Deactivation of Pacemakers and Implantable Cardioverter-Defibrillators

Kramer, Daniel B.; Mitchell, Susan L.; Brock, Dan W.

doi:10.1016/j.pcad.2012.09.003

Cited by 28 publications

(16 citation statements)

References 51 publications

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“…11,12 An ICD shock can be painful and stressful for both patients and caregivers 13,14 and negatively impact the patient's quality of life. 10 One of the barriers to discussing the ICD deactivation was providers not feeling comfortable to suggest it 15,16 and patient and family hesitation to accept the suggestion of ICD deactivation. 17 In addition, patients with advanced HF may lose mental capacity for decision-making and family members are not well informed by doctors to make decisions regarding ICD deactivation.…”

Section: Introductionmentioning

confidence: 99%

Decision-Making of Patients With Implantable Cardioverter-Defibrillators at End of Life: Family Members’ Experiences

Lee

Sulmasy

Gallo

et al. 2016

Am J Hosp Palliat Care

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Health-care providers need to have knowledge of patients' decision-making preferences. Preferences for decision-making include the allowing of appropriate people to involve and encourages direct conversation with family members even when advance directives is completed. Information of ICD function and the option of deactivation need to be clearly delivered to patients and family members. Education and guidelines will facilitate the communication of the preferences of EOL care.

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Section: Introductionmentioning

confidence: 99%

Decision-Making of Patients With Implantable Cardioverter-Defibrillators at End of Life: Family Members’ Experiences

Lee

Sulmasy

Gallo

et al. 2016

Am J Hosp Palliat Care

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“…Decision making could be quite challenging for the health-care professionals especially when it comes to withdrawing assist devices and deactivating implantable defibrillators. Physicians, cardiologists and HF experts should be prepared to face these ethical dilemmas arising mostly at the end stages of HF [36]. Answering the dilemma of withdrawing such treatments does not only concern dying patients, since shocks from implantable devices can cause fear and distress to any patient currying them [37].…”

Section: Integration Of Palliative Care In Clinical Practicementioning

confidence: 99%

Heart failure: A challenging syndrome for health care professionals

Lambrinou¹,

Protopapas²,

Kalogirou³

2018

Cardiovasc Disord Med

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Research and evidence-based practice in heart failure (HF) have well been developed the latest years helping health professionals to cope with multiple care needs of patients with HF. The current review presents an overview of the challenging issues of health professionals who care for patients with HF. The review was based on the relevant databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Library (reviews and clinical trials). Mortality and impaired quality of life in patients with HF still rises. This is mainly due to the ageing of population and the fact that prevalence of HF is higher in older people. Often HF in order people exists with co-morbidities which make HF diagnosis and management more difficult and complex.

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“…These findings reflect insufficient advance care planning as recently addressed by nurses from the Mayo Clinic. 5 In the circumstance of a device malfunction, the operative risk has to be discussed and weighed against the potential risk of deactivation. Management of ICD patients at the end of life is a very sensitive issue and depends on the individual, ethical aspects, the family situation, and may even vary between countries.…”

Section: Dear Editormentioning

confidence: 99%