Core Component 4: Cohesive Working

Core Component 4: Cohesive Working

 

Acknowledging the unique contribution of the wider professional team is absolutely essential to enable the provision of high quality supportive cardiac and palliative care, for persons living with and dying from advancing heart failure. The opportunity for seamless collaboration and cross fertilisation of knowledge, skills, expertise and peer support is invaluable.

It is important to acknowledge that the majority of patients will require generalist palliative care support, which can be provided in partnership with the community care team consisting of the General Practitioner, District Nurse, Pharmacist and all other Health and Social Care Providers as appropriate.

Patients who have complex unmet cardiac palliative care needs should be referred to the local specialist palliative care team, to enable cohesive working to manage ongoing needs as appropriate. This may include referral to hospice day therapies, community joint visits in the patient’s home or inpatient services. It is important to remember that hospices are not just for end of life care. Many patients and carers benefit from a short term inpatient or outpatient intervention by specialist palliative care which is focused on supporting them to live well throughout their illness trajectory.

Additional members of the wider professional team may include the dietician, occupational therapist, cardiac physiologist, physiotherapist, speech and language therapist, spiritual director etc.

Key Message: Professionals may require peer support with the assessment and management of complex unmet patient needs. Specialist and generalist palliative care providers can have a key role in supporting cardiac professionals to develop confidence and competence during informal clinical shadowing, joint visits or during MDT discussions on a patient-by-patient basis. Equally, cardiac professionals can provide invaluable cardiac specific support and knowledge to specialist and generalist palliative care professionals.

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Key Message: Professionals may require peer support with the assessment and management of complex unmet patient needs. Specialist and generalist palliative care providers can have a key role in supporting cardiac professionals to develop confidence and competence during informal clinical shadowing, joint visits or during MDT discussions on a patient-by-patient basis. Equally, cardiac professionals can provide invaluable cardiac specific support and knowledge to specialist and generalist palliative care professionals.

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(c) British Society for Heart Failure, 2022-
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