Communication and Decision Making in Advanced Heart Disease

Part 2: Conducting Goals of Care Conversations in Advanced Heart Disease

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Respond to Emotion: NURSE

Example Notes
Naming It sounds like you are frustrated, mad, upset. In general, turn down the intensity a notch when you name the emotion.
Understanding This helps me understand what you are thinking-feeling. This is acknowledgement but stops short of suggesting you understand everything.
Respecting I can see that you are trying to follow our instructions. I think you have done a good job with this. Praise success.
Supporting I will do my best to make sure you have what you need. Making a commitment to the patient is powerful.
Exploring Could you way more about what you meant when you say… Asking a focused question prevents this from seeming too obvious.
View Caring Conversations and indicate which of the following approaches are used by the clinician.
  • Naming
  • Understanding
  • Respecting
  • Supporting
  • Exploring