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Policy Online NHS Lothian | Policy Online

ICD Deactivation

Executive Summary

Key Messages

  • To highlight the need to have discussions and reach decisions about deactivation of the ICD at the right time before a crisis situation occurs to reduce last minute decision making.
  • To deliver high quality care to people who are approaching end of life
  • To avoid the delivery of a futile “shock” therapy when the person is nearing the end of life.
  • To co-ordinate care when deactivating a device
  • To ensure that all staff are aware of when and how to facilitate deactivation of an ICD, in conjunction with other relevant NHS Lothian policies.
  • To support staff to respond appropriately if a person with an ICD requests it to be deactivated.To make the deactivation decision of an ICD a transparent process.