Maximal care considerations when treating patients with end-stage heart failure: ethical and procedural quandaries in management of the very sick
| Autor: | Lawrence S.C. Czer, Kiran J. Philip, Alfredo Trento, Laurent Cleenewerck, Sinan Simsir, Stuart G. Finder, Ernst R. Schwarz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Nursing(all) Heart transplantation Ventricular assist devices Quality of life (healthcare) Health care medicine Humans Health ethics Disease management (health) Intensive care medicine General Nursing Medicine(all) Heart Failure Original Paper business.industry Sick role Patient Selection Religious studies Sick Role Disease Management General Medicine medicine.disease Cardiopulmonary Resuscitation Transplantation Heart failure Candidacy Quality of Life Medical emergency Heart-Assist Devices business |
| Zdroj: | Journal of Religion and Health |
| ISSN: | 1573-6571 0022-4197 |
| Popis: | Deciding who should receive maximal technological treatment options and who should not represents an ethical, moral, psychological and medico-legal challenge for health care providers. Especially in patients with chronic heart failure, the ethical and medico-legal issues associated with providing maximal possible care or withholding the same are coming to the forefront. Procedures, such as cardiac transplantation, have strict criteria for adequate candidacy. These criteria for subsequent listing are based on clinical outcome data but also reflect the reality of organ shortage. Lack of compliance and non-adherence to lifestyle changes represent relative contraindications to heart transplant candidacy. Mechanical circulatory support therapy using ventricular assist devices is becoming a more prominent therapeutic option for patients with end-stage heart failure who are not candidates for transplantation, which also requires strict criteria to enable beneficial outcome for the patient. Physicians need to critically reflect that in many cases, the patient’s best interest might not always mean pursuing maximal technological options available. This article reflects on the multitude of critical issues that health care providers have to face while caring for patients with end-stage heart failure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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