Total artificial heart implantation: supportive care preparedness planning framework.
Erin StevensBrent C LampertBryan A WhitsonLaura J RushNahush A MokadamTodd A BarrettPublished in: BMJ supportive & palliative care (2023)
Decision making for a TAH is complex. There is an urgency and patients do not always have capacity. Identifying legal decision makers and social support is critical. The surrogate decision makers should be included in preparedness planning including discussions about end-of-life care and treatment discontinuation. Having palliative care as members of the interdisciplinary mechanical circulatory support team can assist in these preparedness conversations.
Keyphrases
- palliative care
- social support
- decision making
- public health
- depressive symptoms
- end stage renal disease
- advanced cancer
- ejection fraction
- healthcare
- heart failure
- chronic kidney disease
- quality improvement
- infectious diseases
- prognostic factors
- extracorporeal membrane oxygenation
- patient reported outcomes
- advance care planning
- patient reported