Palliative Care in Cardiac Intensive Care Units.

Format:

Book

Author/Creator:

Romano, Massimo.

Language:

English

Genre:

Electronic books.

Physical Description:

1 online resource (202 pages)

Place of Publication:

Cham : Springer International Publishing AG, 2021.

System Details:

text file

Contents:

Intro

Foreword

Preface

Acknowledgements

Contents

About the Author

1: Epidemiology and Patterns of Care in Modern Cardiac Intensive Care Units

1.1 Introduction

1.2 Is There a Background for the Evolution of CICU? From the Blitz-3 to Modern International CICU Registries

1.3 Aging, Comorbidity, and the Risk of Futility in CICU

1.4 The COVID-19 Tsunami and Its Effect on CICU

1.5 Conclusions

References

2: The Intensive and Advanced Treatments in the Cardiac Intensive Care Units

2.1 Introduction

2.2 Cardiac Arrest and Post-cardiac Arrest Syndrome

2.3 Advanced Heart Failure and End-Stage Heart Failure

2.4 Cardiogenic Shock (CS) and Low-Output Syndrome

2.5 Mechanical Circulatory Supports (MCSs)

2.6 Heart Replacement Therapies

2.7 Cardiac Implanted Electronic Devices (CIEDs)

2.8 Palliative Care in CICU

2.9 Palliative Inotrope Care

3: Symptom Assessment and Management

3.1 The Cardiologist's Palliative Competencies

3.2 Measuring a Symptom

3.2.1 Dyspnea

3.2.2 Pain

3.2.3 Thirst

3.3 Cognitive and Mood Disorders

3.3.1 Fatigue

3.3.2 Gastrointestinal Symptoms

References

4: The Meanings of Prognosis: When and How to Discuss It?

4.1 Introduction

4.2 Deciding Between Prognosis and Uncertainty

4.3 Criteria for Prognosis Definition

4.4 Communicating Prognosis

4.5 Barriers to Communication

4.5.1 The Disease

4.5.2 The Patient

4.5.3 Treatment Approach

4.5.4 The Doctor

4.6 Conclusions

5: Informed Consent, Advance Directives, and Shared Care Planning

5.1 Introduction

5.2 Legal and Ethical Aspects

5.3 Shared Care Planning and Advance Directives in Cardiology

5.4 Conclusions

6: Withholding or Withdrawing Life-Sustaining Treatments

6.1 Introduction

6.2 Forgoing Life-Sustaining Treatments: The Clinical Practice

6.3 Physician Preferences

6.4 Withdrawing Life-Sustaining Treatment: Arguments in Favor

6.5 Withholding Life-Sustaining Treatment: Arguments in Favor

6.6 Withdrawing or Withholding Life-Sustaining Treatments: Means or Goals?

6.7 Forgoing Life-Sustaining Treatments: How to Do

6.7.1 Ethical Principles

6.7.2 Decision to Forgo Life-Sustaining Treatments: Theoretical Approach

6.7.3 Decision to Forgo Life-Sustaining Treatments: The Goals

6.7.4 Withdrawing Life-Sustaining Treatments: Basics in Clinical Practice

6.8 Conclusions

7: Deactivation of Cardiac Implantable Electronic Devices (CIEDs) at the End of Life

7.1 Introduction

7.2 Implantable Cardioverter-Defibrillators (ICDs)

7.2.1 Ethical Problems

7.2.2 Information and Patient Awareness

7.2.3 The Opinion of Physicians and Nurses

7.3 Cardiac Pacemaker (PM)-Cardiac Resynchronisation Therapy-Pacemaker (CRT-P)

7.4 Conclusions

Notes:

Description based upon print version of record.

8: Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit.

Other Format:

Print version: Romanò, Massimo Palliative Care in Cardiac Intensive Care Units

ISBN:

9783030801120

3030801128

OCLC:

1272993339

Access Restriction:

Restricted for use by site license.