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Palliative Care in Mechanical Circulatory Support 

Palliative Care in Mechanical Circulatory Support
Chapter:
Palliative Care in Mechanical Circulatory Support
Author(s):

Regina M. Mackey

and Jacob J. Strand

DOI:
10.1093/med/9780190909291.003.0004
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date: 28 May 2020

Palliative care teams are increasingly involved in the care of patients with advanced circulatory failure and play an important role in the care of patients undergoing implantation of left ventricular assist devices. Palliative care teams focus on symptom management, caregiver support, and robust advance care planning for patients in the pre-implantation and post-implantation phase of care. Preoperative envolvement of Palliative care is effective in helping the patient articulate his/her goals and reason for pursuing surgical intervention as well as declaring just how committed the patient is to long term medical care should various types of complications occur in the perioperative period. This provides comfort to the family when a difficult decision has to be made at a time when the patient can’t take an active part in making that decision. Effective Palliative care teams are present to celebrate the victories as well as the failures in patient care.

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