MEASURES USED IN THE PALLIATIVE MANAGEMENT OF DYSPNEA IN HEART FAILURE: A SYSTEMATIC REVIEW OF THE LITERATURE
DOI:
https://doi.org/10.47820/recima21.v4i9.4021Keywords:
Dyspnoea, Heart Failure, Palliative careAbstract
Introduction: Heart pump failure, a syndrome called heart failure (HF) affects 2% of adults worldwide, leading to symptoms such as dyspnea, orthopnea, edema and congestion. Its management is mainly based on symptom control, avoiding new hospitalizations. At that moment, palliative care comes into play, which consists in multidisciplinary measures to provide symptomatic optimization and quality of life. The objective of this study is to evaluate the effect of the palliative approach in the control of dyspnea caused by HF. Methodology: This is a systematic review based on the PRISMA method, being searched for clinical trials of the last 10 years that corresponded to the descriptors “palliative care”, “heart failure” and “dyspnea”. Results: 16 articles were found, which, after applying the exclusion criteria, left 5 works that corresponded to the search question, which were tabulated and compared. Discussion: Palliative care, which includes drug, educational and even multidisciplinary therapies, reduced dyspnea, improved quality of life, survival and reduced hospitalization rates. Conclusion: The palliative approach to dyspnea in the context of HF, despite being satisfactory and promising, lacks studies aimed at controlling this symptom specifically, especially considering the need for a larger sample for randomization.
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