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Patient-Clinician Communication Is a Joint Creation: Working Together Toward Well-Being
Timothy Gilligan1, Liz Salmi1, Andrea Enzinger1
1From the Taussig Cancer Institute and the Center for Excellence in Healthcare Communication, Cleveland Clinic, Cleveland, OH; OpenNotes, Boston, MA; Dept of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Abstract:
Oncology clinicians face a monumentally difficult task: to guide patients on what may be the scariest and most unpleasant journey of their lives. They must preserve their patients' hope while at the same time giving them accurate information. And patients with cancer face a monumentally difficult task: navigating a path while confronting an often-terrifying disease. Communication between patients with cancer, their loved ones, and the treating clinicians presents many challenges. We must become better at communicating with each other; patients need easier access to information about their medical condition and their health care; and we must establish relationships that are stronger and more respectful, trusting, and empathic. If we are to deliver patient-centered or whole-person care, we must know who our patients are, what is important to them, and how they derive meaning in their lives. In this review, we discuss ASCO's first Patient-Clinician Communication guideline, the importance and value of patients having direct access to their medical record, and how to address spirituality and/or religion with patients with cancer.
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