Communication and Decision Making in Advanced Heart Disease

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

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Avoid Language that Sets Up 2 Tiers of Care



  • Aggressive treatment- Do everything
    • Some may feel that have to choose everything to get the best care
    • Lack of trust in medical team
    • Few of us are ready to accept dying until the very end
  • Do you want us to bring you back?
    • I have never given up before and I don’t plan to start now
  • Therapy is failing