Communication and Decision Making in Advanced Heart Disease

Part 1: Introduction

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Practice Barriers



    Patients with Heart Failure have cognitive difficulties
  • Benefits of therapy are often over estimated
  • Cognitive issues, memory issues complicate decision making
  • Language and literacy may impact communication of information

    Families are complicated
  • Often parent decisions are influenced by adult children
  • Confronting the reality of death upsets people
  • Spirituality may influence communication and decisions


View Emotion and Cognition and consider how emotions impact understanding.


    Cultural and religious values influence decisions
  • Be aware of how these influence choices
  • You cannot be an expert on all cultures, so clarify values