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Misunderstandings about prognosis : an approach for palliative care consultants when the patient does not seem to understand what was said

Jacobsen, Juliet LU ; Thomas, Jane deLima and Jackson, Vicki A (2013) In Journal of Palliative Medicine 16(1). p.5-91
Abstract

Called in after discussions about prognosis between referring clinicians and patients, palliative care consultants sometimes find that the patient does not seem to understand what the referring clinician believes he or she explained. However, holding a more explicit discussion about prognosis may compromise the palliative care clinician's rapport with both the patient and the referring clinician. We therefore propose a two-part approach to explore apparent prognostic misunderstandings: first, generate a differential diagnosis for why the patient and referring clinician have different reports of what was said, and second, cultivate a partnership with the referring clinician to provide a unified patient care plan.

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author
; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adaptation, Psychological, Adult, Communication Barriers, Comprehension, Humans, Interprofessional Relations, Lung Neoplasms/diagnosis, Male, Palliative Care, Problem Solving, Professional-Patient Relations, Prognosis, Referral and Consultation, Terminally Ill/psychology
in
Journal of Palliative Medicine
volume
16
issue
1
pages
5 - 91
publisher
Mary Ann Liebert, Inc.
external identifiers
  • scopus:84872392910
  • pmid:23234301
ISSN
1096-6218
DOI
10.1089/jpm.2012.0142
language
English
LU publication?
no
id
79a9dbd5-bce9-41b7-81a8-07bdcbaff5ed
date added to LUP
2024-11-13 14:17:24
date last changed
2025-05-01 17:32:02
@article{79a9dbd5-bce9-41b7-81a8-07bdcbaff5ed,
  abstract     = {{<p>Called in after discussions about prognosis between referring clinicians and patients, palliative care consultants sometimes find that the patient does not seem to understand what the referring clinician believes he or she explained. However, holding a more explicit discussion about prognosis may compromise the palliative care clinician's rapport with both the patient and the referring clinician. We therefore propose a two-part approach to explore apparent prognostic misunderstandings: first, generate a differential diagnosis for why the patient and referring clinician have different reports of what was said, and second, cultivate a partnership with the referring clinician to provide a unified patient care plan.</p>}},
  author       = {{Jacobsen, Juliet and Thomas, Jane deLima and Jackson, Vicki A}},
  issn         = {{1096-6218}},
  keywords     = {{Adaptation, Psychological; Adult; Communication Barriers; Comprehension; Humans; Interprofessional Relations; Lung Neoplasms/diagnosis; Male; Palliative Care; Problem Solving; Professional-Patient Relations; Prognosis; Referral and Consultation; Terminally Ill/psychology}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{5--91}},
  publisher    = {{Mary Ann Liebert, Inc.}},
  series       = {{Journal of Palliative Medicine}},
  title        = {{Misunderstandings about prognosis : an approach for palliative care consultants when the patient does not seem to understand what was said}},
  url          = {{http://dx.doi.org/10.1089/jpm.2012.0142}},
  doi          = {{10.1089/jpm.2012.0142}},
  volume       = {{16}},
  year         = {{2013}},
}