Competent Patient – treatment options including the anticipated benefit and burden of continuing ICD therapy are discussed with him/her. Patient consents to Patient wished withdrawal of ICD therapy to ICD therapy continue Decision to withdraw ICD therapy is documented in their medical notes. Check discussion of deactivations performed with patient and consent gained from patient for deactivation. Education / Peer Review is supplied to patients about Decision communicated throughout the patient’s care team. Suitable handover End of Life process. Reviewed arrangements put in place for care plans including advice not to resuscitate patient. at timely intervals. Personal support given to both patient and those close to him/her. Contact ICD Department at the LHCH either between 9am-5pm or the out of hours Cardiology SpR via main hospital switchboard to arrange deactivation of ICD. Decision reviewed at appropriate intervals. Care plan reassessed to ensure treatment goals remain appropriate for the patient. Patient consulted throughout and second opinion
Competent Patient – treatment options including the anticipated benefit and burden of continuing ICD therapy are discussed with him/her. Patient consents to withdrawal of ICD therapy Patient wished ICD therapy to continue Decision to withdraw ICD therapy is documented in their medical notes. Check discussion of deactivations performed with patient and consent gained from patient for deactivation. Decision communicated throughout the patient’s care team. Suitable handover arrangements put in place for care plans including advice not to resuscitate patient. Personal support given to both patient and those close to him/her. Education / Peer Review is supplied to patients about End of Life process. Reviewed at timely intervals. Contact ICD Department at the LHCH either between 9am-5pm or the out of hours Cardiology SpR via main hospital switchboard to arrange deactivation of ICD. Decision reviewed at appropriate intervals. Care plan reassessed to ensure treatment goals remain appropriate for the patient. Patient consulted throughout and second opinion