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Communication between physicians and surviving spouses following patient deaths.

S W Tolle, P B Bascom, D H Hickam

    Journal of General Internal Medicine
    |September 1, 1986
    PubMed
    Summary

    Surviving spouses often have unresolved questions and limited physician contact a year after a patient

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    Area of Science:

    • Bereavement research
    • Grief and loss studies
    • Palliative care communication

    Background:

    • Patient death significantly impacts surviving spouses.
    • Post-death communication between physicians and surviving spouses is often inadequate.
    • Understanding spouse adjustment is crucial for supportive care.

    Purpose of the Study:

    • To evaluate surviving spouses' perceptions and adjustment post-patient death.
    • To identify communication gaps between physicians and bereaved spouses.
    • To explore factors influencing spouse adjustment after loss.

    Main Methods:

    • Personal interviews with 105 surviving spouses one year after patient death.
    • Physician perspectives gathered through medical chart review.
    • Analysis of spouse adjustment, communication, and healthcare utilization.

    Main Results:

    • 50% of spouses had no further contact with the deceased's physicians.
    • 55% of spouses reported unanswered questions regarding the death one year later.
    • Unexpected deaths were linked to higher risk of poor spouse adjustment.

    Conclusions:

    • Significant communication deficits exist in post-death care for surviving spouses.
    • Improved physician-spouse communication is needed to address unanswered questions.
    • Support for survivors of unexpected deaths requires focused attention.

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