what are the Recommendations for Palliative and Supportive Care, Shared Decision-
Making, and End-of-Life
Referenced studies that support the recommendations are summa-
rized in the Online Data Supplements.?
For patients with HF?particularly stage D HF patients being evaluated for advanced therapies, patients requiring inotropic support or temporary mechanical support, patients experiencing uncontrolled symptoms, major medical decisions, or multimorbidity, frailty, and cognitive impairment?specialist palliative care consultation can be useful to improve QOL and relieve suffering.