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Difficult conversations: from diagnosis to death.

Joel D Marcus1, Frank E Mott2

  • 1Ochsner Cancer Institute, Ochsner Clinic Foundation, New Orleans, LA.

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|January 20, 2015
PubMed
Summary
This summary is machine-generated.

Effective communication is vital in healthcare, especially when discussing difficult diagnoses and end-of-life care. Training clinicians in communication strategies can improve patient outcomes and reduce distress.

Keywords:
Cognitive therapyhealth communicationmotivational interviewingpalliative careterminal care

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Area of Science:

  • Medical Communication
  • Healthcare Provider Training
  • Patient-Centered Care

Background:

  • Effective communication is essential for multidisciplinary medical care, impacting discussions on diagnosis, treatment, and prognosis.
  • Healthcare providers need skills for difficult conversations regarding procedures, goals, and risks.

Purpose of the Study:

  • To review literature on communication in delivering bad news.
  • To assess the status of communication training for healthcare providers.
  • To explore communication strategies and psychosocial interventions.

Main Methods:

  • Literature review on communication in medicine.
  • Analysis of communication training effectiveness.
  • Examination of strategies for difficult patient conversations.

Main Results:

  • Published guidelines for difficult communication exist, but training is insufficient.
  • Clinicians often struggle with delivering bad news and end-of-life discussions.
  • Challenges include supporting patient autonomy and managing disagreements.

Conclusions:

  • There is a critical need to educate healthcare workers on delivering sensitive health information.
  • Training in motivational interviewing, solution-focused brief therapy, and cognitive behavioral therapy can aid difficult conversations.
  • These skills help patients and families make decisions, minimize distress, and foster positive change.