Communication and Decision Making in Advanced Heart Disease

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

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Case 3: Waiting for a miracle

  • Patient and family may acknowledge nature of the situation-grave, poor function
  • May not agree to appropriate care
    • Insisting on aggressive care
    • Refusal to accept palliative care/hospice
  • Refusal to believe that patient might die based on faith that ‘God’ will answer prayers if they pray hard enough
  • May request that you pray with them

View “Is there any hope?”
then enter in the text box 2 phrases you might use in the interview.


Please drag the bottom right corner to expand the box.


View When a Patient Asks You to Pray
then enter in the text box a response you would give when asked to pray with a patient.


Please drag the bottom right corner to expand the box.