Book contents
- Complex Ethics Consultations
- Reviews
- Complex Ethics Consultations
- Copyright page
- Contents
- Additional Contributors to the Second Edition
- Contributors to the First Edition (Original Biographies from the First Edition)
- Foreword to the First Edition
- Acknowledgments
- Introduction
- Introduction to the First Edition
- Part I Starting at the Beginning
- Part II The Most Vulnerable of Us
- Part III Diversity of Desires and Limits of Liberty
- Part IV Withholding Therapy with a Twist
- Part V The Unspeakable/Unassailable
- Part VI Human Guinea Pigs and Miracles
- Chapter 21 Amputate My Arm, Please. I Don’t Want It Anymore
- Chapter 22 Feuding Surrogates, Herbal Therapies, and a Dying Patient
- Chapter 23 One Way Out
- Chapter 24 Altruistic Organ Donation
- Commentary 6 Reflections on Part VI
- Part VII The Big Picture:
- Conclusions, Educational Activities, and References (Revised for Second Edition)
- Index
- References
Chapter 23 - One Way Out
Destination Therapy by Default
from Part VI - Human Guinea Pigs and Miracles
Published online by Cambridge University Press: 17 May 2025
Book contents
- Complex Ethics Consultations
- Reviews
- Complex Ethics Consultations
- Copyright page
- Contents
- Additional Contributors to the Second Edition
- Contributors to the First Edition (Original Biographies from the First Edition)
- Foreword to the First Edition
- Acknowledgments
- Introduction
- Introduction to the First Edition
- Part I Starting at the Beginning
- Part II The Most Vulnerable of Us
- Part III Diversity of Desires and Limits of Liberty
- Part IV Withholding Therapy with a Twist
- Part V The Unspeakable/Unassailable
- Part VI Human Guinea Pigs and Miracles
- Chapter 21 Amputate My Arm, Please. I Don’t Want It Anymore
- Chapter 22 Feuding Surrogates, Herbal Therapies, and a Dying Patient
- Chapter 23 One Way Out
- Chapter 24 Altruistic Organ Donation
- Commentary 6 Reflections on Part VI
- Part VII The Big Picture:
- Conclusions, Educational Activities, and References (Revised for Second Edition)
- Index
- References
Summary
In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the authors describe a patient in her twenties who had a left ventricular assist device implanted in an acute circumstance to save her life before completing a heart transplant evaluation. After being delayed for being placed on the transplant list because of nonadherence to appointment, the patient asked for the device to be shut off, which would result in her death. The authors reflect on better ways to support patients in these circumstances.
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- Information
- Complex Ethics ConsultationsCases that Haunt Us, pp. 181 - 186Publisher: Cambridge University PressPrint publication year: 2025
References
Rose, EA, Gelijins, AC, Moskowitz, AJ, et al. (REMATCH Study Group). Long-term mechanical left ventricular assistance for end-stage heart failure. N Engl J Med, 2001; 345: 1435–43.CrossRefGoogle Scholar
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Lietz, K, Miller, LW. Will left-ventricular assist device therapy replace heart transplantation in the foreseeable future? Curr Opin Cardiol, 2005; 20: 132–7.Google ScholarPubMed
Dudzinski, D. Ethics guidelines for destination therapy. Ann Thorac Surg, 2006; 81: 1185–8.CrossRefGoogle ScholarPubMed
Owen, JE, Bonds, CL, Wellisch, DK. Psychiatric evaluations of heart transplant candidates: Predicting post-transplant hospitalization, rejection episodes, and survival. Psychosomat-ics, 2006; 47(3): 213–22.Google ScholarPubMed
Levenson, JL, Olbrisch, ME. Psychosocial evaluation of organ transplant candidates: A comparative survey of process, criteria, and outcomes in heart, liver, and kidney transplantation. Psychosomatics, 1993; 34(4): 314–23.CrossRefGoogle ScholarPubMed
De Geest, S, Dobbels, F, Fluri, C, et al. Adherence to the therapeutic regimen in heart, lung, and heart–lung transplant recipients. J Cardiovasc Nurs, 2005; 20(5S): S88–S98.CrossRefGoogle Scholar
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