The Psychiatrist as Advocate for Post Surgical “Quality of Life”

Oliver, Herman; Blum, M; Roskin, Gerald

doi:10.1016/s0033-3182(76)71136-8

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…The explicit consideration of quality of life in the case management of a nursing home patient with an acute exacerbation of chronic obstructive pulmonary disease reflects a more general and pervasive consideration of quality of life in health care decisions. In rheumatology, oncology, and geriatric medicine, quality of life is becoming a common measure of outcome and health status 19–22 . It would be extremely unusual for physicians not to be concerned about the quality of their patients’ lives.…”

Section: Discussionmentioning

confidence: 99%

The Use of Quality‐of‐Life Considerations in Medical Decision Making

Pearlman

Jonsen

1985

J American Geriatrics Society

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Quality-of-life considerations in physicians' decisions on life-sustaining therapy were explored using a patient management problem (PMP) depicting acute respiratory failure in an elderly man with chronic pulmonary disease; 205 internal medicine and family medicine physicians were interviewed. The physicians' perceptions of the patient's quality of life demonstrated marked variability. Physicians considered the patient's quality of life more often to support decisions to withhold therapy than to support decisions to use mechanical ventilation (p less than 0.01). Consideration of quality of life was associated significantly with several PMP components: interpretation of the patient's prior medical experience, management of supplementary case information, attitudes about medical responsibilities/patient rights, and estimates of the patient's survival time. The authors conclude that consideration of quality of life in making life-and-death treatment decisions may involve judgments about the value of life, and that responsible consideration requires guidelines grounded in ethical principles.

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Section: Discussionmentioning

confidence: 99%

The Use of Quality‐of‐Life Considerations in Medical Decision Making

Pearlman

Jonsen

1985

J American Geriatrics Society

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“…Initially, QOL concerns were primarily related to radical surgeries or intensive therapies, such as those for acute leukemia [8,9]. The idea of measuring QOL in clinical trials was advanced in the early 1980s [10].…”

Section: The Evolution Of Patient Report: a Brief Historymentioning

confidence: 99%

Measuring symptoms as a critical component of drug development and evaluation in hematological diseases

Williams

Yücel

Cortés

et al. 2013

Clinical Investigation

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With the rapid development of new therapies for patients with hematological malignancies, there is an increasing need for patient report of symptom status during all phases of drug testing. The patient’s perspective on new treatments reflects treatment tolerability as well as symptom benefit, and may assist patients and clinicians in choosing treatments. Inclusion of patient-reported outcomes, more common in solid-tumor than hematological trials, provides early information about symptoms to guide decisions about appropriate dosing and supportive care needs. We provide a historical overview of the use of patient-reported outcomes and symptom assessment in solid-tumor and hematological drug development, and offer recommendations about methodological issues in the monitoring of symptoms in the drug development process in hematological clinical trials.

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“…Nur in einer offenen Kommunikation, in der der Arzt auch seine eigenen Gefühle wahrnimmt und reflektiert, kann es möglich sein, angemessen und hilfreich auf die Reaktionen des Patienten einzugehen. Der Psychiater wird konsiliarisch zu Malignompatienten hinzugezogen, wenn Angstsyndrome und depressive Verstimmungen, hirnorganische Psychosyndrome und Probleme bei der Schmerzbewältigung auftreten oder eine Beratung bei schwierigen therapeutischen Entscheidungen gewünscht wird (10,72). Dabei hat er sich mit unterschiedlichen Kommunikationsschwierigkeiten zwischen Arzt und Patient und divergierenden Einstellungen zur Frage der "Wahrheit am Krankenbett" bei Ärzten, Pftegepersonal und Angehörigen, die eine wesentliche Bedeutung für das Auftreten und die Bewältigung von Angstsyndromen und depressiven Verstimmungen des Patienten haben, auseinanderzusetzen.…”

Section: Introductionunclassified

Die ,,Wahrheit am Krankenbett" und ihre Bewältigung durch den unheilbar Kranken und Sterbenden*

Bron¹

1987

Fortschr Neurol Psychiatr

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Psychiatrists are increasingly consulted in the treatment of incurably ill and dying patients. They are not only confronted with the multiple anxieties and depressive syndromes of the patients, but they also have to deal with disturbances of the communication between doctors and patients and difficulties in the information of the patient about the diagnosis. Different attitudes of patients and doctors with regard to informing the patient relative to his previous knowledge will be pointed out. Arguments are presented for or against an open communication about the diagnosis. In addition, the risks of too much information as well as legal aspects of informing the patient are mentioned. "Truth" and "truthfulness" have a fundamental meaning in the doctor-patient relationship. The doctor's dealing with the various forms of anxiety and depression in incurably ill and dying patients is often accompanied by special difficulties. It is a prerequisite for the doctor to perceive and critically reflect his own emotional reactions in order to adequately accompany the patient to his death.

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The Psychiatrist as Advocate for Post Surgical “Quality of Life”

Cited by 6 publications

References 4 publications

The Use of Quality‐of‐Life Considerations in Medical Decision Making

The Use of Quality‐of‐Life Considerations in Medical Decision Making

Measuring symptoms as a critical component of drug development and evaluation in hematological diseases

Die ,,Wahrheit am Krankenbett" und ihre Bewältigung durch den unheilbar Kranken und Sterbenden*

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