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Top Ten Tips Palliative Care Clinicians Should Know About Supporting Coping in Serious Illness
Danielle Chammas1,2, Amanda Moment3, Vickie Leff4
1Division of Palliative Medicine, Departments of Medicine, University of California San Francisco, San Francisco, California, USA.
Journal of Palliative Medicine
|May 23, 2025
Summary
Palliative care (PC) clinicians support patients
Area of Science:
- Palliative Care
- Psychotherapy
- Behavioral Medicine
Background:
- Palliative care (PC) clinicians encounter diverse patient coping strategies, ranging from adaptive (humor, legacy-building) to ambivalent (avoidance, control-seeking).
- Supporting adaptive coping is crucial for enhancing patient quality of life and outcomes in palliative care.
Purpose of the Study:
- To provide guidance for understanding, assessing, and engaging with patients' coping mechanisms in palliative care.
- To promote a unified team approach for nuanced and empathic patient support.
Main Methods:
- Drawing upon principles from psychotherapy, behavioral medicine, and PC research.
- Developing a shared language and approach for interprofessional teams.
Main Results:
- Clinicians can better understand and engage with a spectrum of patient coping strategies.
- A unified team approach enhances nuanced and empathic responses to patients.
Conclusions:
- Effective engagement with patient coping is central to interprofessional palliative care.
- A shared language and collaborative approach improve care quality and patient outcomes.
Keywords:
adaptive copingcoping assessmentcoping strategiescountertransferencecultureformulationpalliative carepatient copingpsychologyserious illnesssupportMore Related Videos
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