Growing the Team: A Multidisciplinary Approach to Palliative Care in Heart Failure
Patients with congestive heart failure have long been recognized to suffer from significant symptom burdens and increased mortality (Flint, Schmiege, Allen, Fendler, Rumsfeld & Bekelman, 2017). As a result, collaborative multidisciplinary partnerships between Supportive Care services and Heart Failure providers are increasingly prevalent in cardiology clinics across the country to improve quality of life for heart failure patients and their caregivers as well as prevent time in the hospital. That team of Supportive Care services historically has consisted of physicians or advanced practice providers providing symptom management and discussing goals of care. Recently our institution added a Master's prepared social worker (MSW) as a complement to the Supportive Care team. As a follow up to symptom management and goals of care discussions by the Supportive Care CRNP, the MSW sees heart failure patients and their caregivers in the outpatient setting to address psychosocial needs, provide emotional support, and assist with completion of advance care planning documentation. Both the HF Supportive Care CRNP and MSW see patients primarily in the outpatient setting but continue to follow those patients when readmitted to the hospital with decompensations reflective of progressive disease. The purpose of this poster is to illustrate the organizational framework of the HF Supportive Care clinic and quantify the patient touches both disciplines make in both inpatient and outpatient settings. Quality of care surveys will also be sent to patients seen over a three month period to gain insight on the patient's perception of their Supportive Care interaction.
Flint, K., Schmiege, S., Allen, L., Fendler, T., Rumsfeld, J. & Bekelman, D. (2017). Health status trajectories among outpatients with heart failure. Journal of Pain and Symptom Management 53(2) 224-231.
Tara Orgon Stamper, DNP, CRNP
Supportive Care Nurse Practitioner
Allegheny Health Network, Allegheny General Hospital, Department of Cardiology
320 East North Avenue, 16th Floor, South Tower
Pittsburgh, PA 16046