Title

An Approach to the Patient with Organ Failure: Transplantation and End-of-Life Treatment Decisions

Document Type

Journal Article

Publication Date

11-1-2010

Journal

Medical Clinics of North America

Volume

94

Issue

6

DOI

10.1016/j.mcna.2010.08.005

Keywords

Palliative care; Psychiatric issues; Quality of life; Transplantation; Ventricular assist devices

Abstract

Organ transplantation offers an opportunity for extended survival and enhanced quality of life to patients with end-stage organ disease. Significant challenges are associated with both pre- and post-transplantation care, however, that require awareness of psychiatric issues in this patient population. Ventricular assist devices have added another dimension to patient care and to quality-of-life considerations. Unfortunately, effective incorporation of palliative care and end-of-life discussions is frequently overlooked during caretaking of these patients. © 2010 Elsevier Inc.

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