Starting the Conversation about Left Ventricular Assist Devices.

Some patients with advanced heart failure (HF) are eligible for consideration of a Left Ventricular Assist Device (LVAD), a mechanical assist device that aids in improving cardiac output. However, having the first conversation to introduce the topic to a patient is often challenging due to the life-long implications of obtaining an implanted device. In-depth semi-structured interviews were used in this pilot study to explore how nurse practitioners (NP) have the first conversation with potentially eligible patients. Results were conceptually framed around the Serious Illness Conversation Guide which has been used to structure meaningful conversations with very ill patients.