COMMUNICATION AND DECISION MAKING IN ADVANCED HEART DISEASE
INTRODUCTION
   Objectives
   What is Advanced Heart Failure?
   Why Goal Directed Communication?
   What is Shared Decision Making?
   Decisions Expected in HF
   Decisions likely to be made as heart disease advances
   Events triggering discussion
   What is a Goals of Care discussion?
   Outcomes of Goals of Care communication
   Measuring Shared Decision Making
   Practice Barriers
   Patient Barriers
   Overcoming your own resistance
   Communication
   How to Begin?
   Conclusions
   References
   Glossary
   Resources & Links
CONDUCTING GOALS OF CARE CONVERSATIONS IN ADVANCED HEART DISEASE
   Objectives
   What is a Goals of Care discussion?
   Outcomes of Goals of Care Communication
   How to Begin?
   Goals of Care: Clinician Preparation
   Elements of Prognosis
   Prognosis: ADAPT
   Respond to Emotion: NURSE
   Measuring Shared Decision Making
   Strategies for Success
   Key Statements to Keep in Mind
   Avoid Language that Sets Up 2 Tiers of Care
   Nonverbal Communication
   After Conversation
   Difficult Situations
   Case 1: Do not want to talk
   Case 2: Anger
   Case 3: Waiting for a miracle
   Take Home Messages
   References

Communication and Decision Making in Advanced Heart Disease

Part 1: Introduction

< /
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
19
|
/ >

Resources & Links

Additional information on communication.

Dealing with Emotions
Calibrating your emotions in real time
Beyond “How Do You Feel?”
Surface vs Deeper Emotions
Communication, it’s a skill you learn
Vital Talk Take Homes
On Giving Feedback
Requests to Withhold Information
Emotions as Data
Asking Permission
Pause-long
On Guiding Patients
Using Reflection
Prepare Yourself First
Assessing understanding before the news
Complex reflections
Sorting out ‘quiet’ from ‘numb’
Compassion and optimism
When the news is indeterminate
Ask Permission


© 2017 University of Washington | School of Nursing | L&IT Interactive Production Web Services | CHSIE
Cynthia M. Dougherty ARNP, PhD, FAHA, FAAN
Professor and Nurse Practitioner
University of Washington School of Nursing
VA Puget Sound Health Care System
Seattle, WA