The Disclosure of the Diagnosis of Cancer

Woodard, Laurie; Pamies, Rubens J.

doi:10.1016/s0095-4543(21)00609-6

Cited by 20 publications

(3 citation statements)

References 26 publications

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“…[90][91][92]94 Access to information and timely updates can enhance patient coping, wellness, satisfaction and psychological adaptation. 90,[95][96][97][98][99][100][101] Few publications in the veterinary medical literature have examined what information is preferred by catowning veterinary clients and why. In one focus group study, clients shared their need not to have information withheld from them.…”

Section: Transparencymentioning

confidence: 99%

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Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

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Series outline This is the second part of a two-part series on spectrum of care that encourages practitioners to tailor case management to the patient along a continuum of acceptable options. Part I defined the spectrum of care and broadened its approach beyond initial cost-of-care considerations. This second article introduces strategies for initiating conversations with clients about their needs, wants and expectations specific to healthcare options and case management decisions. It will explore how open inquiry, reflective listening, transparency and unconditional positive regard facilitate dialogue between providers and their clients as they collaborate on decision-making along a spectrum of care. Relevance Contextual case management prioritizes interventions that are appropriate for both the patient and the client. To identify and explore which healthcare options represent the best fit for those impacted most by medical decisions, veterinarians need to make space for clients to feel comfortable sharing their perspectives. Clients are more likely to be engaged in decision-making when their insight is actively solicited. They have much to share with us as experts about their cat’s overall health and wellness needs. Inviting clients to contribute to the consultation and being receptive to hearing what motivates their choices helps us to structure conversations around healthcare options. The ability to communicate healthcare options is as vital as the provision of healthcare, if not more so.

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Section: Transparencymentioning

confidence: 99%

“… 90 – 92 , 94 Access to information and timely updates can enhance patient coping, wellness, satisfaction and psychological adaptation. 90 , 95 – 101 …”

Section: Transparencymentioning

confidence: 99%

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

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“…3,[9][10][11][12][13] Of the 10 most commonly addressed categories of patient expectations, information is that which is most commonly addressed. 3 Studies in human medicine have focused on expectations related to the quality of information (accuracy and truthfulness), [14][15][16] type of information (diagnosis, prognosis, treatments, adverse effects, and quality of life), [15][16][17] need for information (related to the type of and time since diagnosis), [18][19][20] preference for information (related to numerous patient, physician, and situational factors and ranging from a minimal amount to as much as possible), 3,17,[21][22][23][24][25][26] function of information (understanding, decision making, and future planning), 19,27,28 psychological benefits of information (reduced psychological morbidity and enhanced psychological adaptation), 21,24,[29][30][31][32][33] and outcomes of information (knowledge, understanding, recall, compliance, health status, recovery, quality of life, coping, psychological wellness, and satisfaction). 30,[34][35][36][37][38] Considering the similarities between veterinary and human medicine, 39 much of what informs best practices in human medicine may be...…”

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confidence: 99%

Qualitative study of the information expectations of clients accessing oncology care at a tertiary referral center for dogs with life-limiting cancer

Stoewen¹,

Coe²,

MacMartin³

et al. 2014

javma

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When dealing with owners of dogs with life-limiting cancer, results indicated that in addition to abiding by the principle of truth-telling, it is important for health-care service providers to ascertain clients' understanding of and experiences with cancer as well as their information preferences and thereby adopt a tailored approach to information giving. Provision of information enabled client action and patient intervention but also enhanced clients' psychosocial well-being. Veterinary healthcare service providers can purposely provide information to build and sustain clients' ability to successfully cope with their pet's condition.

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Disclosing the cancer diagnosis. Procedures that influence patient hopefulness

Sardell

Trierweiler

1993

Cancer

152

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Background. Physicians view enhancing patient hopefulness as a critical aspect of cancer treatment, yet little is known about how the circumstances of the initial disclosure of a cancer diagnosis affects this important psychosocial variable. The authors examined the extent to which various forms of physician disclosure of a cancer diagnosis are seen by patients as more or less hopeful and as favorable or unfavorable. Methods. Statements describing various circumstances of diagnostic disclosure were generated from interviews with 10 physicians and 10 patients with cancer. Fifty‐seven statements were rated on two bipolar rating scales describing hopefulness and favorability by an additional 56 patients with recent onset of cancer. To determine if overall emotional adjustment to the illness affected these ratings, scores on the Mental Adjustment Scale were also obtained. Results. Results revealed that patients had clear ideas about which procedures were most and least hopeful and favorable or unfavorable, that the ratings demonstrated clear factorial validity suggesting broad areas of diagnostic disclosure procedure where physicians may make efforts to enhance hope, and that ratings of hopefulness and favorability were related to overall emotional adjustment to the illness. Conclusions. There was consensus among patients that certain procedures enhanced hopefulness and certain procedures reduced it. Physicians would do well to attend carefully to this aspect of treatment and continually seek patient input concerning their preferences for the conduct of the treatment relationship.

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The Disclosure of the Diagnosis of Cancer

Cited by 20 publications

References 26 publications

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Qualitative study of the information expectations of clients accessing oncology care at a tertiary referral center for dogs with life-limiting cancer

Disclosing the cancer diagnosis. Procedures that influence patient hopefulness

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