Assessment and Management of Cognitive Dysfunction and Frailty at End of Life
Frailty domain Method of measurement Cutoffs for measurement 1. Slowness 5-m gait speed Patient is asked to walk at a comfortable pace from a 0–m start line to past a…
Management of Implanted Cardiac Rhythm Devices at End of Life
In re Quinlan 1976 Supreme Court of New Jersey Withdraw Ventilator Saikewicz 1977 Massachusetts Superior Judicial Court Withhold Chemotherapy In the matter of Shirley Dinnerstein 1978 Massachusetts Court of Appeals…
Dying from Cardiovascular Disease: An Epidemiologic Perspective
Fig. 1.1 Causes of death in men and women with HFrEF vs. HFpEF (From Lee et al. [14]. Reprinted with permission from Wolters Kluwer Health) A similar analysis of decedents…
Palliative Care and Hospice in Patients with Advanced Cardiovascular Disease
Fig. 3.1 Traditional model for the integration of palliative care and hospice in a terminal illness. Note that this paradigm may be more applicable to cancer patients than patients with…
Care for Patients Dying with a Left Ventricular Assist Device
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…
Models of End-of-Life Care in the Home Environment
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…
Spiritual and Existential Issues
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…
End-of-Life Care in Pediatric and Congenital Heart Disease
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…
End-of-Life Care in Skilled Nursing Facilities
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,…
End-of-Life Care in Hospitalized Patients with Cardiovascular and Cerebrovascular Disease
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…
