Document Detail


Approaching difficult communication tasks in oncology.
MedLine Citation:
PMID:  15890639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Effective communication skills enable physicians to improve patients' understanding of their illnesses, improve patient adherence to treatment regimens, use time efficiently, avoid burnout, and increase professional fulfillment. Common communication pitfalls include blocking, lecturing, depending on a routine, collusion, and premature reassurance. Fundamental communication skills include "ask-tell-ask," "tell me more," and responding empathetically. Key communication tasks that are linked to the illness trajectory include: the first visit, giving bad news, making anticancer treatment decisions, offering clinical trials, completing anticancer therapy, and discontinuing palliative chemotherapy. While enhancing or acquiring new skills ultimately requires practice and feedback over time, this article provides a cognitive map for important communication skills that physicians need over the course of caring for a person with cancer.
Authors:
Anthony L Back; Robert M Arnold; Walter F Baile; James A Tulsky; Kelly Fryer-Edwards
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  CA: a cancer journal for clinicians     Volume:  55     ISSN:  0007-9235     ISO Abbreviation:  CA Cancer J Clin     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-05-13     Completed Date:  2005-06-16     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370647     Medline TA:  CA Cancer J Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-77     Citation Subset:  AIM; IM    
Affiliation:
University of Washington Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, USA.
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence*
Communication*
Decision Making
Empirical Research
Humans
Medical Oncology / methods,  standards*
Neoplasms / psychology*,  therapy
Patient Care Planning*
Physician-Patient Relations*
Social Support
Truth Disclosure
Grant Support
ID/Acronym/Agency:
R25 92055//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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