Recommendations for end-of-life care
| Recommendations | Class | Level | References |
| A discussion of palliative care, potential complications, expectations and advance health care directives prior to implantation of a long-term mechanical circulatory support device is recommended. | I | C | [71, 502, 507] |
| Managing quality-of-life issues in a multidisciplinary palliative care team throughout the remainder of the patient’s life is recommended. | I | C | |
| The development of institution-specific protocols for the collaboration of the mechanical circulatory support team, palliative care specialist and social workers in the eventual deactivation of the mechanical circulatory support device in the final tranche of the end-of-life period should be considered. | IIa | B | [502, 507] |
| Recommendations | Class | Level | References |
| A discussion of palliative care, potential complications, expectations and advance health care directives prior to implantation of a long-term mechanical circulatory support device is recommended. | I | C | [71, 502, 507] |
| Managing quality-of-life issues in a multidisciplinary palliative care team throughout the remainder of the patient’s life is recommended. | I | C | |
| The development of institution-specific protocols for the collaboration of the mechanical circulatory support team, palliative care specialist and social workers in the eventual deactivation of the mechanical circulatory support device in the final tranche of the end-of-life period should be considered. | IIa | B | [502, 507] |
Recommendations for end-of-life care
| Recommendations | Class | Level | References |
| A discussion of palliative care, potential complications, expectations and advance health care directives prior to implantation of a long-term mechanical circulatory support device is recommended. | I | C | [71, 502, 507] |
| Managing quality-of-life issues in a multidisciplinary palliative care team throughout the remainder of the patient’s life is recommended. | I | C | |
| The development of institution-specific protocols for the collaboration of the mechanical circulatory support team, palliative care specialist and social workers in the eventual deactivation of the mechanical circulatory support device in the final tranche of the end-of-life period should be considered. | IIa | B | [502, 507] |
| Recommendations | Class | Level | References |
| A discussion of palliative care, potential complications, expectations and advance health care directives prior to implantation of a long-term mechanical circulatory support device is recommended. | I | C | [71, 502, 507] |
| Managing quality-of-life issues in a multidisciplinary palliative care team throughout the remainder of the patient’s life is recommended. | I | C | |
| The development of institution-specific protocols for the collaboration of the mechanical circulatory support team, palliative care specialist and social workers in the eventual deactivation of the mechanical circulatory support device in the final tranche of the end-of-life period should be considered. | IIa | B | [502, 507] |
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