Overcoming Alterations in Body Image Imposed by the Left Ventricular Assist Device: A Case Report

Abstract

Little is known about clothing issues among patients with implantable left ventricular assist devices (LVADs). This article describes the experience of a woman who had challenges in adapting to an altered body image imposed by the external components of the LVAD system. The woman discusses her problems about clothes that fit her personal style and shares her strategies and recommendations in overcoming the problem. Her description of how she approached and resolved the problem is situated within the Apparel Body Construct Model. In this context, appropriate selection of apparel is crucial not only to preserving the integrity and function of the LVAD system but also to the recipient's satisfaction with her body image. The information presented is a catalyst for knowledge development and heightening health care providers' awareness of patients' perception of body image, which is vital to adapting to an LVAD as a component of the recipient's body and life.

Depression and Anxiety Moderate the Relationship Between Body Image and Personal Well-being Among Patients With an Implanted Left Ventricular Assist Device

“…), and 3) social isolation because of such limitations and altered body image. [9][10][11]27 The current study extends the previous literature examining the effect of body image on personal wellbeing among LVAD implanted patients. Other studies have found that LVAD implanted patients modified their own self-image, among others, by choosing clothes hiding the LVAD, an action that helped them improve their QOL.…”

“…5 Similarly, external components of the LVAD system were found to cause LVAD implanted patients dissatisfaction with their own body image, which led patient to look for strategies to overcome this problem. 10 Strategies included wearing clothes that did not accentuate the LVAD on one hand and that preserved and expressed the patient's personal style, on the other. Therefore, the first purpose of the current study was to investigate whether there is a relationship between body image and personal wellbeing among LVAD implanted patients.…”

Sex differences and in-hospital outcomes in patients undergoing mechanical circulatory support implantation

“…Even with the introduction of smaller, durable MCS, body image issues may be more prevalent in women and could influence their decision to pursue MCS. (33)…”

Adaptation and coping in patients living with an LVAD: A metasynthesis

“…6–8 Emotional distress, adjustment disorders, and disability have been identified after device implant. 9,10 …”