liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Effective communication and ethical consent in decisions related to ICDs
University of Alberta, Canada.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
Stony Brook University , USA.
Curtin University, Sydney, Australia. .
Show others and affiliations
2011 (English)In: Nature reviews. Cardiology, ISSN 1759-5010Article in journal (Refereed) Published
Abstract [en]

This Review examines recommendations and principles that promote good decision-making with regard to the insertion, deactivation, and potential malfunction of implantable cardioverter-defibrillators (ICDs). This guidance is important because ICDs are now used for primary and secondary prevention of arrhythmias in more than 20 diverse clinical populations, which accounts for the exponential increase in insertion rates over the past decade. Current guidelines require clinicians to provide personalized, culturally appropriate, and easy to understand information to patients on the benefits and harms of proposed treatment choices; however, obtaining valid informed consent for insertion and deactivation of ICDs is challenging. Initiating early conversations with patients and continuing this dialogue over time, implementation of localized care protocols, increased collaboration (particularly between cardiac and palliative care teams), and the provision of training for all health professionals involved in the care of these patients, can help to ensure that adequate informed consent is maintained throughout their care. In addition to providing information, health professionals should identify and address high levels of anxiety in patients and their next of kin and promote effective communication throughout decision making. In the future, use of standardized checklists or decision aids based on a clear understanding of the principles underlying key topics could support this process.

Place, publisher, year, edition, pages
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-71496DOI: 10.1038/nrcardio.2011.101PubMedID: 21788961OAI: diva2:450256
Available from: 2011-10-20 Created: 2011-10-20 Last updated: 2015-01-29

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Jaarsma, Tiny
By organisation
Division of Health, Activity and CareFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 28 hits
ReferencesLink to record
Permanent link

Direct link