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Cardiol Clin. 2013 Nov;31(4):657-68, x. doi: 10.1016/j.ccl.2013.07.013. Epub 2013 Sep 17.

Ethical issues and palliative care in the cardiovascular intensive care unit.

Author information

1
Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Program in Professionalism and Ethics, Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: swetz.keith@mayo.edu.

Abstract

Medical advances over the past 50 years have helped countless patients with advanced cardiac disease or who are critically ill in the intensive care unit (ICU), but have added to the ethical complexity of the care provided by clinicians, particularly at the end of life. Palliative care has the primary aim of improving symptom burden, quality of life, and the congruence of the medical plan with a patient's goals of care. This article explores ethical issues encountered in the cardiac ICU, discusses key analyses of these issues, and addresses how palliative care might assist medical teams in approaching these challenges.

KEYWORDS:

Advanced heart failure; Bioethics; End of life; Medical ethics; Medical technology; Palliative care

PMID:
24188227
DOI:
10.1016/j.ccl.2013.07.013
[Indexed for MEDLINE]
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