You are here

  • Home
  • Online First
  • Over-confidence in cardiac devices can create a barrier in engaging patients in advance care planning and discussions around device deactivation

Article Text

Article menu

other Versions

Download PDFPDF
Commentary
Adult nursing
Over-confidence in cardiac devices can create a barrier in engaging patients in advance care planning and discussions around device deactivation
  1. K Elliott
  1. Department of Cardiology, Dorset County Hospital NHS Foundation Trust, Dorchester, UK
  1. Correspondence to Ms K Elliott, Dorset Cardiac Centre, Dorset County Hospital NHS Foundation Trust, Dorchester DT1 2JY, UK; kay.elliott{at}dchft.nhs.uk

https://doi.org/10.1136/ebnurs-2019-103102

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Commentary on: Hadler RA, Goldstein NE, Bekelman DB, et al. “Why Would I Choose Death?”: A Qualitative Study of Patient Understanding of the Role and Limitations of Cardiac Devices. J Cardiovasc Nurs 2019;34:275–82. doi: 10.1097/JCN.0000000000000565.

    Implications for practice and research

    • Stage II-IV heart failure patients with cardiac devices may overestimate their device’s ability to prevent further deterioration and death. This may become a barrier to engaging in advance care planning.

    • Further research is required to evaluate best methods of engaging these patients in discussions around advance care planning and device deactivation.

    Context

    Guidelines for managing patients with heart failure indicate that discussions about the condition, treatment options and advance care planning should be discussed at an early stage of the disease.1 Prior to implanting a cardiac device, clinicians should be discussing when device deactivation might become appropriate.2–4 This study …

    View Full Text

    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.