Kinlessness in Older Adults with Advanced HF

The Impact of Kinlessness on Older Adults with Advanced Heart Failure

Recent studies highlight the significant challenges faced by older adults with advanced heart failure (HF) who lack traditional kin networks (spouses or children). Kinlessness, a growing phenomenon, has been linked to poorer access to advanced treatments like left ventricular assist devices (LVADs) or heart transplants. Social isolation also correlates with higher rates of institutionalization and unmet care needs. Research underscores disparities in care: kinless patients are often under-referred for advanced therapies and face barriers in end-of-life care, with fewer dying in hospice settings compared to those with kin. These findings stress the need for targeted social support interventions to address these inequities

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