07715nam 2200505 450 991050264890332120230424165129.03-030-80112-8(CKB)4100000012037934(MiAaPQ)EBC6737950(Au-PeEL)EBL6737950(OCoLC)1272993339(PPN)258057602(EXLCZ)99410000001203793420220628d2021 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierPalliative care in cardiac intensive care units /edited by Massimo RomanòCham, Switzerland :Springer,[2021]©20211 online resource (202 pages)3-030-80111-X Intro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Author -- 1: Epidemiology and Patterns of Care in Modern Cardiac Intensive Care Units -- 1.1 Introduction -- 1.2 Is There a Background for the Evolution of CICU? From the Blitz-3 to Modern International CICU Registries -- 1.3 Aging, Comorbidity, and the Risk of Futility in CICU -- 1.4 The COVID-19 Tsunami and Its Effect on CICU -- 1.5 Conclusions -- References -- 2: The Intensive and Advanced Treatments in the Cardiac Intensive Care Units -- 2.1 Introduction -- 2.2 Cardiac Arrest and Post-cardiac Arrest Syndrome -- 2.3 Advanced Heart Failure and End-Stage Heart Failure -- 2.4 Cardiogenic Shock (CS) and Low-Output Syndrome -- 2.5 Mechanical Circulatory Supports (MCSs) -- 2.6 Heart Replacement Therapies -- 2.7 Cardiac Implanted Electronic Devices (CIEDs) -- 2.8 Palliative Care in CICU -- 2.9 Palliative Inotrope Care -- References -- 3: Symptom Assessment and Management -- 3.1 The Cardiologist's Palliative Competencies -- 3.2 Measuring a Symptom -- 3.2.1 Dyspnea -- 3.2.2 Pain -- 3.2.3 Thirst -- 3.3 Cognitive and Mood Disorders -- 3.3.1 Fatigue -- 3.3.2 Gastrointestinal Symptoms -- References -- 4: The Meanings of Prognosis: When and How to Discuss It? -- 4.1 Introduction -- 4.2 Deciding Between Prognosis and Uncertainty -- 4.3 Criteria for Prognosis Definition -- 4.4 Communicating Prognosis -- 4.5 Barriers to Communication -- 4.5.1 The Disease -- 4.5.2 The Patient -- 4.5.3 Treatment Approach -- 4.5.4 The Doctor -- 4.6 Conclusions -- References -- 5: Informed Consent, Advance Directives, and Shared Care Planning -- 5.1 Introduction -- 5.2 Legal and Ethical Aspects -- 5.3 Shared Care Planning and Advance Directives in Cardiology -- 5.4 Conclusions -- References -- 6: Withholding or Withdrawing Life-Sustaining Treatments -- 6.1 Introduction.6.2 Forgoing Life-Sustaining Treatments: The Clinical Practice -- 6.3 Physician Preferences -- 6.4 Withdrawing Life-Sustaining Treatment: Arguments in Favor -- 6.5 Withholding Life-Sustaining Treatment: Arguments in Favor -- 6.6 Withdrawing or Withholding Life-Sustaining Treatments: Means or Goals? -- 6.7 Forgoing Life-Sustaining Treatments: How to Do -- 6.7.1 Ethical Principles -- 6.7.2 Decision to Forgo Life-Sustaining Treatments: Theoretical Approach -- 6.7.3 Decision to Forgo Life-Sustaining Treatments: The Goals -- 6.7.4 Withdrawing Life-Sustaining Treatments: Basics in Clinical Practice -- 6.8 Conclusions -- References -- 7: Deactivation of Cardiac Implantable Electronic Devices (CIEDs) at the End of Life -- 7.1 Introduction -- 7.2 Implantable Cardioverter-Defibrillators (ICDs) -- 7.2.1 Ethical Problems -- 7.2.2 Information and Patient Awareness -- 7.2.3 The Opinion of Physicians and Nurses -- 7.3 Cardiac Pacemaker (PM)-Cardiac Resynchronisation Therapy-Pacemaker (CRT-P) -- 7.4 Conclusions -- References -- 8: Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit -- 8.1 Introduction -- 8.2 Why Is LST Withdrawal Challenging? -- 8.3 Ethical Consideration in Withdrawal of Cardiopulmonary Devices -- 8.4 Approach to Specific Life-Sustaining Treatments -- 8.5 Mechanical Ventilation -- 8.6 MCSDs (IABP, Impella, ECMO, and LVAD) -- 8.7 The Role of Palliative Care Consultation -- 8.8 Conclusion -- References -- 9: Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit -- 9.1 Cardiopulmonary Resuscitation -- 9.2 Intensive Care Medicine: A Balance of Risks and Benefits -- 9.3 The Utility of DNACPR Orders -- 9.4 The Unintended Consequences of DNACPR Orders -- 9.5 Shared Decision-Making -- 9.6 Moving Beyond DNACPR Towards Resuscitation Plans -- 9.7 Conclusions -- References.10: Palliative Sedation in Cardiac Intensive Care Units: When, Why, How -- 10.1 Introduction -- 10.2 The Definition of Palliative Sedation -- 10.3 Indications for Palliative Sedation -- 10.4 Types of Palliative Sedation -- 10.5 Pharmacological Aspects -- 10.6 Ethical Aspects in Palliative Sedation -- 10.7 The Ethical Difference Between Palliative Sedation and Euthanasia -- 10.8 The Relationship Between Palliative Sedation and Forgoing Treatment -- 10.9 Correct Decision-Making Management -- References -- 11: Nursing and the End of Life in Cardiac Intensive Care Unit (CICU) -- 11.1 Introduction -- 11.2 Decision-Making and Discussions About Goals of Care -- 11.3 Person- and Family-Centred Care -- 11.4 Care Planning -- 11.5 Palliative Interventions -- 11.6 Preparing for Withdrawal of Life-Sustaining Treatment or Imminent Death -- 11.7 Meeting Psychosocial and Spiritual Needs -- 11.8 Unanticipated Death -- 11.9 Care After Death -- References -- 12: Conflict Management in the Cardiac Intensive Care Unit -- 12.1 Conflicts in the Cardiac Intensive Care Unit: Definitions, Background, and Examples -- 12.2 Conflict Characteristics -- 12.3 Managing Conflicts: Can We Be Better In Conflicts? -- 12.4 Involvement of a Palliative Care Team: Experiences -- 12.5 How to Turn Conflict into an Opportunity for Improvement? -- 12.6 Conclusion -- References -- 13: Ethical Considerations in the Use of Technology in the Cardiac Intensive Care Unit -- 13.1 Introduction -- 13.2 Utility Versus Futility -- 13.3 When to Start and When to Stop: Withholding Versus Withdrawing -- 13.4 Hype, Hope, and Hubris -- 13.5 The External Drivers of Too Much Technology -- 13.6 The Internal Drivers of Too Much Technology -- 13.7 Conclusion -- References -- 14: Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care.14.1 Introduction: The Modern Cardiac Intensive Care Unit -- 14.2 Palliative Care in the CICU -- 14.3 Primary and Specialty Palliative Care in the CICU -- 14.4 Physician Education and Training -- 14.5 Primary Palliative Care Learning Objectives -- 14.6 Communication -- 14.7 Decision-Making -- 14.8 Therapies and Interventions Unique to CICU -- 14.9 Shared Decision-Making -- 14.10 Symptom Management -- 14.11 Teaching Modalities -- 14.12 Bedside Teaching -- 14.13 Didactics -- 14.14 Case Based -- 14.15 Conclusion -- References.Cardiac intensive careMedicina intensiva en cardiologiathubTractament pal·liatiuthubLlibres electrònicsthubCardiac intensive care.Medicina intensiva en cardiologiaTractament pal·liatiu616.106Romano MassimoMiAaPQMiAaPQMiAaPQBOOK9910502648903321Palliative Care in Cardiac Intensive Care Units2785244UNINA02297oam 2200565M 450 991071542000332120191116082333.6(CKB)5470000002511848(OCoLC)1065578362(OCoLC)995470000002511848(EXLCZ)99547000000251184820070221d1828 ua 0engurcn|||||||||txtrdacontentcrdamediacrrdacarrierDividing line -- Florida and Georgia. Message from the President of the United States, transmitting copies of communications from the Governor of Georgia, relating to the line dividing that state from the Territory of Florida. January 23, 1828. Read, and referred to the Committee on the Judiciary[Washington, D.C.] :[publisher not identified],1828.1 online resource (16 pages)House document / 20th Congress, 1st session. House ;no. 87[United States congressional serial set ] ;[serial no. 171]Batch processed record: Metadata reviewed, not verified. Some fields updated by batch processes.FDLP item number not assigned.Boundaries, StateFederal governmentBodies of waterRiversSurveyingGovernorsLegislative materials.lcgftBoundaries, State.Federal government.Bodies of water.Rivers.Surveying.Governors.Adams John Quincy1767-1848.202825Forsyth John1780-1841Jacksonian (GA)1399332United States.President (1825-1829 : Adams)WYUWYUOCLCOOCLCQOCLCOOCLCQBOOK9910715420003321Dividing line -- Florida and Georgia. Message from the President of the United States, transmitting copies of communications from the Governor of Georgia, relating to the line dividing that state from the Territory of Florida. January 23, 1828. Read, and referred to the Committee on the Judiciary3464346UNINA