Small numbers of patients with terminal cardiac failure may make considerable demands on services

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6991.1411 (Published 27 May 1995) Cite this as: BMJ 1995;310:1411
  1. J M Beattie,
  2. R G Murray,
  3. Jan Brittle,
  4. Trish Catanheira
  1. Consultant cardiologist Consultant cardiologist Continuing care sister Continuing care sister Department of Cardiology, Birmingham Heartlands Hospital, Birmingham B9 5SS

    EDITOR,—We agree with Sarah Jones that palliative care seems rarely to be offered to patients with congestive heart failure and that referral of such patients for community based hospice care is exceptional.1 It is uncertain, however, whether the small uptake of such services that Jones reports reflects clinical need,2 the referral practice of local doctors, or the conceptual approach of the small group of hospices surveyed. Similarly, alternative, hospital based symptomatic support may be available for these patients.

    Such a palliative care programme was …

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