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Related Experiment Video

Updated: Jun 7, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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Published on: November 30, 2022

Initiating Prognostic Talk During Hospice Multidisciplinary Team Meetings: A Conversation Analytic Study.

Andrea Bruun^1,2, Nicola White¹, Linda Oostendorp¹

¹Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.

Journal of Palliative Care

|November 14, 2024

Summary

This summary is machine-generated.

Palliative care multidisciplinary teams embed patient prognoses within case presentations and discharge planning discussions. This study reveals how prognostic talk is initiated and responded to in hospice team meetings.

Keywords:

communication group meeting hospice multidisciplinary care team prognosis

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Published on: February 16, 2011

Area of Science:

Palliative Care
Medical Communication
Healthcare Management

Background:

Clinical guidelines advocate for palliative care multidisciplinary teams (MDTs) to discuss patient prognoses.
Evidence detailing how MDTs conduct prognostic discussions, particularly initiation during meetings, is limited.

Purpose of the Study:

To explore the initiation and response patterns of prognostic talk within hospice MDT meetings.
To understand the conversational dynamics surrounding prognosis discussions in palliative care.

Main Methods:

Analysis of 24 video-recorded inpatient MDT meetings in a UK hospice (May-December 2021).
Inclusion of 65 MDT members.
Transcription and Conversation Analysis of meeting recordings.

Main Results:

Prognostic talk was initiated during patient case presentations, often linked to specific template items (e.g., Phase of Illness, Karnofsky's Performance Status).
Prognoses also emerged as explanations for missing template information and during discharge planning discussions.
Provided prognoses typically elicited minimal, confirming responses from other team members.

Conclusions:

Patient prognoses are integrated into broader care conversations within hospice MDT meetings.
Findings can inform the development of clinical guidelines and interventions to enhance MDT prognostic discussions.