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COMMUNICATION AND DECISION MAKING IN ADVANCED HEART DISEASE
INTRODUCTION
Objectives
What is Advanced Heart Failure?
Why Goal Directed Communication?
What is Shared Decision Making?
Decisions Expected in HF
Decisions likely to be made as heart disease advances
Events triggering discussion
What is a Goals of Care discussion?
Outcomes of Goals of Care communication
Measuring Shared Decision Making
Practice Barriers
Patient Barriers
Overcoming your own resistance
Communication
How to Begin?
Conclusions
References
Glossary
Resources & Links
CONDUCTING GOALS OF CARE CONVERSATIONS IN ADVANCED HEART DISEASE
Objectives
What is a Goals of Care discussion?
Outcomes of Goals of Care Communication
How to Begin?
Goals of Care: Clinician Preparation
Elements of Prognosis
Prognosis: ADAPT
Respond to Emotion: NURSE
Measuring Shared Decision Making
Strategies for Success
Key Statements to Keep in Mind
Avoid Language that Sets Up 2 Tiers of Care
Nonverbal Communication
After Conversation
Difficult Situations
Case 1: Do not want to talk
Case 2: Anger
Case 3: Waiting for a miracle
Take Home Messages
References
Communication and Decision Making in Advanced Heart Disease
Part 1: Introduction
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Decisions Expected in HF
Multiple choice quiz
Which of the following are most likely to indicate the need for “Goal Directed Communication” in a patient with Advanced Heart Failure? (Check three.)
Arrhythmias
Back pain
Reduced daily functioning
Increased activity tolerance
Reduced appetite
Increased use of diuretics
Allen et al, 2012