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The Importance of Cognitive Assessment Before Ventricular Device Placement

The Importance of Cognitive Assessment Before Ventricular Device Placement Opinion LESS IS MORE TEACHABLE MOMENT The Importance of Cognitive Assessment Before Ventricular Device Placement A Teachable Moment Story From the Front Lines before a procedure can lead to unintended harms or Stephanie E. Rogers, MD, MS, MPH, PA A 76-year-old man with systolic heart failure presented outcomes. A diagnosis of cognitive impairment or Department of to the advanced heart failure service after optimal medi- dementia can help clinicians anticipate how a patient Geriatrics, University of cal management including biventricular pacing failed to may tolerate or adhere to the requirements of a recom- California, San improve his symptoms. A left ventricular assist device mended therapy and in turn allow patients and families Francisco. (LVAD) as destination therapy was offered to the pa- a better understanding of the risks and benefits of an Liviu Klein, MD, MS tient after he was determined not to be a transplant can- intervention. Division of Cardiology, didate owing to advanced age. The risks and benefits of The American College of Surgeons and the Ameri- University of California, such a device were discussed with the patient and his can Geriatrics Society recently published their Best San Francisco. family.Althoughthefamilyhadnoticedsomesubtlehints Practices Guidelines, which included a recommenda- of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

The Importance of Cognitive Assessment Before Ventricular Device Placement

The Importance of Cognitive Assessment Before Ventricular Device Placement

Abstract

Opinion LESS IS MORE TEACHABLE MOMENT The Importance of Cognitive Assessment Before Ventricular Device Placement A Teachable Moment Story From the Front Lines before a procedure can lead to unintended harms or Stephanie E. Rogers, MD, MS, MPH, PA A 76-year-old man with systolic heart failure presented outcomes. A diagnosis of cognitive impairment or Department of to the advanced heart failure service after optimal medi- dementia can help clinicians anticipate how a patient Geriatrics,...
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References (5)

Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2015.0468
pmid
25822770
Publisher site
See Article on Publisher Site

Abstract

Opinion LESS IS MORE TEACHABLE MOMENT The Importance of Cognitive Assessment Before Ventricular Device Placement A Teachable Moment Story From the Front Lines before a procedure can lead to unintended harms or Stephanie E. Rogers, MD, MS, MPH, PA A 76-year-old man with systolic heart failure presented outcomes. A diagnosis of cognitive impairment or Department of to the advanced heart failure service after optimal medi- dementia can help clinicians anticipate how a patient Geriatrics, University of cal management including biventricular pacing failed to may tolerate or adhere to the requirements of a recom- California, San improve his symptoms. A left ventricular assist device mended therapy and in turn allow patients and families Francisco. (LVAD) as destination therapy was offered to the pa- a better understanding of the risks and benefits of an Liviu Klein, MD, MS tient after he was determined not to be a transplant can- intervention. Division of Cardiology, didate owing to advanced age. The risks and benefits of The American College of Surgeons and the Ameri- University of California, such a device were discussed with the patient and his can Geriatrics Society recently published their Best San Francisco. family.Althoughthefamilyhadnoticedsomesubtlehints Practices Guidelines, which included a recommenda- of

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 1, 2015

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