At what point should you consider deactivating ICDs or implanted pacemakers in patients nearing the end of life but not imminently dying?

Should we consider this as a unique point during goal of care discussions, separate from code status, comfort measures only, etc.?

Answer from: at Academic Institution

Great question. I’ll start with the second part first. This should be a unique point in your discussions. You should clarify whether or not they want the ICD turned off, even if they agree to comfort care measures. If they hesitate to turn the ICD off, take this as an opportunity to explore mo...

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at Conemaugh Memorial Medical Center
If patient is in pain and suffering, I believe the...

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At what point should you consider deactivating ICDs or implanted pacemakers in patients nearing the end of life but not imminently dying?

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