Communication in Caring for Terminally Ill Patients

Berger, Jeffrey T.; Rosner, Fred; Potash, Joel; Kark, Pieter; Bennett, Allen J.

doi:10.1089/jpm.2000.3.69

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…Professionals practicing in palliative care guide the patients' dying process by organizing individualized plans for patient care (Berger et al, 2000); communicating effectively with patients, families, and colleagues (Fallowfield, Jenkins & Beveridge, 2002); facilitating meaning-making (Currier, Holland & Neimeyer, 2008); having discussions that promote adjustment to an unpromising prognosis but which could lead to a more complete end-of-life experience for the patient and the family (Kaldjian et al, 2008); improving symptom control; and focusing on patients' needs deriving from physical, social, emotional, and spiritual domains (Rokach, 2005).…”

Section: Introductionmentioning

confidence: 99%

The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists

2013

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This study further contributes to the understanding of the impact of death and dying on professionals who care for dying patients and their families. Despite the stressors and the potential for burnout and compassion fatigue, these participants employed strategies that enhanced meaning-making and emphasized the rewards of their work. However, the consequences of work stressors cannot be underestimated in the practice of palliative care.

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Section: Introductionmentioning

confidence: 99%

The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists

2013

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“…Employing effective communication strategies during a crisis can be challenging as clinicians often face new demands and time limitations. 8,18 However, what patients and caregivers want to hear from clinicians is consistent regardless of context. [1][2][3][9][10][11] It is imperative that we find interventions to bridge gaps when patterns are disrupted and test how we deliver medical care.…”

Section: Discussionmentioning

confidence: 99%

“…5 Mounting evidence suggests that these conversations happen poorly during crises as clinicians may be stretched by a host of responsibilities. 1,[5][6][7][8][9][10] In this context, a clinician's ability to skillfully communicate may languish despite best efforts. 1,4,7 Few studies evaluating strategies to improve communication between clinicians and patients with serious illnesses include patient and caregiver perspectives in normal circumstances, let alone during a public health crisis.…”

Section: Introductionmentioning

confidence: 99%

What Patients Facing Cancer and Caregivers Want From Communication in Times of Crisis: A Qualitative Study in the Early Months of the COVID-19 Pandemic

Singh

Giannitrapani

Gamboa

et al. 2023

Am J Hosp Palliat Care

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Background Interpersonal communication is a cornerstone of patient-centered care. We aimed to identify what patients with cancer and caregivers may want from communication during a public health crisis. Methods We interviewed 15 patients (8 Veteran, 7 non-Veteran) and caregivers from regionally, racially, and ethnically diverse backgrounds across the US about serious illness care and quality of care during the COVID-19 pandemic Using an iterative, inductive and deductive process, 2 coders analyzed content associated with the code “Communication,” which appeared 71 times, and identified 5 themes. Results Participants identified as White (10), Latino/a (3), Asian (1), and Black (1). (1) Help patients and caregivers prepare for care during crisis by communicating medical information directly and proactively. (2) Explain how a crisis might influence medical recommendations and impact on recovery from illness. (3) Use key messengers to improve communication between primary teams, patients, and caregivers. (4) Include caregivers and families in communication when they cannot be physically present. (5) Foster bidirectional communication with patients and families to engage them in shared decision-making during a vulnerable time. Conclusion Communication is critical during a public health crisis yet overwhelmed clinicians may not be able to communicate effectively. Communicating with caregivers and family, transparent and timely communication, ensuring diverse providers are on the same page, and effective listening are known gaps even before the COVID-19 pandemic. Clinicians may need quick interventions, like education about goals of care, to remind them about what seriously ill patients and their caregivers want from communication and offer patient-centered care during crises.

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Cultural difference and palliative care

Olarte¹

2003

Patient Participation in Palliative Care

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This chapter discusses cultural difference and palliative care. It looks at the existing issues in end-of-life care that are related to culture, the influence of culture on patients' perception of pain and treatment, and culture and ‘quality of death’. The chapter also discusses euthanasia and physician-assisted suicide versus terminal sedation, diagnosis disclosure, and how medical professionals in palliative care can meet diverse needs in a multi-cultural society.

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Communication in Caring for Terminally Ill Patients

Cited by 4 publications

References 30 publications

The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists

The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists

What Patients Facing Cancer and Caregivers Want From Communication in Times of Crisis: A Qualitative Study in the Early Months of the COVID-19 Pandemic

Cultural difference and palliative care

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