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Table 2 Benefits of early palliative care in candidates considered for left ventricular assist device (LVAD) as destination therapy (DT).

From: Ethical challenges with the left ventricular assist device as a destination therapy

• Apply early in the course of illness, in conjunction with other life-prolonging therapies to help patient better understand and manage new distressing symptoms and clinical complications
• Provide relief from pain and other distressing symptoms
• Enhance patient's quality of life
• Integrate the psychological and spiritual aspects of patient care
• Offer a support system to help patients live as actively as possible until death
• Offer a support system to help caregivers and family members cope during the patient's illness
• Affirm life, and regard dying as a normal process
• Intend neither to hasten nor postpone death
• Offer a support system to help caregivers and families with the grief reaction, including bereavement counseling after device deactivation and death