Communication and Decision Making in Advanced Heart Disease

Part 1: Introduction

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Communication



  • Patients want honest information
  • Patients want their preferences to be taken into consideration for treatment
  • Conversations about goals of care can improve your relationship with the patient
  • HF trajectory has an uncertain course
    • Preferences and goals can change with time
  • Determine when to start a conversation and when to re-address understandings
  • Seek clarity on goals of care

Write 2 questions or statements that a health care provider could use to elicit the patient’s ideas on their goals of care.



Please drag the bottom right corner to expand the box.




  • I want to gain an understanding of your goals in living with HF, what is important to you, things that are most difficult in living with HF, and things to avoid.
  • “I want to understand what is important to you in living with HF.”
  • “Tell me how HF is effecting you on a daily basis. What are your challenges. What are your biggest concerns now?”
  • “What I hear you say is that you …”

View Don’t Talk Too Much and reflect on your approach to patient interviews.