Preparedness planning before mechanical circulatory support: A "how-to" guide for palliative medicine clinicians

Keith M. Swetz, Arif H. Kamal, Daniel D. Matlock, Ann Marie Dose, Lynn S. Borkenhagen, Ashley K. Kimeu, Shannon M. Dunlay, Molly A. Feely

Research output: Contribution to journalArticlepeer-review

48 Scopus citations


The role of palliative medicine in the care of patients with advanced heart failure, including those who receive mechanical circulatory support, has grown dramatically in the last decade. Previous literature has suggested that palliative medicine providers are well poised to assist cardiologists, cardiothoracic surgeons, and the multidisciplinary cardiovascular team with promotion of informed consent and initial and iterative discussions regarding goals of care. Although preparedness planning has been described previously, the actual methods that can be used to complete a preparedness plan have not been well defined. Herein, we outline several key aspects of this approach and detail strategies for engaging patients who are receiving mechanical circulatory support in preparedness planning.

Original languageEnglish (US)
Pages (from-to)926-935.e6
JournalJournal of pain and symptom management
Issue number5
StatePublished - May 2014


  • Mechanical circulatory support
  • advance care planning
  • end of life
  • medical ethics
  • palliative care
  • preparedness planning
  • ventricular assist device

ASJC Scopus subject areas

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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