Communication in advanced illness

Correa, Raimundo; Ridley, Julia; Zimmermann, Camilla

doi:10.1093/acprof:oso/9780199694143.003.0010

Cited by 1 publication

(9 citation statements)

References 31 publications

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“…-Active and empathetic listening. (43)(44)(45)(46)(47)(48)(49) Clinician-patient communication has verbal and non-verbal components. It is important to recognize and respond to non-verbal cues, listen for verbal ones, and elicit concerns.…”

Section: Communication At the End-of-lifementioning

confidence: 99%

“…-Delivering information. (43,(47)(48)(49) When first communicating with a patient about a particular issue, such as diagnosis or prognosis, it is essential to explore what the patient understands about their illness. Patients should also be asked at the outset how much information they would like and with whom this information should be shared.…”

Section: Communication At the End-of-lifementioning

confidence: 99%

“…Breaking bad news allows for goals of care discussion and patient care consistent with such goals while increasing the quality of life for patients and caregivers. (48,49) What skills and techniques can a physician use when breaking bad news? -Preparing to deliver bad news.…”

Section: Communication At the End-of-lifementioning

confidence: 99%

“…-Indications for a family meeting. (43,48,49,60) Common indications for a family meeting are a change in status of the patient, a change in the treatment plan, discord among family members, or a plan for discharge home from the hospital.…”

mentioning

confidence: 99%

“…(5) Communication in the last hours/days of life. (48,49,62,63) How to approach communication in the last hours/days of life?…”

mentioning

confidence: 99%

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Care for patients with advanced cancer in the last weeks of life in Brazil

Hui¹,

Zimmermann²,

Coradazzi³

et al. 2022

Brazilian Journal of Oncology

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Despite all advances in the treatment of neoplasms and substantial increases in fiveyear survival rates, most patients still die due to their diseases. Late diagnosis in some circumstances and resistance mechanisms throughout treatment still cause most patients to require palliative care integrated with cancer treatment, since diagnosis. Most palliative care interventions can and should be carried out by the oncologist, with reference to the multidisciplinary team specialized in palliative care in the most critical moments of clinical evolution. It is important that the oncologist develops their skills in this scenario and knows how to recognize the moment of referral. The following text outlines the basic skills that are expected of oncologists, such as recognition of the prognosis, identification and correct assessment of symptoms, definition of the time to stop antineoplastic therapy, how to communicate these aspects to patients and family, how to involve psychosocial and spiritual issues and, finally, how to stay within the limits established by modern bioethics. This work consists of brief recommendations for oncologists working in Brazil.

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