**8. Caregiver support and education**

Extensive education is needed before LVAD placement. At times, when the primary implanting LVAD center is not geographically feasible for scheduled follow-ups, a shared care site can be utilized [53]. Caregivers and patients must be educated in anticoagulation management, driveline site inspection and cleaning, and a basic understanding of LVAD alarms. Caregiver support is essential given the high care burden posing a risk for isolation and depression [54].
