Communication and Decision Making in Advanced Heart Disease

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

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Strategies for Success


  • Use a communication framework
    • ASK-TELL-ASK
  • Determine what patients understand and then want to know
    • Ask what they know about HF
      • “What is your understanding of your current heart condition?”
    • Ask if they want information about their own specific disease
      • “Sometimes people want to know a lot of details about their heart condition, some do not. What would you like to know?”
  • Tell information they desire
  • Ask them to summarize what they heard


    Check which approaches are used in Ask Tell Ask
  • Ask what they know about their condition
  • Ask if they want information about their own specific disease
  • Tell information they desire
  • Ask them to summarize what they heard