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Psychosocial Assessment of Patients Considered for Mechanical Circulatory Support 

Psychosocial Assessment of Patients Considered for Mechanical Circulatory Support
Chapter:
Psychosocial Assessment of Patients Considered for Mechanical Circulatory Support
Author(s):

Jenessa S. Price

and Stephanie C. Zanowski

DOI:
10.1093/med/9780190909291.003.0005
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date: 29 May 2020

Psychosocial assessment is important in evaluating patients for mechanical circulatory support (MCS) for both destination therapy and bridge to transplant. This chapter describes assessments for mental health and substance use, as well as for characterizing social history and overall emotional functioning. It reviews the literature on the psychosocial risks and outcomes among patients being considered for MCS and identifies additional psychological evaluations of interest. It describes a model for assessing and treating these patients that incorporates a mental health clinic dedicated to supporting the MCS-transplant team. Finally, the chapter discusses the challenges in determining MCS candidacy in patients with marked psychosocial risk factors and offers some recommendations for practice.

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