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Case Report: Implantable cardioverter defibrillator (ICD) deactivation in palliative care - a case involving best interest decisions for someone lacking capacity at the end of life

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Case Report: Implantable cardioverter defibrillator (ICD) deactivation in palliative care - a case involving best interest decisions for someone lacking capacity at the end of life. / Tan, Chevonne ; Hanchanale, Sarika ; Sugrue, Emma et al.
In: AMRC Open Research, Vol. 3, No. 4, 21.01.2021, p. 1-4.

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@article{3207d1891953411baaadcbc8a86f2ff6,
title = "Case Report: Implantable cardioverter defibrillator (ICD) deactivation in palliative care - a case involving best interest decisions for someone lacking capacity at the end of life",
abstract = "The use of implantable cardioverter-defibrillators (ICD) has increased due to benefits of preventing death from cardiac arrhythmia. However, the increasing use of ICDs has created new challenges for how to proactively manage deactivation of these devices in people who are dying, especially for those who lack capacity to make decisions about their care. The aim of this case report is to discuss the challenges of planning for deactivation of an ICD for a patient who lacked capacity at the end of life.We describe the challenges of managing ICD deactivation in a dying patient with fluctuating capacity who had previously expressed a wish for the ICD to remain active. Although it is preferable to use advance care planning (ACP), to provide care in-line with patient-identified care preferences, we demonstrate how a best interest process can be used to make decisions about ICD deactivation at the end of life",
keywords = "Palliative care, heart failure, consent, implantable cardioverter defibrillator, resuscitation, capacity, case report",
author = "Chevonne Tan and Sarika Hanchanale and Emma Sugrue and Amara Nwosu",
year = "2021",
month = jan,
day = "21",
doi = "10.12688/amrcopenres.12972.1",
language = "English",
volume = "3",
pages = "1--4",
journal = "AMRC Open Research",
issn = "2517-6900",
publisher = "F1000Research",
number = "4",

}

RIS

TY - JOUR

T1 - Case Report: Implantable cardioverter defibrillator (ICD) deactivation in palliative care - a case involving best interest decisions for someone lacking capacity at the end of life

AU - Tan, Chevonne

AU - Hanchanale, Sarika

AU - Sugrue, Emma

AU - Nwosu, Amara

PY - 2021/1/21

Y1 - 2021/1/21

N2 - The use of implantable cardioverter-defibrillators (ICD) has increased due to benefits of preventing death from cardiac arrhythmia. However, the increasing use of ICDs has created new challenges for how to proactively manage deactivation of these devices in people who are dying, especially for those who lack capacity to make decisions about their care. The aim of this case report is to discuss the challenges of planning for deactivation of an ICD for a patient who lacked capacity at the end of life.We describe the challenges of managing ICD deactivation in a dying patient with fluctuating capacity who had previously expressed a wish for the ICD to remain active. Although it is preferable to use advance care planning (ACP), to provide care in-line with patient-identified care preferences, we demonstrate how a best interest process can be used to make decisions about ICD deactivation at the end of life

AB - The use of implantable cardioverter-defibrillators (ICD) has increased due to benefits of preventing death from cardiac arrhythmia. However, the increasing use of ICDs has created new challenges for how to proactively manage deactivation of these devices in people who are dying, especially for those who lack capacity to make decisions about their care. The aim of this case report is to discuss the challenges of planning for deactivation of an ICD for a patient who lacked capacity at the end of life.We describe the challenges of managing ICD deactivation in a dying patient with fluctuating capacity who had previously expressed a wish for the ICD to remain active. Although it is preferable to use advance care planning (ACP), to provide care in-line with patient-identified care preferences, we demonstrate how a best interest process can be used to make decisions about ICD deactivation at the end of life

KW - Palliative care

KW - heart failure

KW - consent

KW - implantable cardioverter defibrillator

KW - resuscitation

KW - capacity

KW - case report

U2 - 10.12688/amrcopenres.12972.1

DO - 10.12688/amrcopenres.12972.1

M3 - Journal article

VL - 3

SP - 1

EP - 4

JO - AMRC Open Research

JF - AMRC Open Research

SN - 2517-6900

IS - 4

ER -