Mastering Communication With Seriously Ill Patients

Physicians who care for patients with life-threatening illnesses face daunting communication challenges. Patients and family members can react to difficult news with sadness, distress, anger, or denial. This book defines the specific communication tasks involved in talking with patients with life-threatening illnesses and their families. Topics include delivering bad news, transition to palliative care, discussing goals of advance-care planning and do-not-resuscitate orders, existential and spiritual issues, family conferences, medical futility, and other conflicts at the end of life. Drs Anthony Back, Robert Arnold, and James Tulsky bring together empirical research as well as their own experience to provide a roadmap through difficult conversations about life-threatening issues. The book offers both a theoretical framework and practical conversational tools that the practising physician and clinician can use to improve communication skills, increase satisfaction, and protect themselves from burnout.

A practical guide to help clinicians communicate more effectively with seriously ill patients and their families about what matters most.

Essential guide for clinicians on how to communicate better with seriously ill patients and their families. This book deconstructs communication challenges and offers tools to help the reader enhance their skills and teach others. A must-read for all clinicians seeking to improve communication with patients.

Dignity is fundamental to every single person’s life and history; and every interaction with another human being can potentially influence a person’s sense of identity and self-esteem. In recent years, there has been a growing awareness of the importance of ‘dignity in care’. When healthcare organisations and individuals prioritise dignity, service users, carers and staff are treated with respect, compassion and understanding, and safe, good-quality healthcare services are delivered. In contrast, when dignity and respect are neglected or violated, people experience poor-quality care and may even suffer neglect and abuse. For all these reasons, it is clearly vital that all healthcare workers have a thorough understanding of dignity and how to place it at the centre of all their activities. In this helpful and thought-provoking book, the contributors offer an overview of current research on dignity-preserving care, highlighting practical and ethical considerations in various healthcare settings. Section I introduces some key dignity theories, demonstrating how the use of narrative can offer insight and practical solutions for the delivery of high-quality care. Section II introduces actual stories from diverse settings and perspectives, enabling the reader to engage with core elements of dignity while highlighting how dignity can be preserved – even in very challenging practice situations. Critical thinking activities are also provided to encourage deep reflection and learning. This book will support students of nursing and allied healthcare professions, as well as healthcare professionals working in diverse practice settings, to reflect upon and enhance the quality of their care. Contents include: • Foreword: old and new philosophical angles on dignity in care • Preface: the necessity of dignity in healthcare • Understanding dignity: a complex concept at the heart of healthcare • Dignity and narrative: moral intuitions and contested claims • Dignity in dementia care • Dignity, protected by caring in care • Storytelling as a dignity-preserving practice in palliative care • Reintegrating spirituality and dignity in nursing and healthcare: a relational model of practice • The service provider and care perspective • Let us not forget the dignity of the professional caregiver: the necessity of dignity preservation within the therapeutic context • Dignity in suffering: a theological perspective • Learning dignity by involvement • Dignity in cancer care: a discussion based on three narratives written by nurses • A story of facilitators’ experiences of the Excellence in Practice Accreditation Scheme and its influence on quality, dignity and respect • Afterword: what gets in the way of dignity, and why you must not let it

Drawing from his extensive clinical experience and many years of teaching, Dr. Hallenbeck has written a guide to palliative care for clinicians. Topics addressed range from an overview of death and dying to specific approaches to symptom management. As an introduction to both the art and science of palliative care, this book reflects the perspectives of one physician who has dedicated his career to this rapidly evolving field. the book links real stories of illness with practical advice, thereby delineating clinical practice in a way that reflects the daily concerns of clinicians.

Transforming the Culture of Dying assesses the establishment of the Project on Death in America and evaluates its the contributions to the development of the palliative care field and end of life care in American society.

"From its beginning with Eugene Stead, MD at Duke University, the Mission of the Physician Assistant profession has been to create, increase or expand health care access in areas and populations with the greatest need.1 Dr. Henry Silver's Child Health Associate Program at the University of Colorado is a good example as is Dr. Hu Myer's Alderson Broaddus Program which serves isolated rural communities in West Virginia.2 Dr. Richard Smith's MEDEX Program at the University of Washington was also designed specifically to serve rural and medical underserved communities of the Pacific Northwest.3"--

"A member of the palliative care team meets Alicia for the first time. They meet in the infusion bay, where the thin curtains offer symbolic privacy. Alicia is in her early 60s, and had gone to the doctor with a persistent cough. Subsequent tests revealed metastatic lung cancer. She has just finished her first cycle of first line chemotherapy, which she tolerated well. A quick review of her chart reveals no obvious physical symptoms such as pain or shortness of breath. Her social history is notable for the recent death of her husband. She has one adult child, who lives nearby"--