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Oncologists communicating with patients about assisted dying
Debbie Selby1,2, Sally Bean1,3
1Sunnybrook Health Sciences Centre.
Current Opinion in Supportive and Palliative Care
|January 5, 2019
Summary
Oncologists must discuss assisted dying with cancer patients, as it is a primary diagnosis where legally permitted. While communication remains challenging, new strategies are emerging to support these sensitive end-of-life conversations.
Area of Science:
- Palliative Care
- Medical Ethics
- Oncology
Background:
- Cancer is the leading diagnosis for assisted dying globally.
- Medical Assistance in Dying (MAID) legalization in Canada (2016) necessitates updated physician guidance.
- Oncologists require effective communication strategies for patient inquiries about assisted dying.
Purpose of the Study:
- To review recent literature on assisted dying and physician-patient communication.
- To identify barriers, benefits, and pragmatic approaches for discussing assisted dying.
- To explore proactive strategies for oncologists regarding assisted dying discussions.
Main Methods:
- Systematic literature review of articles published in the last 5 years.
- Identification and detailed review of 21 relevant articles from an initial 86.
- Inclusion of 6 articles for in-depth analysis based on relevance to communication.
Main Results:
- Key themes identified include communication barriers and benefits.
- Pragmatic approaches for facilitating conversations were explored.
- The importance of proactively broaching assisted dying as an option was highlighted.
Conclusions:
- Discomfort persists among healthcare providers discussing assisted dying.
- New tools and approaches are being developed to aid these conversations.
- Enhanced communication support is crucial for oncologists navigating patient requests for assisted dying.
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