify the symptom clusters. By comparing the findings for heart failure patients at an advanced disease stage and those who were not, the symptom clusters of advanced heart failure were found to have unique characteristics. In particular, the typical symptoms associated with cardiac decompensation are not clustered together. Instead, dyspnoea is clustered with emotional symptoms indicating that a distressing dyspnoeic attack may reinforce awareness of the life-limiting nature of the disease and arouse negative emotions. In addition, the debilitating heart failure-specific symptoms share the cause of the life-limiting aspects in compromising patient vitality. The strong positive association between symptom burden and cardiac event prompts the need for effective intervention to palliate not only typical but also atypical and emotional symptoms of advanced heart failure.SummaryThis review provides insight on potentially effective interventions for symptom palliation in advanced heart failure.

Journal

Current Opinion in Supportive and Palliative CareWolters Kluwer Health

Published: Mar 1, 2018

References

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