Communication in palliative care: a review of recent literature

Haes, Hanneke de; Teunissen, Saskia

doi:10.1097/01.cco.0000167735.26454.79

Cited by 78 publications

(38 citation statements)

References 47 publications

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“…This supports findings that communication falls into five main themes: information exchange; decision making; giving advice; and handling emotions, all of which were mentioned by our participants. 29 …”

Section: Discussionmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

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ObjectivesChanges in health care provision have led to an emphasis on providing end of life care within the home. Community pharmacists are well positioned to provide services to communitybased palliative care patients and carers. MethodsA multiple qualitative case study design was adopted. A total of 16 focus groups and 19 interviews with pharmacists, nurses, general practitioners and carers were undertaken across metropolitan and regional settings in Western Australia, New South Wales, Queensland and Victoria. Data were analysed thematically using a framework that allowed similarities and differences across stakeholder groups and locations to be examined and compared. ResultsThree main themes emerged: Effective communication; Challenges to effective communication; and: Towards best practice, which comprised two themes: Community pharmacists' skills and Community pharmacists' needs. DiscussionA key component of the provision of palliative care was having effective communication skills. Although community pharmacists saw an opportunity to provide interpersonal support, they suggested that they would need to develop better communication skills to fulfil this role. ConclusionThere is clear need for continuing professional development in this area -particularly in communicating effectively and managing strong emotions. Practice implicationsCommunity pharmacists are willing to support palliative care patients and carers but need education, support and resources. Words: 203Key words: community pharmacists, palliative care, focus groups, effective communication, qualitative research 3 Background and objectivesSince the World Health Organisation 1 proposed that primary health should be at the forefront of health systems, patient care has increasingly been moved from hospital to the home. 2 This changing pattern of health care provision has led to an emphasis on providing care in the community to people at the end of life, 3 acknowledging that people prefer to die with the support of family and friends. 4 Achieving a death at home for a palliative care patient is dependent on a range of factors including the availability of skilled support from community based health professionals. 5-7The provision of this skilled support from health care professionals for community based palliative care, however, is complicated by unmet demand for General Practitioner (GP)services and an increasing number of patients with chronic diseases and complex care needs. 8Additionally an ageing population 9 will result in an increased number of people with chronic and/or life-threatening diseases and, consequently, the numbers of patients requiring palliative care. The involvement of community pharmacists in the provision of community based palliative care would seem an appropriate way of alleviating these challenges and supporting end-of-life care in the home.Although not forming the basis of their substantive work, community pharmacists are wellsuited to respond to the palliative care needs of clients, especially as they often have a...

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Section: Discussionmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…Studies have demonstrated favorable effects of an adequate information sharing process on coping, improved psychological condition, and higher quality of life [223][224][225][226][227].…”

Section: Strength Of Consensus: 96%mentioning

confidence: 99%

Malignant Melanoma S3‐Guideline “Diagnosis, Therapy and Follow‐up of Melanoma”

Pflugfelder

Kochs

Blum

et al. 2013

J Deutsche Derma Gesell

180

148

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“…Because of this, the desire on the part of families to withhold information probably constitutes a greater source of friction in a PCU than in other types of units, where caregivers more frequently renounce giving information. -Maintaining hope clearly emerges as a fundamental component in patient and especially family satisfaction concerning information, a result also found in the literature (Innes & Payne, 2009;de Haes & Teunissen, 2005). Even when all appears lost, many people still want to believe in a "miracle" (Kirk et al, 2004).…”

Section: Interpersonal Skills: Associating Patients and Families Withmentioning

confidence: 54%

“…to that of listening (how does one listen?). More generally, the confidence patients and families have in caregivers is a major factor in building a solid caring relationship (de Haes & Teunissen, 2005), as is the degree of empathy found in that relationship (Schaefer & Block, 2009). Other factors should also be encouraged here, such as talking to patients fairly early about palliative care (when the illness is not too far advanced and they still feel well) or the prioritising of key points to discuss with them (Ngo-Metzger et al, 2008).…”

Section: Interpersonal Skills: Associating Patients and Families Withmentioning

confidence: 99%