Preparedness Planning Before Mechanical Circulatory Support: A “How-To” Guide for Palliative Medicine Clinicians  Keith M. Swetz, MD, MA, Arif H. Kamal,

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Preparedness Planning Before Mechanical Circulatory Support: A “How-To” Guide for Palliative Medicine Clinicians  Keith M. Swetz, MD, MA, Arif H. Kamal, MD, Daniel D. Matlock, MD, MPH, Ann Marie Dose, RN, PhD, Lynn S. Borkenhagen, RN, CNP, Ashley K. Kimeu, RN, CNP, Shannon M. Dunlay, MD, MSc, Molly A. Feely, MD  Journal of Pain and Symptom Management  Volume 47, Issue 5, Pages 926-935.e6 (May 2014) DOI: 10.1016/j.jpainsymman.2013.06.006 Copyright © 2014 Terms and Conditions

Fig. 1 Commonly encountered complications after continuous-flow mechanical circulatory support (LVAD) implantation and rates at which these may occur. Adapted from Slaughter et al.5 LVAD = left ventricular assist device. Journal of Pain and Symptom Management 2014 47, 926-935.e6DOI: (10.1016/j.jpainsymman.2013.06.006) Copyright © 2014 Terms and Conditions

Fig. 2 Four basic elements of preparedness planning. Adapted with permission from Swetz et al.9 Journal of Pain and Symptom Management 2014 47, 926-935.e6DOI: (10.1016/j.jpainsymman.2013.06.006) Copyright © 2014 Terms and Conditions

Fig. 3 Example of using content from Table 1 in the Mayo Clinic's Advance Directive booklet. Sample questions/answers are given to where information can be documented. As there is state-by-state variation in the legality of these documents, it is recommended that you check with your administrators to see what the requirements are for such documents at your institution. Journal of Pain and Symptom Management 2014 47, 926-935.e6DOI: (10.1016/j.jpainsymman.2013.06.006) Copyright © 2014 Terms and Conditions

Fig. 3 Example of using content from Table 1 in the Mayo Clinic's Advance Directive booklet. Sample questions/answers are given to where information can be documented. As there is state-by-state variation in the legality of these documents, it is recommended that you check with your administrators to see what the requirements are for such documents at your institution. Journal of Pain and Symptom Management 2014 47, 926-935.e6DOI: (10.1016/j.jpainsymman.2013.06.006) Copyright © 2014 Terms and Conditions