2008
DOI: 10.1002/cncr.23653
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Communication about cancer near the end of life

Abstract: Cancer communication near the end of life has a growing evidence base, and requires clinicians to draw on a distinct set of communication skills. Patients with advanced and incurable cancers are dealing with the emotional impact of a life-limiting illness, treatment decisions that are complex and frequently involve consideration of clinical trials, and the challenges of sustaining hope while also having realistic goals. In this review, we sought to provide a guide to important evidence about communication for … Show more

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Cited by 173 publications
(125 citation statements)
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References 125 publications
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“…Acknowledging emotion is a central component of showing empathy and facilitating discussion about patients' concerns, which may ameliorate distress even if the problems themselves cannot be solved. 82 Oncology patients do not often express negative emotions to their oncologists 83 but report an increased need to talk about their worries and fears. 66 Audio-recordings of consultations in America have found empathic opportunities are present in 37% of conversations, but oncologists give empathic responses less than one-third of the time; a low rate which likely discourages any further expression of emotion by patients.…”
Section: Style Of Delivery: Verbal and Nonverbal Aspectsmentioning
confidence: 99%
“…Acknowledging emotion is a central component of showing empathy and facilitating discussion about patients' concerns, which may ameliorate distress even if the problems themselves cannot be solved. 82 Oncology patients do not often express negative emotions to their oncologists 83 but report an increased need to talk about their worries and fears. 66 Audio-recordings of consultations in America have found empathic opportunities are present in 37% of conversations, but oncologists give empathic responses less than one-third of the time; a low rate which likely discourages any further expression of emotion by patients.…”
Section: Style Of Delivery: Verbal and Nonverbal Aspectsmentioning
confidence: 99%
“…Tanıyı bilmek isteyenlerden %93'ünün tanıyı koyan ve tedaviyi sürdürecek olan hekimin, %4.4'ünün aileden birisinin, %3.3'ünün ailesi ve doktorun tanıyı birlikte söylemesi gerektiğini ifade ettikleri bildirilmektedir (28). Hastaların hastalıkları ve bu hastalıktan nasıl etkileneceklerine dair bilgiye ihtiyaç duydukları; bu bilgiyi geleceklerini planlamak, tıbbi ve yaşam kararlarını almak için kullandıkları; hastaların doktorlarının dürüst olmasını ve bilgi verirken onların ne duymaya hazır olduğunu ve nasıl etkileneceklerine duyarlı olmalarını istedikleri; duymaya hazır olduklarından daha fazla bilgi istemedikleri; doktorlarının ölüm gibi hassas konuların tartışmaya açık olmasını istedikleri; ancak hazır olmadan konuşmak zorunda kalmak istemedikleri bildirilmektedir (29). Onkologların, kariyerleri boyunca ortalama 20 bin kez kötü haber verdiği ve pek çok klinisyenin bu konuda gerekli beceri eksikliği veya zorluk yaşadığı ileri sürülmektedir (30).…”
Section: Tartişma Ve Sonuçunclassified
“…Although oncologists commonly deal with patients near death, breaking bad news can be hard even for them [11]. Yet, best practices exist for communicating with patients who have advanced and incurable cancers, including addressing the emotional impact of a life-limiting illness, consideration of clinical trials, challenges of sustaining hope, aspiring toward realistic goals, and advance care planning [12]. Even near the end of life, oncologists can facilitate patient consideration of their personal goals and preferences in the context of cancer therapy decisions [13].…”
Section: Understand Patient Preferences and Goals In Order To Inform mentioning
confidence: 99%