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. Author manuscript; available in PMC: 2014 Jan 16.
Published in final edited form as: Circulation. 2012 Mar 5;125(15):1928–1952. doi: 10.1161/CIR.0b013e31824f2173

Table 8.

Using the N-U-R-S-E Mnemonic to Help Express Verbal Empathy When Communicating With Patients With Advanced Heart Disease

Technique Sample Language
Name the emotion You seem worried about what will happen if we don’t implant the LVAD. Can you tell me more about that?
Understand the emotion I see why you might be fearful of proceeding with the transplant. Can you help me understand what you’re afraid of?
Respect the emotion You have shown a lot of strength up to this point. Tell me more about what keeps you going
Support the patient Whether or not you choose to have the procedure, I want you to know that I will continue to be your cardiologist and will take care of you no matter what happens
Explore the emotion You mentioned earlier that you’re concerned about what this worsening of your shortness of breath might mean. Can you tell me more about your concerns?

LVAD indicates left ventricular assist device.

Reprinted from Back et al,113 with permission of the publisher. Copyright © 2005, Wiley & Sons.