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Updated: Aug 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Lessons on caring: wisdom from patients who changed us
Rachel Rusch1, Gitanjli Arora2, Akilah Burford3
1Section of Palliative Medicine, Department of Paediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Patients and families facing serious illness, death, and grief offer profound lessons. Palliative medicine clinicians learn and grow through serving them, fostering human-centered care and personal transformation.
Area of Science:
- Palliative Care
- Medical Humanities
- Clinical Ethics
Background:
- Serious illness, dying, and bereavement present unique challenges for patients, families, and clinicians.
- Palliative medicine emphasizes compassionate care within these sensitive contexts.
- The importance of lived experience in shaping clinical practice is increasingly recognized.
Purpose of the Study:
- To reflect on and share transformative lessons learned from patients and families in palliative care.
- To integrate bedside experiences, practical guidance, and narrative reflections into clinical wisdom.
- To encourage human-centered practice grounded in the lived experiences of those facing end-of-life.
Main Methods:
- Drawing upon years of clinical experience in palliative medicine.
- Integrating narrative reflections and practical guidance from bedside encounters.
- Grounding insights in existing literature from clinical experience and interprofessional scholarship.
Main Results:
- Serving patients and families in palliative care leads to personal and professional transformation for clinicians.
- Lived experiences of patients and families are a valuable source of clinical knowledge.
- Human-centered practice is fostered through deep engagement with patient and family narratives.
Conclusions:
- Clinicians can cultivate greater humility, presence, and intention through reflective practice in palliative care.
- The patient-family dyad serves as a crucial teaching resource in end-of-life care.
- This work offers a reflective guide and teaching tool for clinicians in serious illness settings.
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