Open AccessJournal Article
Discussing disease progression and end-of-life decisions.
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In this article, the authors use dialogues between a physician and a hypothetical patient with advanced ovarian cancer to illustrate how communication techniques can be applied to accomplish these goals, and identify important benefits of the use of these techniques for both the physician and patient.Abstract:
Because most patients now want to know the truth about their diagnosis and prognosis, the ability to discuss the cancer diagnosis, disease recurrence, or treatment failure, and to solicit patients' views about resuscitation or hospice care, are important verbal skills for oncologists and other oncology health care providers. Moreover, the ability to clearly articulate a treatment plan or elicit patient preferences for treatment are a prerequisite to informed consent. Despite these imperatives, clinicians do not routinely receive training in key communication skills that could enable them to accomplish these tasks. A body of literature is available, however, that identifies communication strategies that can (1) facilitate the establishment of a close rapport with the patient, (2) identify the patient's information preferences, (3) ensure comprehension of key knowledge and information, (4) address the patient's emotions in a supportive fashion, (5) elicit the patient's key concerns, and (6) involve the patient in the treatment plan. In this article, we use dialogues between a physician and a hypothetical patient with advanced ovarian cancer to illustrate how communication techniques can be applied to accomplish these goals. We identify important benefits of the use of these techniques for both the physician and patient, and pose several questions regarding the training of physicians in this area.read more
Citations
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Approaching difficult communication tasks in oncology.
TL;DR: In this article, the authors provide a cognitive map for important communication skills that physicians need over the course of caring for a person with cancer, including "ask-tell-ask," "tell me more," and responding empathetically.
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Communicating With Realism and Hope: Incurable Cancer Patients' Views on the Disclosure of Prognosis
Rebecca Hagerty,Phyllis Butow,Peter M. Ellis,Elizabeth A. Lobb,Susan Pendlebury,Natasha B. Leighl,Craig Mac Leod,Martin H.N. Tattersall +7 more
TL;DR: The majority of patients preferred a realistic and individualized approach from the cancer specialist and detailed information when discussing prognosis, including anxiety, information-seeking behavior, expected survival, and age.
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Communicating prognosis in cancer care: a systematic review of the literature
Rebecca Hagerty,Phyllis Butow,Peter M. Ellis,S. Dimitry,Martin H.N. Tattersall,Martin H.N. Tattersall +5 more
TL;DR: It was found that the majority of the published research has been conducted in the early stage cancer setting providing mostly descriptive evidence, and there is little evidence of the best method of communicating prognosis or of the impact of prognostic information on patient outcomes.
Journal ArticleDOI
Discussing religious and spiritual issues at the end of life: a practical guide for physicians.
Bernard Lo,Delaney Ruston,Laura W. Kates,Robert M. Arnold,Cynthia B. Cohen,Kathy Faber-Langendoen,Steven Z. Pantilat,Christina M. Puchalski,Timothy R. Quill,Michael W. Rabow,Simeon Schreiber,Daniel P. Sulmasy,James A. Tulsky +12 more
TL;DR: By responding to patients' spiritual and religious concerns and needs, physicians may help them find comfort and closure near the end of life.
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Communicating With Dying Patients Within the Spectrum of Medical Care From Terminal Diagnosis to Death
Marjorie D. Wenrich,J. Randall Curtis,Sarah E. Shannon,Jan D. Carline,Donna M. Ambrozy,Paul G. Ramsey +5 more
TL;DR: Which aspects of communication between patients and physicians are important in end-of-life care are assessed and several areas emerged for physicians to focus their attention on when communicating with dying patients.
References
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Information and participation preferences among cancer patients
TL;DR: Most patients in each age group displayed high levels of hope, preferences for open communication about their illness, and a desire for maximum amounts of information.
Journal ArticleDOI
A Model of Empathic Communication in the Medical Interview
TL;DR: Based on observations, the basic empathic skills seem to be recognizing when emotions may be present but not directly expressed, inviting exploration of these unexpressed feelings, and effectively acknowledging these feelings so the patient feels understood.
Journal ArticleDOI
Breaking Bad News: A Review of the Literature
J. T. Ptacek,Tara L. Eberhardt +1 more
TL;DR: The literature on breaking bad news is reviewed while highlighting its limitations and describing a theoretical model from which the bad news process can be understood and studied and it is suggested that the bad News process can been understood from the transactional approach to stress and coping.
BookDOI
How to break bad news : a guide for health care professionals
TL;DR: This guide outlines the basic principles of breaking bad new and presents a technique, or protocol, that can be easily learned that draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know.
Journal ArticleDOI
Burnout and psychiatric disorder among cancer clinicians.
Amanda-Jane Ramirez,Jill Graham,Michael Richards,Ann Cull,Walter M Gregory,Mark Leaning,David Snashall,A.R. Timothy +7 more
TL;DR: If 'burnout' and psychiatric disorder among cancer clinicians are to be reduced, increased resources will be required to lessen overload and to improve training in communication and management skills.