Experiences with end-of-life care with a left ventricular assist device: An integrative review.

Thompson, JH; Moser, D

Experiences with end-of-life care with a left ventricular assist device: An integrative review.

Thompson, JH Moser, D

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Heart and Lung: the journal of acute and critical care, 2020, 49, (5), pp. 451-457
Issue Date:: 2020-09

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Field	Value	Language
dc.contributor.author	Thompson, JH
dc.contributor.author	Moser, D
dc.date.accessioned	2021-04-30T00:16:20Z
dc.date.available	2020-02-27
dc.date.available	2021-04-30T00:16:20Z
dc.date.issued	2020-09
dc.identifier.citation	Heart and Lung: the journal of acute and critical care, 2020, 49, (5), pp. 451-457
dc.identifier.issn	0147-9563
dc.identifier.issn	1527-3288
dc.identifier.uri	http://hdl.handle.net/10453/148548
dc.description.abstract	Left ventricular assist devices (LVAD) are increasingly being used to treat end-stage heart failure. Despite the increased prevalence of these devices, there is a still a high 1-year mortality rate. The purpose of this integrative review was to systematically evaluate research studies that focused on the process and content of LVAD related end-of-life discussions. A literature search was conducted from earliest available date to November, 2017. A total of 59 citations were produced, 13 articles went under full review, and six studies remained for inclusion in this review. Patients and their caregivers experienced confusion and frustration regarding the end-of-life experiences and care related to disjointed care by their provider teams. Clinician experiences and opinions also suggested a controversy about deactivation of the LVAD at the end-of-life, and a divide regarding practices at the end-of-life. Research focused on system-level factors involved in end-of-life care for patients with an LVAD is needed.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Heart and Lung: the journal of acute and critical care
dc.relation.isbasedon	10.1016/j.hrtlng.2020.02.046
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1102 Cardiorespiratory Medicine and Haematology, 1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Caregivers
dc.subject.mesh	Heart Failure
dc.subject.mesh	Heart-Assist Devices
dc.subject.mesh	Humans
dc.subject.mesh	Prevalence
dc.subject.mesh	Terminal Care
dc.subject.mesh	Humans
dc.subject.mesh	Terminal Care
dc.subject.mesh	Heart-Assist Devices
dc.subject.mesh	Prevalence
dc.subject.mesh	Caregivers
dc.subject.mesh	Heart Failure
dc.subject.mesh	Caregivers
dc.subject.mesh	Heart Failure
dc.subject.mesh	Heart-Assist Devices
dc.subject.mesh	Humans
dc.subject.mesh	Prevalence
dc.subject.mesh	Terminal Care
dc.title	Experiences with end-of-life care with a left ventricular assist device: An integrative review.
dc.type	Journal Article
utslib.citation.volume	49
utslib.location.activity	United States
utslib.for	1102 Cardiorespiratory Medicine and Haematology
utslib.for	1110 Nursing
utslib.for	1102 Cardiorespiratory Medicine and Haematology
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2021-04-30T00:16:19Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	49
utslib.citation.issue	5

Abstract:

Left ventricular assist devices (LVAD) are increasingly being used to treat end-stage heart failure. Despite the increased prevalence of these devices, there is a still a high 1-year mortality rate. The purpose of this integrative review was to systematically evaluate research studies that focused on the process and content of LVAD related end-of-life discussions. A literature search was conducted from earliest available date to November, 2017. A total of 59 citations were produced, 13 articles went under full review, and six studies remained for inclusion in this review. Patients and their caregivers experienced confusion and frustration regarding the end-of-life experiences and care related to disjointed care by their provider teams. Clinician experiences and opinions also suggested a controversy about deactivation of the LVAD at the end-of-life, and a divide regarding practices at the end-of-life. Research focused on system-level factors involved in end-of-life care for patients with an LVAD is needed.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/148548