Left Ventricular Assist Device (LVAD) Patient Decision ...

Left Ventricular Assist Device (LVAD) Patient Decision Aid

Page showing options, presenting probabilities, using statistics, and highlighting uncertainty. Because the majority of people without a left ventricular assist device (LVAD) die imminently, this option required unique framing regarding benefits, risks, and burdens.

We presented the LVAD (accepting) and no LVAD (declining) in a column format (Figure 3). The parallel contrast between the 2 options helped emphasize that DT LVAD is a choice. This reframing was important given the tendency of patients and caregivers to describe the LVAD as a Hobson’s choice, that is, a choice between something and nothing. The parallel framing concretely showed what the no-LVAD option might look like to facilitate viewing the situation as a dilemma, that is, a choice between 2 imperfect options. However, because patients who decline a DT LVAD have such a high mortality rate, presenting the risks and benefits of LVAD declination in a substantive way was a challenge.

#DecisionAid #DTLVAD #LVAD #VentricularAssistDevice #Management #CHF #Cardiology
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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