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Communication in advanced disease.

S B LeGrand1

  • 1Harry R. Horvitz Center for Palliative Medicine (A World Health Organization Demonstration Project), Palliative Medicine Fellowship Program, The Cleveland Clinic Foundation, M76, 9500 Euclid Avenue, Cleveland, OH 44195, USA. legrans@ccf.org

Current Oncology Reports
|December 21, 2000
PubMed
Summary
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Effective end-of-life communication requires ongoing conversations, not just single "bad news" delivery. This approach supports patients and families through transitions from life-prolonging treatments to hospice care.

Area of Science:

  • Medical Communication
  • Palliative Care
  • Oncology

Background:

  • Physician-patient-family communication is challenging with advanced disease.
  • Existing end-of-life communication protocols often focus on isolated "bad news" delivery.
  • There is a need for sustained communication strategies throughout disease progression.

Purpose of the Study:

  • To highlight the necessity of continuous dialogue in advanced disease management.
  • To advocate for communication strategies that span from life-prolonging treatments to hospice.
  • To illustrate a model for ongoing end-of-life conversations.

Main Methods:

  • Literature review of existing communication protocols.
  • Analysis of communication challenges in advanced illness.

Related Experiment Videos

  • Case study presentation to demonstrate practical application.

    • Main Results:

    • Current protocols are insufficient for the dynamic nature of advanced disease communication.
    • A continuous communication model is essential for patient and family support.
    • The case study demonstrates improved outcomes with ongoing dialogue.

    Conclusions:

    • Sustained communication is crucial for navigating the transition to hospice care.
    • Healthcare providers should adopt ongoing conversational approaches.
    • This strategy enhances patient-centered care during end-of-life transitions.