Preparedness planning before mechanical circulatory support: a "how-to" guide for palliative medicine clinicians.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Swetz, KM; Kamal, AH; Matlock, DD; Dose, AM; Borkenhagen, LS; Kimeu, AK; Dunlay, SM; Feely, MA

Published Date

  • May 2014

Published In

Volume / Issue

  • 47 / 5

Start / End Page

  • 926 - 935.e6

PubMed ID

  • 24094703

Electronic International Standard Serial Number (EISSN)

  • 1873-6513

Digital Object Identifier (DOI)

  • 10.1016/j.jpainsymman.2013.06.006


  • eng

Conference Location

  • United States