Be frank about the uncertainty in predicting the course of their heart failure. Revisit this discussion as the person's condition evolves. [2018] 82.Provide information whenever needed throughout the person s care. [2018] 83.Consider training in advanced communication skills for all healthcare professionals working with people who have heart failure. [2018] 9.5.3.1 First consultations for people newly diagnosed with heart failure 84.The specialist heart failure MDT should offer people newly diagnosed with heart failure an extended first consultation, followed by a second consultation, to take place within 2 weeks if possible. At each consultation: discuss the person s diagnosis and prognosis explain heart failure terminology discuss treatments address the risk of sudden death, including any misconceptions about that risk encourage the person and their family or carers to ask any questions they have. [2018] Chronic Heart Failure Domiciliary oxygen therapy in people with advanced heart failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 10 Advanced heart failure and palliative care The update to the heart failure guideline includes topics where new evidence has emerged since the publication in 2010. A review of new evidence published after 2010 was carried out in order to determine whether any changes to current recommendations where likely to be required. The decision on which topics to include in the update of the guideline was made following consultation of the scope. In this section new evidence was reviewed on the use of diuretics, domiciliary oxygen therapy and criteria for discussing ICD deactivation in patients with advanced heart failure, and the use of validated risk tools to identlfy patients with an increased risk of mortality. 