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Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
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Five visits with Diane.

Brian Robert Smith1

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University.

Families, Systems & Health : the Journal of Collaborative Family Healthcare
|June 20, 2023
PubMed
Summary
This summary is machine-generated.

This article recounts a medical scribe's experience witnessing a cancer patient's rapid decline during chemotherapy. It highlights the swift progression from diagnosis to death over just four visits, emphasizing the emotional impact on healthcare professionals.

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Area of Science:

  • Medical Oncology
  • Patient Experience
  • Healthcare Professional

Background:

  • A medical oncology scribe observed a patient undergoing chemotherapy.
  • The patient, Diane, began treatment with a grim prognosis.

Purpose of the Study:

  • To reflect on the rapid progression of a patient's illness and death during chemotherapy.
  • To explore the emotional impact of witnessing a patient's swift decline on a healthcare professional.

Main Methods:

  • Case observation by a medical scribe.
  • Documentation of five patient visits during the initial phase of chemotherapy.

Main Results:

  • The patient died within months of starting chemotherapy.
  • The patient's condition deteriorated rapidly over the course of four observed visits.

Conclusions:

  • The swiftness of the patient's decline was emotionally impactful for the observing scribe.
  • The experience underscores the rapid and often unpredictable nature of advanced cancer treatment.