What should patients be informed about regarding ICD therapy during advance care planning?

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Patients should be informed that ICD (Implantable Cardioverter Defibrillator) therapy can be deactivated according to patient goals because it is important for patients to understand their options in end-of-life care and decision-making. During advance care planning, discussions about ICD therapy should focus on how it aligns with the patient's values, wishes, and overall goals for care.

Patients may have different perspectives regarding the usage of life-sustaining devices like an ICD, especially in scenarios where the quality of life or end-of-life preferences are considered. A patient might choose to deactivate the ICD if their primary goal is to avoid aggressive medical interventions and focus on comfort. Providing this information empowers patients to make informed choices about their treatment and ensures that their care aligns with their healthcare goals.

The other options may suggest misunderstandings about what ICD therapy entails or misrepresent the nature of the technology. For instance, stating that ICD therapy cannot be turned off would mislead patients about their autonomy in decision-making.

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