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Communication in HF 

Communication in HF
Chapter:
Communication in HF
Author(s):

Miriam Johnson

, Karen Hogg

, James Beattie

, and Max Watson

DOI:
10.1093/med/9780199299300.003.0034
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date: 22 August 2019

As prevalence and available treatments for heart failure have increased, so has the need for clear and timely communication. Repeated studies over the past decade highlight that patients and their caregivers lack information and insight with regard to their diagnosis, management and stage of illness. Patients and their healthcare team need to discuss the nature and course of heart failure, prognosis, treatment options, and patient preferences for end-of-life care. The latter aspect has been highlighted in the recent GMC guidance.

Excellent communication skills are required by clinicians in order to initiate and conduct what can be very difficult discussions. Barriers to effective communication may arise from patient, professional or system related factors. This chapter gives an overview of the issues and addresses specific topics such as cardio-pulmonary resuscitation, implantable cardioverter devices, and referral to palliative care services.

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