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Correction to: 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.

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Starting the Conversation about Left Ventricular Assist Devices.

Leslie L Davis1, Ana Nino Combs2

  • 1University of North Carolina, Greensboro, School of Nursing, 308 Moore Building, PO Box 26170, Greensboro, NC, 27402-6170, LLDavis4@uncg.edu, Work phone: (336) 334-4900.

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Introducing Left Ventricular Assist Devices (LVADs) for advanced heart failure (HF) is challenging. This study explored how nurse practitioners initiate this crucial first conversation with patients, using the Serious Illness Conversation Guide.

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Area of Science:

  • Cardiology
  • Nursing
  • Medical Ethics

Background:

  • Advanced heart failure (HF) patients may be candidates for Left Ventricular Assist Devices (LVADs).
  • Initiating the first conversation about LVADs presents challenges due to lifelong implications.
  • Effective communication strategies are vital for patient understanding and decision-making.

Purpose of the Study:

  • To explore how nurse practitioners (NPs) conduct the initial conversation with patients regarding LVAD candidacy.
  • To identify best practices for introducing LVADs in the context of advanced heart failure management.

Main Methods:

  • Pilot study utilizing in-depth, semi-structured interviews.
  • Exploration of nurse practitioners' approaches to the first LVAD conversation.
  • Conceptual framing around the Serious Illness Conversation Guide.

Main Results:

  • Nurse practitioners employ various strategies to introduce LVADs to patients.
  • The Serious Illness Conversation Guide provides a useful framework for these discussions.
  • Patient-centered communication is key in navigating complex treatment options.

Conclusions:

  • Structured communication approaches can facilitate challenging conversations about mechanical circulatory support.
  • Further research is needed to refine best practices for LVAD discussions.
  • Empowering NPs with communication tools improves patient care in advanced HF.