|
- Presents comprehensive coverage of the topic
- Improves the care of patients admitted to the Cardiac Intensive Care Unit, by addressing their needs, symptom evaluation and treatment
- Improves the training of cardiologists, anaesthesiologists, palliative care doctors and ICU nursing staff
This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff. Table of Contents- Epidemiology and Patterns of Care in Modern Cardiac Intensive Care Units
- The Intensive and Advanced Treatments in the Cardiac Intensive Care Units
- Symptom Assessment and Management
- The Meanings of Prognosis: When and How to Discuss It?
- Informed Consent, Advance Directives, and Shared Care Planning
- Withholding or Withdrawing Life-Sustaining Treatments
- Deactivation of Cardiac Implantable Electronic Devices (CIEDs) at the End of Life
- Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit
- Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit
- Palliative Sedation in Cardiac Intensive Care Units: When, Why, How
- Nursing and the End of Life in Cardiac Intensive Care Unit (CICU)
- Conflict Management in the Cardiac Intensive Care Unit
- Ethical Considerations in the Use of Technology in the Cardiac Intensive Care Unit
- Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care
|
