Afficher la couverture 'Palliative care clinicians caring for patients before and after continuous flow-left ventricular assist device | WORDINGHAM, Sara E.' en grand format
/5

0 avis

Palliative care clinicians caring for patients before and after continuous flow-left ventricular assist device

Article indépendant

WORDINGHAM, Sara E. | MCILVENNAN, Colleen K. | FENDLER, Timothy J. | BEHNKEN, Amy L. | DUNLAY, Shannon M. | KIRKPATRICK, James N. | SWETZ, Keith M.

Left ventricular assist devices (LVADs) are an available treatment option for carefully-selected patients with advanced heart failure. Initially developed as a bridge to transplantation, LVADs are now also offered to patients ineligible for transplantation as destination therapy (DT). Individuals with a DT-LVAD will live the remainder of their lives with the device in place. While survival and quality of life improve with LVADs compared to medical therapy, complications persist including bleeding, infection, and stroke. There has been increased emphasis on involving palliative care specialists in LVAD programs, specifically the DT-LVAD population, from the pre-implantation process through the end of life. Palliative care specialists are well-poised to provide education, guidance and support to patients, families, and clinicians throughout the LVAD journey. This manuscript addresses the complexities of the LVAD population, describes key challenges faced by palliative care specialists, and discusses opportunities for building collaboration between palliative care specialists and LVAD teams.

http://dx.doi.org/10.1016/j.jpainsymman.2017.07.007

Voir la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 54»

Autres numéros de la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT»

Consulter en ligne

Suggestions

Du même auteur

Palliative care clinicians caring for patient...

Article indépendant | WORDINGHAM, Sara E. | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°4 | vol.54

Left ventricular assist devices (LVADs) are an available treatment option for carefully-selected patients with advanced heart failure. Initially developed as a bridge to transplantation, LVADs are now also offered to patients inel...

Are opioids contraindicated for the palliativ...

Article indépendant | FUKUI, Natsu | JOURNAL OF PALLIATIVE MEDICINE | n°9 | vol.25

Palliative care providers are frequently called to consult on patients with tenuous hemodynamics caused by an underlying serious illness. In this article, we describe a patient with end-stage renal disease who developed hypotensio...

Physician perspectives on palliative care for...

Article indépendant | BALKIN, Emily Morell | JOURNAL OF PALLIATIVE MEDICINE | n°6 | vol.21

BACKGROUND: While the importance of pediatric palliative care (PPC) for children with life-threatening illness is increasingly recognized, little is known about physicians' attitudes toward palliative care for children with heart ...

De la même série

Intention-to-treat analyses for randomised co...

Article indépendant | KOCHOVSKA, Slavica | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°3 | vol.599

INTRODUCTION: Minimising bias in randomised controlled trials (RCTs) includes intention-to-treat (ITT) analyses. Hospice/palliative care RCTs are constrained by high attrition unpredictable when consenting, including withdrawals b...

We care : a wellness intervention project for...

Article indépendant | BURKE, Christa | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°1 | vol.67

There is a trend toward burnout in palliative care physicians. Due to this, a five-session curriculum has been designed with resiliency tools, coping skills, and spirituality in order to train palliative care fellows in an inpatie...

Cancer pain management in patients receiving ...

Article indépendant | TAGAMI, Keita | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°1 | vol.67

CONTEXT: Cancer pain is a common complication that is frequently undertreated in patients with cancer. OBJECTIVES: This study is aimed at assessing the time needed to achieve cancer pain management goals through specialized pallia...

Religious, cultural and sex influences on adv...

Article indépendant | OSHOW, Fariah | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°1 | vol.67

INTRODUCTION: Advance care directives (AD) are instructions from patients regarding the care they would prefer if they could not make medical decisions in the future. It is widely recognized that racial and ethnic as well as sex d...

Barriers for adult patients to access palliat...

Article indépendant | PITZER, Stefan | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°1 | vol.67

BACKGROUND: Access to palliative care services is variable, and many inpatients do not receive palliative care. An overview of potential barriers could facilitate the development of strategies to overcome factors that impede acces...

Chargement des enrichissements...