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dc.creatorPetrucci, Ralph Jen
dc.creatorBenish, Lynne Aen
dc.creatorCarrow, Barbara Len
dc.creatorPrato, Lisaen
dc.creatorHankins, Shelley Ren
dc.creatorEisen, Howard Jen
dc.creatorEntwistle, John Wen
dc.date.accessioned2016-01-09T00:33:52Zen
dc.date.available2016-01-09T00:33:52Zen
dc.date.created2011-07en
dc.date.issued2011-07en
dc.identifierdoi:10.1097/MAT.0b013e3182223269en
dc.identifier.bibliographicCitationASAIO journal (American Society for Artificial Internal Organs : 1992) 2011 Jul-Aug; 57(4): 268-73en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Ethical+considerations+for+ventricular+assist+device+support:+a+10-point+model.&title=ASAIO+journal+&volume=57&issue=4&date=2011-07&au=Petrucci,+Ralph+J;+Benish,+Lynne+A;+Carrow,+Barbara+L;+Prato,+Lisa;+Hankins,+Shelley+R;+Eisen,+Howard+J;+Entwistle,+John+Wen
dc.identifier.urihttp://dx.doi.org/10.1097/MAT.0b013e3182223269en
dc.identifier.urihttp://hdl.handle.net/10822/1016533en
dc.description.abstractThe potential for long-term support on a ventricular assist device (VAD) in the bridge-to-transplant (BTT) and destination therapy (DT) settings has created unprecedented ethical challenges for patients and caregivers. Concerns include the patient's adaptation to life on a device and the ethical, clinical, and practical issues associated with living on mechanical support. On the basis of our experience treating 175 consecutive VAD patients, we have developed a model to address the ethical and psychosocial needs of patients undergoing VAD implantation. Patient preparation for VAD implantation encompasses three phases: 1) initial information regarding the physical events involved in implantation, risks and benefits of current device technology, and the use of VAD as a rescue device; 2) preimplant preparation including completion of advance directives specific to BTT/DT, competency determination, and identifying a patient spokesperson, multidisciplinary consultants, and cultural preferences regarding device withdrawal; and 3) VAD-specific end-of-life issues including plans for device replacement and palliative care with hospice or device withdrawal. This three-phase 10-point model addresses the ethical and psychosocial issues that should be discussed with patients undergoing VAD support.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:339790en
dc.subjectAdvance Directivesen
dc.subjectCaregiversen
dc.subjectLifeen
dc.subjectPalliative Careen
dc.subjectPatientsen
dc.subjectRisks and Benefitsen
dc.subjectTechnologyen
dc.subject.classificationProlongation of Life and Euthanasiaen
dc.titleEthical Considerations for Ventricular Assist Device Support: A 10-Point Modelen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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