Communication and Decision Making in Advanced Heart Disease

Part 1: Introduction

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Why Goal Directed Communication?




  • Goals of care communication can lead to shared decision making
  • Directs attention to the clinical trajectory of HF
  • Difficult discussions early will simplify difficult decisions in the future
  • Patient gets high quality care consistent with values and desires
  • Provider understands their role in shared decision making
  • Care is aligned with patient preferences
  • Conversations result in patient decisions
  • Patient decisions are documented with advanced care planning and in EHR
  • Health system resources are used appropriately and supports patient decisions
  • Sometimes uncertain when to begin discussions about future care