Key result
Preparedness planning guides palliative goals-of-care discussions for patients receiving mechanical circulatory support.
Why the study?
Although preparedness planning for patients with advanced heart failure receiving mechanical circulatory support has been described previously, the specific methods to complete a preparedness plan have not been well defined.
This guide outlines specific strategies and methods for palliative medicine clinicians to engage advanced heart failure patients receiving mechanical circulatory support in preparedness planning and goals-of-care discussions.
Answers are grounded in this paper and cite their sources.
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“At the time there was a lot of recognition in the advanced heart failure community that LVAD didn't always go well and people needed to be prepared for that. I think most people felt that including palliative care was logical.”
Provides a practical framework for palliative clinicians in mechanical circulatory support preparedness planning; leaves open the need for validation studies.
The role of palliative medicine in the care of patients with advanced heart failure, including those who receive mechanical circulatory support, has grown dramatically in the last decade. Previous literature has suggested that palliative medicine providers are well poised to assist cardiologists, cardiothoracic surgeons, and the multidisciplinary cardiovascular team with promotion of informed consent and initial and iterative discussions regarding goals of care. Although preparedness planning has been described previously, the actual methods that can be used to complete a preparedness plan have not been well defined. Herein, we outline several key aspects of this approach and detail strategies for engaging patients who are receiving mechanical circulatory support in preparedness planning.
Journal, society, and media accounts. Useful signal, not independent expert judgment.
No takes yet. Share an insight, caveat, or question.
Swetz et al. (2013) conducted a review in Advanced heart failure receiving mechanical circulatory support. Preparedness planning by palliative medicine clinicians was evaluated. Preparedness planning strategies are outlined to guide palliative medicine clinicians in engaging advanced heart failure patients receiving mechanical circulatory support in goals-of-care discussions.
Synapse has enriched 10 related papers. Consider them for comparative context: