Communication and Decision Making in Advanced Heart Disease

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

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Take Home Messages



  • The majority of patients want you to initiate Goals of Care conversations
  • Open communication does not take away hope
  • Use acronyms
    • Ask-Tell-Ask, NURSE, ADAPT, SPIKES
  • Be honest, including being uncertain
  • Tell the good with the bad
  • You can do it, and get better with practice