This is a learning achievement report and summary of my successful completion of the Bachelor of Nursing degree examination in Reiwa 6 (2024). Includes a discussion on ACP for heart failure patients: "Early and Continuous Decision Support for Heart Failure Patients" 14 pages (including cover and references) - Title: Open University of Japan Nursing Student Learning Achievement Report - Content: Passing the Degree Examination - Notes: Copying this report in its entirety is prohibited. Please use it as a reference only. I found many other people's reports very helpful. I hope this will be of some small help to you. *Please refrain from listing this report on Mercari or misusing it. Thank you for viewing.