Fig. 13.1 FDA-approved permanent left ventricular assist devices (LVADs). (a) HeartMate II (Thoratec, Pleasanton, CA) (Reprinted with the permission of Thoratec Corporation). (b) HeartWare (HeartWare, Framingham, MA) (Reprinted with the…
Fig. 12.1 Heart failure trajectory and palliative care models While HBPC models vary, much of the care and HBPC team composition mirror that of hospice. The interdisciplinary care team consists…
Author Instrument Number of items or domains Description Sulmasy [47] 1 “What role does spirituality or religion play in your life?” Cobb [66] 1 “I see that you describe your…
Category Recommendation Patient – provider communication Offer conversations about EOL earlier in the disease course and to patients/parents irrespective of disease complexity Consider scheduling a unique visit to discuss EOL…
Fig. 8.1 Pathways leading to heart failure in older adults Prognostic Models A first step in providing quality end-of-life care is identification of prognosis for residents in SNF [16]. However,…
Fig. 6.1 Trajectories of dying (From Lunney et al. [8]. Reprinted with permission from John Wiley and Sons) In most cases, it is difficult for ED physicians to provide a…
Diagnosis Procedure In-hospital mortality Coronary artery disease Percutaneous coronary intervention 2.1–3.2 % [13] Coronary artery disease Coronary artery bypass grafting 4.7–6.0 % 9.2 % mortality for age ≥ 80 years [14] Heart…
1. Social work (SW) or support person calls family (friends/loved ones) to the hospital. Do not deliver news of death over the phone unless impractical to do otherwise 2. Family…
Year Event 1967 First advance directive created by Luis Kutner 1976 First state law (California) legally sanctioning living wills 1976 New Jersey Supreme Court establishes right of family member to…
Domains of quality ICU palliative care [18]a Examples of ICU palliative care quality indicators [19] Patient- and family-centered decision making Identification of a medical decision maker (or other appropriate surrogate)…
