The number of heart transplants being performed in the United States over the last decade has increased significantly. The supply of human donor hearts has not kept up with the demand. This situation has led to the development of means to support patient’s cardiac function until a human donor heart can be obtained. Methods to support the patient include use of ventricular assist devices and the total artificial heart. Integration of caring and technology in patients receiving cardiac assist devices (CADs) provides a challenge for critical care nurses. Nursing care of the patient with a CAD involves identification and prevention of complications, familiarization with new technology, and development of a caring environment

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