Allied Professionals Community of Practice

  • 1.  How we address psychological stress from multiple ICD shocks

    Posted 10-19-2022 10:38
    in the July 8, 2022 Heart Rhythm, Dr. Lauren Schneider's excellent study of post traumatic stress disorder in young ICD patients and their parents brings to mind that the same factors and stressors affect our adult patients.  We have all  provided care for patients who have received multiple ICD shocks, some of which were appropriate and some that were due to device/lead  failure or programming issues.  We now recognize that the burden of the ICD shocks is very analogous to PTSD.   Are we adequately addressing the psychological needs of the multiple shock patient?   Are we fortunate to have resources in-house?  Do we know of outpatient psychologists and therapists to whom the multi-shock patient can be referred?  Is there a way for us to adequately prepare for our next meeting with a patient who has suffered multiple shocks?



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    Paul Kohanski CNP, FHRS, CCDS
    Nurse Practitioner Device Clinic
    Univ Hospitals of Cleveland, Cardiology
    Cleveland OH
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  • 2.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-19-2022 11:12
    Hi Paul

    Thanks for bringing up this extremely important topic.  With newer device technologies, diagnostics and alerts, shocks have become "less of a problem" than the early days when we were dealing with "shock boxes". However, as you identified, shocks and PTSD are still a component of the device landscape, and we should be prepared to help our patients suffering with this.  

    I would suggest you google "Sam Sears, PhD" and you will find a plethora of studies and information on shocks and PTSD in the device patient population.  Sam had dedicated his career to this topic.  

    Perhaps this would be a good topic to discuss at our next Journal Club and invite Sam to join us!

    Julie Shea, NP
    Twitter - @Ariat104

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  • 3.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-19-2022 11:49




    Sent from my Verizon, Samsung Galaxy smartphone
    Julie,  that is a great idea to have Sam join us for journal club and this discussion!  

    Laurie



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  • 4.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-20-2022 21:04
    I had the privilege of referring patients to Sam Sears when I was working in NC. I’ll be happy to pass along contact information to someone regarding requesting him to speak to our group, or I can reach out to him myself. Great topic!!

    Rebecca Yapejian, MSN, FNP-C, AACC


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  • 5.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-21-2022 14:00

    Agree with all that has been said- he has made amazing contributions to helping these patients!! And continues too!!

     

    Linda K. Ottoboni, PhD, RN, CNS, CCDS, FHRS

    Clinical Nurse Specialist

    Atrial Fibrillation Prevention and Symptom Management

    Stanford Arrhythmia Service

     

    Stanford Healthcare

    300 Pasteur Dr., MC 5335, Room A347

    Stanford, CA    94305

    Mobile: 650-206-0542; voice mail:650-498-5914

    Lottoboni@stanfordhealthcare.org

     

    Clinical Assistant Professor

    Division of Primary Care Population Health

    School of Medicine, Stanford University

     

     

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  • 6.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-23-2022 12:51

    Brilliant idea.  I have met and spent time with Dr. Sears as well.  This would be so wonderful as he is an expert on the topic and such a great speaker. 

     

    Let me know how I can help.

     

    Regards,

     

    Martha G. Ferrara, DNP FNP CCDS FHRS

    Assistant Director EP Services

    White Plains Hospital

    HRS AP Council Chairwoman

    MFerrara3@wphospital.org

    @MGMayanrn

     




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  • 7.  RE: How we address psychological stress from multiple ICD shocks

    Posted 10-24-2022 12:24
    We have a great Cardiac Behavioral Medicine therapist @ Stanford who sees our patients for this. Very important topic for sure.

    Geri

    Sent from my iPad


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