Preparedness Planning Before Mechanical Circulatory Support: A ''How-To'' Guide for Palliative Medicine Clinicians
Preparedness Planning Before Mechanical Circulatory Support: A ''How-To'' Guide for Palliative Medicine Clinicians
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DOI：
10.1016/j.jpainsymman.2013.06.006
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发表时间：
2014-05-01
影响因子：
4.7
通讯作者：
Feely, Molly A.
中科院分区：
文献类型：
--
作者：
Swetz, Keith M.;Kamal, Arif H.;Feely, Molly A.
姑息医学在晚期心力衰竭患者（包括那些接受机械循环支持的患者）的护理中的作用在过去十年中急剧增长。先前的文献表明，姑息医学提供者可以很好地协助心脏病专家、心胸外科医生和多学科心血管团队促进知情同意，并就护理目标进行初步和反复的讨论。虽然以前已经描述了准备计划，但可用于完成准备计划的实际方法尚未得到很好的定义。在此，我们概述了该方法的几个关键方面，并详细介绍了在准备计划中接受机械循环支持的患者的参与策略。由爱思唯尔公司代表美国癌症疼痛缓解委员会出版。
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. Published by Elsevier Inc. on behalf of U.S. Cancer Pain Relief Committee.