Buehler Center on Aging, Health and Society, Palliative Care Section, Northwestern Feinberg School of Medicine, 750 N. Lake Shore Drive, Ste 601, Chicago, IL, 60611, USA.
Palliative Care Service, Jesse Brown VA Medical Center, 820 S. Damen Ave, Chicago, IL, 60612, USA.
Heart Fail Rev. 2017 Sep;22(5):535-542. doi: 10.1007/s10741-017-9643-2.
Communicating difficult information is an essential skill for clinicians of every specialty. The clinical complexity of the heart failure disease process lends itself to important opportunities to determine patient preferences about medical decisions and share information about prognosis. Nevertheless, traditionally most communication between clinicians and patients with heart failure has focused primarily on pathophysiology and treatment options. Studies indicate that patients and families wish to engage with their cardiologists in advance care planning and, when appropriate, end-of-life decision-making. Critical to whole-person care, this review describes several important communication strategies that enhance patient and family support through the inevitable rises and falls of progressive heart failure.
沟通困难信息是每个医学专业临床医生的一项基本技能。心力衰竭疾病过程的临床复杂性为确定患者对医疗决策的偏好以及分享预后信息提供了重要机会。然而，传统上，心力衰竭患者与临床医生之间的交流主要集中在病理生理学和治疗选择上。研究表明，患者及其家属希望在预先护理计划中与心脏病专家合作，并在适当的时候参与临终决策。这对整体患者护理至关重要，本文介绍了几种重要的沟通策略，通过心力衰竭的不可避免的起伏来增强患者及其家属的支持。
