Ventricular assist devices as destination therapy: psychosocial and ethical implications.

摘要: Abstract One of the candidate evaluation challenges is determining when and how psychosocial domains influence short- long-term destination therapy ventricular assist device (DT-VAD) outcomes. There are very few DT-VAD studies no validated instruments to identify risk factors. General practice borrow from transplant literature, which may not be applicable this unique application. We question relevance using for patients who candidates only, particularly because these require a certain level cognitive, psychological, behavioral functioning ensure proper self-care with VAD. missing important psychological characteristics in our pre-evaluations by “borrowing” thereby underplaying significant factors that especially relevant candidates. Conversely, we screening out benefit greatly usi...