Related Experiment Videos
Terminal illness in an Indian setting: problems of communication
1Assistant Professor of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi - 834 006.
Indian Journal of Psychiatry
|September 20, 2011
Summary
Many terminally ill cancer patients lack understanding of their diagnosis and prognosis, despite relatives being informed. Patient-doctor communication is frequently unsatisfactory, highlighting a critical gap in end-of-life care for cancer patients.
Area of Science:
- Oncology
- Palliative Care
- Medical Communication
Background:
- Effective communication regarding diagnosis and prognosis is crucial for terminally ill patients.
- Previous studies in Western countries have explored patient understanding of end-of-life conditions.
- Gaps in patient-physician communication can significantly impact patient experience and decision-making.
Purpose of the Study:
- To assess the level of understanding of diagnosis and prognosis among terminally ill cancer patients.
- To evaluate patient satisfaction with communication from healthcare providers and family.
- To compare communication experiences between terminally ill and non-terminally ill patient groups.
Main Methods:
- A study involving 50 terminally ill cancer patients.
- Inclusion of a comparison group of non-terminal medically ill patients.
- Assessment of patient awareness regarding diagnosis, prognosis, and communication satisfaction.
Main Results:
- 52% of terminally ill cancer patients were uninformed about their diagnosis and prognosis.
- 82% of these patients were aware of their fatal prognosis.
- Most patients reported unsatisfactory communication with doctors and relatives.
- Significant differences were observed when compared to non-terminal patients.
Conclusions:
- A substantial number of terminally ill cancer patients lack adequate information about their condition.
- Patient-doctor communication in terminal illness requires significant improvement.
- Findings highlight disparities in information disclosure and communication effectiveness in end-of-life care.
Related Concept Videos
01:21Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:30Therapeutic Communication
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
01:27Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
01:30Barriers to Effective Communication I
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
01:27Nursing Ethical Principles II
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...