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Supportive Care in Heart Failure$
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James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

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Communication Between Clinicians and Their Heart Failure Patients and Families

Communication Between Clinicians and Their Heart Failure Patients and Families

(p.417) Chapter 22 Communication Between Clinicians and Their Heart Failure Patients and Families
Supportive Care in Heart Failure

Sarah J. Goodlin

Timothy E. Quill (Contributor Webpage)

Oxford University Press

This chapter summarizes what is known about communication between clinicians and heart failure (HF) patients (and families), and proposes approaches to important aspects of communication, based on literature developed largely in oncology and general medical care. It begins by addressing general principles of physician communication with patients. The communication issues at initial diagnosis of ‘HF’, communication issues during the early phases, and communication issues that cut across all phases of HF are explored. The chapter then explains the exacerbations and remissions, gradual functional decline, exploration of invasive measures, maximizing quality of life, and preparation for the likelihood of death. Although few data exist to inform communication between physicians, or other healthcare providers, and their HF patients, approaches to physician–patient communication from research in other conditions can be applied to HF care.

Keywords:   heart failure, patients, families, communication, clinicians, diagnosis, death

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