Navigation Links
Mayo Clinic finds discussion of end-of-life care helps heart to patients and families
Date:6/1/2011

ROCHESTER, Minn. -- For patients with severe heart failure, an implanted mechanical pump known as a Left Ventricular Assist Device (LVAD) can be a life-sustaining treatment. Even though the technology involves risks, few patients and their families tend to talk explicitly about the "what ifs" before surgery takes place. In the June issue of Mayo Clinic Proceedings, a team of Mayo Clinic researchers found that careful discussions at the bedside about patients' end-of-life preferences brought relief to families and eased subsequent medical care.

"Previous studies have looked at the ethics of LVAD surgery and the role of patient and family members when it comes to turning the device off," says lead author Keith Swetz, M.D., an internist and specialist in palliative medicine. "But these are complex patients and many things can happen. To our knowledge, this was the first study to investigate how to help patients and families to be proactive in decision-making before patients' quality of life is compromised."

The study looked at 19 patients dependent on LVAD as a long-term survival strategy rather than as a "bridge" to a heart transplant. Among them, 13 patients and their families discussed advanced care wishes with a palliative care team that included physicians and social workers. The study found the conversations provided guidance when adverse events occurred, such as when a patient fell after surgery and suffered brain damage. The study also found LVAD patients often presumed family members were aware of their end-of-life wishes, when, in fact, spouses and children were grateful to be guided in a conversation.

The study affirms the effectiveness of palliative care discussions before LVAD surgery, and provides guidelines for clinicians and hospitals about how to address end-of-life decision-making. "It can be a tough conversation for families to have but we found it didn't cause stress or loss of hope," Dr. Swetz says. "Instead
'/>"/>

Contact: Rebecca Eisenman
newsbureau@mayo.edu
507-284-5005
Mayo Clinic
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Private weight-loss surgery clinics shedding quality patient care
2. NIH grant for the move toward clinical trials targeting the lysosomal storage disease MPSIIIB
3. Clinical trials for new Alzheimers disease treatment to be awarded European Commission €6m funding
4. Dubai to host largest clinical bone meeting in the Middle East and Africa region
5. Top 5 list helps primary care doctors make wiser clinical decisions
6. New Mayo Clinic test targets Lynch syndrome, a risk factor for colon cancer
7. Decision aid helps families, clinicians communicate about care decisions
8. Researchers examine procedure utilization trends in patients with clinically localized renal masses
9. Mayo Clinic finds surgeon caseload, practice setting affect treatment of small kidney tumors
10. Mayo Clinic reports new findings on noninvasive test for pancreatic cancer
11. Watching how cancer patients interact online could help clinicians provide better services
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/23/2014)... Wash.Researchers at Washington State University Spokane have developed ... about to nod off behind the wheel. , ... wheel movementswhich are more variable in drowsy driversand ... currently available video-based driver drowsiness detection systems. , ... when a car is drifting out of its ...
(Date:4/23/2014)... give exercise enthusiasts the extra nudge they need during ... cyber buddy can help. , The study, which appears ... the first to indicate that although a human partner ... partner also can be effective. , "We wanted to ... people to give greater effort while exercising than if ...
(Date:4/23/2014)... high-energy particles, simulating conditions astronauts would face on a ... slower reaction times, even when the radiation exposure is ... which affected a large subset, but far from ... to protein changes in the brain, the scientists say. ... suggest it may be possible to develop a biological ...
(Date:4/23/2014)... have identified an important enzyme pathway that helps prevent ... chromosomes, a condition that has been directly linked to ... of biochemistry, found that near the end of cell ... ensures any breaks in DNA are fully repaired before ... daughter cells. This process helps safeguard against some of ...
(Date:4/23/2014)... area of the gastro-intestinal tract has long been considered ... at the Sahlgrenska Academy have used refined microscopic techniques ... inner surface of the gastro-intestinal tract is only as ... Fndriks. , The digestive tract, which passes from the ... has a length of about 5 meters in a ...
Breaking Medicine News(10 mins):Health News:WSU innovation improves drowsy driver detection 2Health News:Cyber buddy is better than 'no buddy' 2Health News:Some astronauts at risk for cognitive impairment, animal studies suggest 2Health News:Some astronauts at risk for cognitive impairment, animal studies suggest 3Health News:Study identifies enzymes that help fix cancer-causing DNA defects 2Health News:The surface area of the digestive tract 'only' as large as a studio apartment 2
... cold, according to a Newcastle University led study. Leukaemia and ... a respiratory virus or even a mild flu. //This is ... genetically susceptible to cancer. ,Edinburgh University’s Professor Freda Alexander ... lead to the development of a vaccine which will serve ...
... There is an increase in demand for Palliative care ... Annual Survey of Hospitals, which has been reported in ... to patients where chemotherapy or other treatments no more ... patients to lessen their suffering. It is found that ...
... a non-invasive sensor that will help treat patients ... patient faces respiratory distress in the emergency room ... a mask. But for some people with chronic ... the body's breathing reflex. , ,Spotting at-risk ...
... inquest is being conducted into the death of Rene Anderson ... cannabis-based drug. The Sativex drug is derived from the plant, ... drug was administered to Rene Anderson for relieving her of ... reported to have developed psychosis after the administration of the ...
... African-Americans are generally reluctant to enroll in treatment trials for ... January 15, 2006 issue of CANCER, the journal of the ... the drugs that are a part of the chemotherapy regimen ... than women. Lawmakers as well as researchers have stressed the ...
... researchers of University of North Carolina reveal that women ... //This links an external factor like night shift ... factor can influence premature delivery by 50%. ,The ... pregnant women. Additionally the study found standing for long ...
Cached Medicine News:
(Date:1/15/2014)...  A novel wearable injector slightly larger than an Oreo cookie ... self-inject prescription drugs in the large doses required to treat ... deficiencies, and genetic disorders.  An emerging biologic ... according to analysts.   Many of these drugs will require a ...
(Date:1/14/2014)... , Jan. 14, 2014 Dynamic Healthcare Services, Inc. ("DHS"), ... that it acquired Progressive Home Medical Equipment, Inc. ("Progressive") of ... The terms of the acquisition were not disclosed. ... company providing a wide range of sleep, mobility, and respiratory ...
(Date:1/14/2014)... N.Y. , Jan. 14, 2014   Oligomerix, Inc. , ... modifying therapeutics for Alzheimer,s disease (AD) and related neurodegenerative ... to Valhalla, NY as of ... laboratory space at New York Medical College. ...
Breaking Medicine Technology:Enable Injections Presents A New Class of Injectors for Drug Delivery at PEPTalk, Drug Delivery Partnership Meetings 2Dynamic Healthcare Services Completes Progressive Home Medical Equipment of Clarion, PA Investment 2Dynamic Healthcare Services Completes Progressive Home Medical Equipment of Clarion, PA Investment 3Oligomerix Relocates Corporate Headquarters and Secures Additional Laboratory Space from New York Medical College 2
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
... national reference laboratory and a worldwide leader ... offers an extensive test menu of highly ... and anatomic pathology. Owned by the University ... than half of the nation's university teaching ...
... ARUP Laboratories is a national reference ... laboratory research and development. ARUP offers an ... unique medical tests in clinical and anatomic ... ARUP Laboratories' clients include more than half ...
Medicine Products: