Table 5.

Clinical Management of End Stage Heart-Failure Patients in Hospice

The least frequent symptoms may be the symptoms may cause the most distress.

Management of experienced symptom distress may favorably mange depressive symptoms.

Pain management should include a systematic assessment of other sources of pain from co-morbidities.

Management of a symptom experienced with greater severity may not alleviate the distress caused by symptoms.

Assessment and management of sleeplessness may be a central tenant to symptom management in end stage heart failure patients in hospice.