Touch and Breaking Bad News

Buis, C; Boo, Theo de; Hull, Robin

doi:10.1093/fampra/8.4.303

Cited by 8 publications

(2 citation statements)

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“…Male patients were more likely to endorse the traditional position of the doctor sitting behind the desk, and younger patients were more likely to endorse the greater proximity when the doctor sat next to them. Many authorities have emphasized the role of touch as an important part of supportive communication [3,10,15,17,18]. This study identified substantial heterogeneity and polarization regarding patients' attitudes to supportive touch as part of the communication process.…”

Section: Discussionmentioning

confidence: 91%

Cancer patient expectations of and communication with oncologists and oncology nurses: the experience of an integrated oncology and palliative care service

Sapir

Catane

Kaufman

et al. 2000

Support Care Cancer

106

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The purpose of this study was to evaluate ambulatory cancer patients' knowledge of their diagnosis and stage, their expectations of medical and nursing staff, and issues related to communication with the professional staff. A structured interview was conducted with each of 103 consecutive cancer patients attending the Oncology Day Hospital of the Shaare Zedek Medical Center. There were 77 women and 26 men, and their median age was 56 (18-86) years. Their religious status was elicited: 48% described themselves as religious, 25% as traditional, and 27% as secular. According to their physicians, 41 were in remission, 11 had stable disease, 47 had progressive disease and in 4 the disease status was unknown. Patients tended to underestimate the status of their disease: among those with progressive disease, 36% stated that their disease was stable or in remission. Overwhelmingly, patients expected that their oncologists should be patient and skilled in diagnostic procedures (98%), tactful, considerate and therapeutically skilled (90-95%), and skilled in the management of pain and the psychosocial consequences of cancer (75-85%). When there is bad news to be transmitted, 92% of patients indicated that they would want disclosure, while 6% indicated that they would want the news withheld from them but passed on to their family members. Most patients were very satisfied with the clarity of the information they received about their disease (85%) and the sensitivity with which it was transmitted (90%). Although 88% of patients reported that they relied on their oncologist for therapeutic decision making, 45% indicated that they had sought a second opinion and 32% reported seeking the opinion of a rabbinical medical broker. Almost all, 97%, of patients indicated that they felt comfortable seeking advice from their oncologist, and the oncologist was the staff member most often sought out for both information (69%) and support (66%). The data indicate high patient expectations of nursing and medical oncology staff members' skills and behaviors. Despite expressing a high level of satisfaction, a substantial percentage of patients had an inaccurate understanding of their disease status.

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Section: Discussionmentioning

confidence: 91%

Cancer patient expectations of and communication with oncologists and oncology nurses: the experience of an integrated oncology and palliative care service

Sapir

Catane

Kaufman

et al. 2000

Support Care Cancer

106

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“…He/she should maintain eye contact when the patient is talking, and may touch the patient from time to time if he/she feels it appropriate, since this action can be comforting during distress. 33 However, the most important aspect in this setting is listening skills, based on the use of open questions, facilitating techniques, clarification and avoiding interruptions (Table 5). Moreover, the acknowledgement of emotions, marked by empathic responses is of utmost importance.…”

Section: Communication With the Dying Patientmentioning

confidence: 99%

Breaking the news in amyotrophic lateral sclerosis

Chiò

Borasio²

2004

Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders

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Diagnosis communication is a mainstay of the patient-physician relationship and in ALS represents the beginning of the treatment. In Europe, the diagnosis is now communicated to most patients, but with some differences from north to south. Communication is the basis of the patient's autonomy. When adequately informed, patients are able to consider their preferences about life-extending interventions. However, this discussion is sometimes entertained too late. Both the style and the context of this discussion have profound impact on patient satisfaction. The content of the communication should include all relevant information about the disease and should be performed honestly while preserving hope. Collusion with relatives can create difficulties in the relationship with a patient and isolate them from their family. Diagnostic communication is an ongoing process and should form part of every follow-up visit. Communication with the dying patient is often reinforced by non-verbal messages, acknowledgements of patients' emotions, and by listening. Written material may increase satisfaction of patients and their relatives, but should never substitute for face-to-face discussion.

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Breaking Bad News

Ptacek¹

1996

JAMA

438

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Touch and Breaking Bad News

Cited by 8 publications

References 0 publications

Cancer patient expectations of and communication with oncologists and oncology nurses: the experience of an integrated oncology and palliative care service

Cancer patient expectations of and communication with oncologists and oncology nurses: the experience of an integrated oncology and palliative care service

Breaking the news in amyotrophic lateral sclerosis

Breaking Bad News

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