By improving survival, the advent of implantable cardioverter defibrillator
s (ICDs) creates a new patient population that is distinct from the general
cardiac population. In these patients, focus is shifting from evaluating t
he physical response of the treatment to evaluating the emotional, spiritua
l, and psychological responses. Until now, the effect of this treatment on
families and society at large has been underestimated. Cardiovascular nurse
s are continually being challenged in meeting the unique needs of ICD patie
nts, assisting patients and their families to develop coping strategies, an
d empowering these people to live full and active lives in society.