Kommunikationsmodell zur frühen Integration der Palliativmedizin in der thorakalen Onkologie

Abstract

The recent development in optimising palliative care standards in thoracic oncology is associated with an increased demand in specialized communication skills. Standardised and integrated assessments of the palliative care need of the patient is met by limited health care resources. The model of communication described in this article emphasizes the need to structure palliative distress assessment of the patient. Communication pathways are shown as a platform to evaluate and support patient and caregivers. Standards to establish algorithms of communication in palliative care will improve the very important interaction between patient and caregivers.

Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers: a qualitative interview study

“…Then, the material was coded line-by-line deductively into the themes "comprehensibility", "manageability" and "meaningfulness" as the core components of SOC. Subthemes used in the analysis are deductively oriented towards the "Model of Communication to Integrate Early Palliative Care in Thoracic Oncology" [11]. For comprehensibility, this included language simplification and illustration of communication; portioning of information in the information process; structuring support in the treatment process; assessment support regarding limited prognosis; subsequent confirmation of understanding and decision; information support; elaboration of the treatment plausibility; and support for consideration, prioritisation and decision-making.…”