-
- Sarah J Goodlin, Timothy E Quill, and Robert M Arnold.
- Patient-centered Education and Research, Salt Lake City, UT 84103, USA.
- J. Card. Fail. 2008 Mar 1;14(2):106-13.
BackgroundTherapies to prolong life and improve quality of life for heart failure (HF) have expanded in both number and complexity. Clinicians, patients, and families are faced with an array of decisions about interventions with complex risks and benefits. Physicians must also discuss prognosis of HF and its inherent uncertainties.Methods And ResultsThis article applies knowledge of participatory decision-making and communication about prognosis from other health care settings to HF care. Strategies should generally follow an "ask-tell-ask" format, beginning with a patient's understanding of his or her HF, identifying the information a patient desires, and then giving them small amounts of information at any given time, asking for feedback to clarify understanding.ConclusionsDespite the inherent uncertainty in individual outcomes with heart failure, physicians should discuss prognosis as desired by the patient or as needed to plan care, particularly when anticipated survival is shorter than 1 year. Exploring and reflecting patient responses and attending to their emotions can decrease patient anxiety and promote shared decision-making.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.