What the Psychiatrist Needs to Know About Ventricular Assist Devices: A Comprehensive Review
| Autor: | Leopoldo Pozuelo, Margo C. Funk, Kay Kendall, Julie L. Rosenthal, Mario A. Caro |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Biopsychosocial model
Automobile Driving medicine.medical_treatment Decision Making Population Comorbidity 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Preoperative Care Body Image medicine Humans 030212 general & internal medicine education Referral and Consultation Applied Psychology Heart Failure Psychiatry Depressive Disorder Terminal Care education.field_of_study business.industry Mental Disorders Delirium medicine.disease Anxiety Disorders Self Care Psychiatry and Mental health Ventricular assist device Heart Transplantation Heart-Assist Devices Medical emergency medicine.symptom business Psychosocial Psychopathology Destination therapy |
| Zdroj: | Psychosomatics. 57:229-237 |
| ISSN: | 0033-3182 |
| DOI: | 10.1016/j.psym.2016.01.002 |
| Popis: | Background The number of patients with end-stage heart failure using mechanical circulatory support has dramatically increased over the past decade. Left ventricular assist devices, the most common type of mechanical circulatory support, can be used as a bridge to transplant, destination therapy, and as a bridge to recovery. As this patient population continues to grow, consultation-liaison psychiatrists will become increasingly involved in their care. A thorough biopsychosocial assessment is required to ensure adequate recognition and management of medical, psychiatric, social, and ethical challenges posed by this population. Methods We performed a literature review to identify key issues relevant to the practice of consultation-liaison psychiatrists. Results General functioning of left ventricular assist devices, device types, system components, life with a left ventricular assist device, preoperative evaluation, treatment of psychiatric comorbidities, and end-of-life decision-making are discussed. Conclusions Consultation-liaison psychiatrists need to be familiar with the high prevalence of psychopathology in patients implanted with left ventricular assist devices. A detailed biopsychosocial formulation is required to adequately identify and, if possible, resolve a myriad of medical, psychiatric, social, and ethical challenges presented by this population. Future efforts should accurately identify and report specific psychiatric disorders and adverse events within this cohort. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect