Communication and Decision Making in Advanced Heart Disease

Part 1: Introduction

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Patient Barriers

    What are the 4 most plausible reasons that patients may not want to participate in a Goals of Care discussion?
  • May not want to engage in a conversation about their condition
  • English is their second language
  • May not want shared decision making
  • Their educational level is grade 12 or below.
  • Are unaware of options in long term HF care
  • Do not perceive when their condition is worsening





    Patients want you to know how HF is affecting them physically and emotionally
  • Feel there is little time to discuss this
  • Want help with day-to-day management