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End-of-Life Care in Cardiovascular Disease (Hardcover, 2015 ed.)
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End-of-Life Care in Cardiovascular Disease (Hardcover, 2015 ed.)
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End-of-life issues in cardiology are becoming increasingly
important in the management of patients in the cardiac unit, but
there is frequently a lack of understanding regarding their impact
on cardiology practice. The cardiac unit is increasingly becoming
the location whereby a number of key clinical decisions relating to
end-of-life care are being made, such as the decision to remove
medications, the appropriate removal of cardiac devices, the
management of do not resuscitate orders and the requirement for
other cardiac procedures in light of the management of the
terminally ill cardiac patients. Those working in palliative care
need input from the cardiovascular team as the cardiologist is
frequently still managing these patients until they are moved to
the hospice. That this move into a hospice is often delayed until
the very last moment, there is considerable onus on the
cardiovascular management of these patients to be much broader in
scope and take account of some of the more palliative medical
decisions needed in this group of patients. This concise reference
will detail the practical issues open to cardiovascular physicians
and those medical professionals who manage patients reaching the
end of their life from a cardiology perspective. It will detail the
full management options open to them to ensure that their practice
is in line with the requirements of the patient nearing the end of
their life whether the cause be cardiovascular in origin or who
need appropriate management of secondary cardiovascular symptoms.
It will also include the various ethical, cultural and geographical
issues that need to be considered when managing these patients.
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