Cent Eur J Nurs Midw 2015, 6(2):232-236 | DOI: 10.15452/CEJNM.2015.06.0009

Deactivation of pacemakers and ICDs at the end of life

Marie Macková
Department of Midwifery and Health and Social Work, Faculty of Health Studies, University of Pardubice, Czech Republic

Aim: The aim of the present study was to seek out expert knowledge concerning the direct experience of care providers of the deactivation of pacemakers or ICDs in patients in the terminal stage of illness. Another goal was to describe the possibilities of deactivation of pacemakers and ICDs in the Czech Republic.

Design: The research had the character of a systematic overview.

Methods: Articles focusing on the problem area of interest were searched by means of a systematic trawl through various databases using the relevant terms. The search was limited to articles in English issued between 2000 and 2013.

Results: In total, five papers satisfying the basic criteria were found.

Conclusion: The deactivation of pacemakers and ICDs in patients in the terminal stage of illness is a topic that continues to be overlooked. Studies focusing on care providers' direct experience of deactivation of the two devices in patients in the terminal stage are exceptional. However, with respect to the increasing number of patients with implanted pacemakers and ICDs, this problem area should be addressed.

Keywords: pacemaker, ICD, palliative care, deactivation, practice

Received: January 5, 2015; Accepted: March 27, 2015; Published: September 30, 2015  Show citation

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Macková M. Deactivation of pacemakers and ICDs at the end of life. Central European Journal of Nursing and Midwifery. 2015;6(2):232-236. doi: 10.15452/CEJNM.2015.06.0009.
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