Usefulness of Palliative Care to Complement the Management of Patients on Left Ventricular Assist Devices.

Autor: Luo N; Division of Cardiology, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina. Electronic address: nancy.luo@duke.edu., Rogers JG; Division of Cardiology, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina., Dodson GC; Palliative Medicine Section, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina., Patel CB; Division of Cardiology, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina., Galanos AN; Palliative Medicine Section, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina., Milano CA; Department of Surgery, Duke University Medical Center, Durham, North Carolina., O'Connor CM; Division of Cardiology, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina; Inova Heart and Vascular Institute, Falls Church, Virginia., Mentz RJ; Division of Cardiology, Department of Internal Medicine, Duke University Medical Center, Durham, North Carolina.
Jazyk: angličtina
Zdroj: The American journal of cardiology [Am J Cardiol] 2016 Sep 01; Vol. 118 (5), pp. 733-8. Date of Electronic Publication: 2016 Jun 21.
DOI: 10.1016/j.amjcard.2016.06.010
Abstrakt: Within the last decade, advancements in left ventricular assist device therapy have allowed patients with end-stage heart failure (HF) to live longer and with better quality of life. Like other life-saving interventions, however, there remains the risk of complications including infections, bleeding episodes, and stroke. The candidate for left ventricular assist device therapy faces complex challenges going forward, both physical and psychological, many of which may benefit from the application of palliative care principles by trained specialists. Despite these advantages, palliative care remains underused in many advanced HF programs. Here, we describe the benefits of palliative care, barriers to use within HF, and specific applications to the integrated care of patients on mechanical circulatory support.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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