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Demystifying Prognosis : Understanding the Science and Art of Prognostication
Shauna Gibbons1, Christian T Sinclair2
1Division of Palliative Medicine, University of Kansas Health System, 4000 Cambridge St, Kansas City, KS, USA. sgibbons@kumc.edu.
Abstract:
The science of prognostication is emerging as a vital part of providing goal concordant patient care. Historically, modern medicine has tended to shy away from approaching prognostication as a core clinical skill, and prognosis as something to be shared directly with the patient. In recent years however, the medical field's shift towards a focus on patient autonomy and more openness in matters regarding end of life has propelled the study of prognostication into a more essential component of patient centered care. This calls for more emphasis on teaching the science of prognosis and the skill of prognostication as a core part of modern medical education. The following chapter aims to delve into the science of prognostication, explore the methods of formulating a prognosis, and discuss issues surrounding the communication of prognosis.
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