Palliative care is increasingly acknowledged as beneficial in supporting patients and families affected by heart failure, but policy documents have generally focused on the chronic form of this disease. Heart failure results from a diverse range of etiological cardiovascular conditions causing a spectrum of systolic and diastolic dysfunction, often mediated by disparate patterns of ventricular remodeling. We present the case of an elderly patient who, after the diagnosis of pump failure through follow-up, palliative care support was determined by the family medicine specialist, reaching optimal end-of-life results, accepting that there is emotional improvement in his hospitalization.