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Death-talks: transformative learning for physicians.

¹Adult Education, University of Georgia; and Bereavement Coordinator, Odyssey Healthcare, Athens, Georgia, USA. esther@uga.edu

The American Journal of Hospice & Palliative Care

|June 14, 2008

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Physicians can improve end-of-life care by engaging in critical self-reflection. Understanding their own existential perspectives enhances authentic communication during difficult death-talks with patients and families.

Area of Science:

Medical communication
Palliative care
Adult learning theory

Background:

Physician-patient conversations about terminal illness are challenging.
These 'death-talks' involve complex grief and offer opportunities for insight.

Purpose of the Study:

To explore how physicians can improve end-of-life communication.
To introduce Transformative Learning as a framework for physician development.

Main Methods:

Conceptual analysis of 'death-talks'.
Application of Transformative Learning theory to physician training.

Main Results:

Physicians' self-awareness of existential standpoints is crucial for authentic presence.
Critically reflexive learning fosters more meaningful care for dying patients and their families.

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Conclusions:

Transformative Learning provides a rationale for physicians to enhance end-of-life care.
Developing self-awareness improves the quality of medical and human care during terminal illness.