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GP-Palliative Care Forum held on 13 July 2016

SUMMARY POINTS

BY: M JOSEPH

TOPIC: PALLIATIVE CARE IN CARDIAC DISEASE - 13 July 2016

  • Recognition of refractory cardiac failure as a malignant disorder
  • Timely referral to palliative care & joint care with cardiologist & palliative care specialist
  • Recognition of symptoms and similarity with cancer
  • Sensitive discussion regarding de-activation of the defibrillator component of the CRT-D device at the end stage
  • The 3 main stay drug management of cardiac failure (Beta blocker, ACE-i/ARB, MRA)
  • Cardiac drug induced adverse effect recognition
  • Usefulness and therapeutic understanding of Opioids and Benzodiazepines in this setting
  • Consideration for Furosemide via a CSCI in the dying stage of cardiac failure
  • CSCI medication use tailored for maximum comfort in the dying stage of cardiac failure